Les indications et anomalies de l'enregistrement de longue durée (24 heures) de l'électrocardiogramme au CHU Gabriel Touré de Bamako

Aim : To specify indications and main abnormalities of the 24 hours electrocardiogramm in Bamako. Methodology : The study was retrospective from 01.01.2008 to 31.07.2013, on patients whose file comprised a quite readable recording holter. The Holter recordings were analyzed by the software synetec (syneview 2) of ELA medical.Patients data were analyzed by SPSS 18 and redaction made using Word 2010. Results : 90,2% of the recordings were retained. Meanage of the sample was of 44,02 ± 16,95 years, the sex-ratio H: F 1,18 with 79,3% of patients coming from the services of cardiology. The indications were: palpitations (32,6%), suspicions of disorder of the rate/rhythm (27,2%), loss of consciousness, cerebral vascular accidents ischemic each one 15,2% and seeks of cause of faintness in (9,8%). An anomaly was found for the indications of disorder of the cardiac rhythm, palpitations, the cerebral vascular accidents ischemic, faintnesses and the losses of consciousness in resp. 80%,66,6,28,5%,22,2% and 14,2%. Conclusion : The 24 hours electrocardiographic recording is an examination of a great value in looking for cardiac rhythm disorders field of the disorders of the cardiac rhythm. Its provision will have to be effective in the university structures and the evolution towards the forms at longer duration quickly undertaken in Mali.