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Palpitations event recorders detected more arrhythmias than Holter monitoring. Level of evidence 1b Expiry Date October 2004 Syncope more arrhythmias were detected the longer Holter monitoring was worn. Level of evidence 4 Expiry Date October 2004 Syncope electrophysiologic studies detected arrhythmias in patients with unexplained syncope. Level of evidence 4 Expiry Date October 2004 Syncope electrophysiologic studies detected arrhythmias in patients with unexplained syncope. Level of evidence 4 Expiry Date October 2004 Syncope the sensation of syncope did not alone suggest arrhythmia. Level of evidence 1b Expiry Date October 2004 Tachycardia PVCs on a 2 minute rhythm strip made frequent PVCs on ambulatory ECG monitoring more likely Level of evidence 4 Expiry Date October 2004 Ventricular tachycardia look for cannon waves and a variable first heart sound Level of evidence 4 Expiry Date November 2004