Services

Ambulatory ECG Monitoring

Nurse With Cardiology Patient

Ambulatory ECG Monitoring

“Holter monitoring is performed to produce a prolonged ECG recording over the course of 1 day or longer. This is particularly useful for patient with blackouts, paroxysmal arrhythmias, intermittent symptoms and/or palpitations.”

About

About

What is a heart monitor?

A heart monitor, also called Holter or Lifecard is a small portable machine with 3 electrodes (Stickers) that will be attached to your chest to continuously record your heart rate and rhythm.

Your doctor might recommend a Holter monitor test if you faint, have periods of dizziness, or if you sometimes feel your heart pounding, racing, or beating unevenly.  A Holter monitor test gives your doctor a beat-by-beat record of your heart’s rhythm for a long period of time. Comparing your diary to the Holter recording will help your doctor diagnose heart rhythm problems that may be causing your symptoms.

 

What does it involve?

 During your appointment stickers called electrodes will be put onto your chest. The stickers will then be attached to the monitor by means of ECG wires. The monitor can be attached to your waistband using a clip, placed in your pocket or worn around your neck.

You should continue with your normal daily activities, this will help to show a typical profile of your heart rate and rhythm during the recommended period (24h, 48 hour, 72 hour or 7 days) after which you can remove monitor and place it in the envelope provided.

Some men may need to have a small area on their chest shaved in order for the electrodes to stick to the skin.

You will be given a dairy sheet to complete and return with the monitor in the envelope.

Please note: The monitor must be returned to the Hospital of St John & St Elizabeth on the same day the test ends or at time agreed with Physiologist. Unfortunately the monitor can not be posted or couriered.

 

How will I feel during the test?

 The recording is painless and harmless. The machine records electrical impulses coming from your body – it does not put any electricity into your body. If you have sensitive skin, the electrodes might cause your skin to itch and may cause redness.  If the itching becomes unbearable then remove electrodes and call the department during opening hours.

Risks

There are no risks associated with the test.

Preparation

Are there any special precautions that I need to take before the test?

 No. You can take all your medication as normal, unless informed otherwise by your doctor. You can eat and drink as normal before and during the test.

 

After the Test

When and how do I return the monitor?

 The monitor must be returned to the Cardiology department on the same day you removed it, or on a mutually convenient date that is prearranged with the clinical team. If you have any issues with returning the monitor, please call the department and inform us immediately as any delays in returning the monitor can prevent other patients from having the test. The monitor must be returned with your diary sheet.

Please note: The monitor must be returned to the Hospital of St John & St Elizabeth on the same day the test ends or at time agreed with Physiologist. Unfortunately the monitor can not be posted or couriered.

Results

We are unable to provide results of the test on the day of your appointment. All results will be sent to the referring doctor. You will need to arrange a follow up appointment with the doctor to discuss the results of the test(s).

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