Holter Monitoring Services

How is the Test Performed?

• Electrodes (small conducting patches) are stuck onto your chest and attached to a small recording monitor. 
• You carry the Holter monitor in a pocket or small pouch worn around your neck or waist. 
• The monitor is battery-operated.
• While you wear the monitor, it records your heart’s electrical activity. 
• You should keep a diary of what activities you do while wearing the monitor. 
• It is very important that you accurately record your symptoms and activities so that the doctor can match them with your Holter monitor findings.
• After 24 to 48 hours, you return the monitor to your doctor’s office. 
• The doctor will look at the records and see if there have been any irregular heart rhythms.

How to Prepare for the Test?

There is no special preparation for the test. Your doctor will start the monitor. You’ll be told how to replace the electrodes should they fall off or become loose.

Tell your doctor if you are allergic to any tape or other adhesives. Make sure you shower or bathe before you start the test. You will not be able to do so while you are wearing a Holter monitor.

How Will the Test Feel?

• This is a painless test. 
• Some people may need to have their chest shaved so the electrodes can stick. 
• You must keep the monitor close to your body. This may make sleeping difficult for some people. 
• You should continue your normal activities while wearing the monitor.

Why is the Test Performed?

Holter monitoring is used to determine how the heart responds to normal activity. The monitor may also be used:

• After a heart attack
• To diagnose heart rhythm problems
• When starting a new heart medicine

It may be also used to diagnose:

• Atrial fibrillation/flutter
• Multifocal atrial tachycardia
• Palpitations
• Paroxysmal supraventricular tachycardia
• Reasons for fainting
• Slow heart rate (bradycardia)
• Ventricular tachycardia

Normal Results

Normal variations in heart rate occur with activities. A normal result shows no significant changes in heart rhythms or patterns.

What Abnormal Results Mean?

• Abnormal results may include various arrhythmias. 
• Changes may mean that the heart is not getting enough oxygen. 
• The monitor may also detect conduction block, a condition in which the atrial electrical activity is either delayed or does not continue into the ventricles of the heart.

Risks

There are no risks associated with the test. However, the monitor must stay dry and not get wet.

Considerations

Electrodes must be firmly attached to the chest so the machine gets an accurate recording of the heart’s activity. 

While wearing the device, avoid:

• Electric blankets
• High-voltage areas
• Magnets
• Metal detectors

It is also very important for you to keep a diary of symptoms. The diary should include the date, time of day, type, and duration of symptoms.