Table 2 Guidelines and consensus recommendations for arrhythmic/cardiac surveillance in acromegaly

From: Electrophysiological features in acromegaly: re-thinking the arrhythmic risk?

Author 12-Lead ECG Echocardiogram 24 h-Holter
Giustina et al. [90] On diagnosis and annually On diagnosis and annually If necessary
Melmed et al. [91] On diagnosis and annually On diagnosis and annually Not specified
Katznelson et al. [92] Cardiologic evaluation + ECG + echocardiogram especially if suggestive clinical findings are present
Katznelson et al. [93] Complete cardiologic evaluation if suggestive clinical findings are present
Barnabeu et al. [94] On diagnosis Depending on clinical picture If arrhythmia is suspected
Melmed et al. [95] “regular monitoring of patients is recommended (SR)”
Giustina et al. [96] Annually if abnormal Annually if abnormal Not specified
Cozzi et al. [97] On diagnosis and then according to results of basal evaluation On diagnosis and then according to results of basal evaluation
Can be delayed at diagnosis in young patients and in those without evidence of cardiovascular disease
Not specified
  1. ECG electrocardiogram, SR strong recommendation