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For this reason, the periodical sports medicine examination and the electrocardiography are essential tools in the cardiovascular screening, even though they do not always succeed in identifying rhythm disturbances, particularly when asymptomatic or rarely symptomatic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Hypothesis<\/jats:title><jats:p>Prolonged cardiac monitoring often enables clinicians to stratify the arrhythmic risk and reach the diagnosis. The technological progress of the last decades has produced an always\u2010increasing number of heart rhythm monitoring devices, starting from the 24\u2010hour\u00a0electrocardiogram Holter\u00a0monitoring and ending with the wide world of wearable devices.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>In the literature, the extreme utility of this equipment in the patients affected by cardiovascular diseases and in the general population is well established. On the contrary, athletes\u2010based randomized trials or large\u2010scale epidemiological studies targeting the frequency of cardiac symptoms and the use of cardiac monitoring are missing, while an ever\u2010growing number of case series and small observational studies are flourishing in recent years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The present review showcases the available electrocardiographic monitoring options, principally in the medical setting, listing their characteristics, their indications, their supporting evidence, and their general pros and cons.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>The ultimate goal of this review is guiding physicians through the wide variety of heart rhythm monitoring options in the specific subfield of sports cardiology, when an arrhythmia is suspected in an athlete, to tailor the diagnostic process and favor the best diagnostic accuracy.<\/jats:p><\/jats:sec>","DOI":"10.1002\/clc.24073","type":"journal-article","created":{"date-parts":[[2023,6,24]],"date-time":"2023-06-24T22:57:30Z","timestamp":1687647450000},"page":"1028-1037","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":11,"title":["An overview of the electrocardiographic monitoring devices in sports cardiology: Between present and future"],"prefix":"10.1002","volume":"46","author":[{"given":"Annachiara","family":"Pingitore","sequence":"first","affiliation":[{"name":"Department of General and Specialistic Surgery \u201cParide Stefanini\u201d Sapienza University of Rome Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mariangela","family":"Peruzzi","sequence":"additional","affiliation":[{"name":"Department of Clinical Internal, Anesthesiology and Cardiovascular Sciences Sapienza University of Rome Rome Italy"},{"name":"Mediterranea Cardiocentro Naples 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