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Cardiac Holter & Event Monitors

What is a Holter Monitor? | Cardiac Event Monitor?

What is a Holter Monitor?

Cardiac Event Monitor?

The hospital uses state-of-the-art digital monitors. These monitors are very small and portable; with the proper clothing can be worn very discreetly.

What is a Holter Monitor?

How to Prepare | What to Expect

KVH Hospital provides 24-hour Holter monitoring services. Your physician uses this testing to diagnose irregular cardiac rhythms, cardiac symptoms, medication effectiveness, medication reactions, or any other cardiac-related issue that a simple in-office 12-lead EKG cannot diagnose. This service requires a physician’s order.

The ambulatory (Holter) monitor is a lightweight continuous electrocardiographic (ECG) monitoring system that uses three surface electrodes to continuously record all cardiac electrical activity, typically for 24 to 48 hours. Once the monitoring period is over, the patient returns the device, all acquired data are analyzed (usually by a trained technician), and a summary report is generated for clinician review.

How to Prepare

  • Wear a buttoned blouse or shirt without an undershirt for easy access to your chest.
  • Do not apply creams, lotions, or powder to the chest area on your test day.

What to Expect

  • Allow 45 minutes for the hook-up portion of the procedure.
  • You will have seven electrode patches placed on your chest. These patches will be connected to electrodes with wires connected to the digital recorder. The digital recorder is placed in a small pouch worn over the shoulder or around the waist.
  • You may go about your daily activities, except you cannot shower, bathe, or get the equipment wet during the 24-hour recording period.
  • You must fill out a symptom diary during the 24 hours.
  • At the end of the 24 hours, you will return to KVH Hospital to have the Holter removed. You should allow 15 minutes, and your portion of the study is complete.
  • The RT staff will download data and create a report that will go to KVH Internal & Adult Medicine for over-read by a specially trained physician.
  • Once the over-read is complete, a dictated report/result will be sent to your ordering physician.

What is a Cardiac Event Monitor?

How to Prepare | What to Expect

Unlike the Holter Monitor, which records every heart beat for 24 hours, the Cardiac Event Monitor is designed to record your cardiac events for up to 30 days. This recorder requires the patient to trigger it when they have a suspected cardiac-related event. The recorder will also record certain cardiac arrhythmias on its own when detected. All recordings are transmitted to a receiving center via telephone.

How to Prepare

  • Wear a buttoned blouse or shirt without an undershirt for easy access to your chest.
  • Do not apply creams, lotions, or powder to the chest area on your test day.

What to Expect

  • You must sign a special enrollment form that will be faxed to the receiving center before being hooked up.
  • You will be scheduled for the initial hook-up and training. A baseline recording will be recorded and sent during this appointment.
  • You must wear the event monitor for at least two weeks. At the two-week point, you will contact KVH to see if enough data has been collected. If not, you must wear the monitor for an additional two weeks.
  • Upon completion of the monitoring period, you will place all the equipment in the provided pre-paid envelope and place it in the mail for return.

Resources

  • Cleveland Clinic – Cardiac Event Monitor
  • The National Heart, Lung, and Blood Institute (NHLBI): Heart Tests
  • Zio by iRhythm Technologies, Inc.
  • Heart.org / Cardiac Event Recorder 

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Cardiopulmonary Services

  • Cardiac Stress Testing
  • Cardiac Holter & Event Monitors
  • Electrocardiogram
  • Pulmonary Function Testing (PFT)

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