Heart Rhythm Monitors

Holter Monitoring

Why is the doctor performing this procedure?

A Holter monitor is used to monitor and record the heart’s electrical activity over a 24 hour period.  An Event Recorder is the same type of monitor but allows recording of abnormal heart rhythms for one to two months.

What is the procedure?

The Holter monitor is a small ambulatory, portable ECG machine that can provide the following information:

  • The heart’s rhythm over a 24-hour period, during normal activities, or recording gets triggered by the patient when a specific event occurs.  An event recorder can be used for a much longer period of time.
  • Correlate any symptoms (chest pain, palpitations, etc) the patient experiences with the heart’s electrical activity at that time.
  • Record any abnormal heart rhythms (arrhythmias) that occur, providing diagnostic information about the type of arrhythmia, how long it lasts, and what might trigger it.
  • Determine how well anti-arrhythmia medicines are working.

The Holter monitor is worn over a 24-hour period while the patient does all of his/her normal activities.  Small, sticky patches called electrodes are attached to the chest. Wires travel from the electrodes to a small portable box that is worn on the belt or shoulder strap.  The box records and stores continuous heart rhythm data transmitted by the electrodes. The patient must keep a diary of activities, and of any symptoms, that occur while the monitor is in place. This will allow the doctor to correlate activities with symptoms with the heart’s electrical rhythm at a specific point in time.  The patient will also be advised of how to care for the monitor while wearing it.  When the 24-hour period is completed, or longer for the event monitor, the patient returns the Holter monitor to the hospital, and a technician does a computerized analysis of the Holter monitor data to prepare a thorough report for the physician.

Useful tips for better recording quality

  • Wear a two piece outfit, preferably a shirt with buttons on the front.
  • If you have a hairy chest, the areas where the electrodes are placed will need to be shaved.
  • Try to sleep on your back with the recorder positioned at your side so that the electrodes are not pulled off.
  •  It is important that you keep the electrodes and wires attached for the entire recording. If an electrode comes off, stick it back on your skin.
  • Do not get the electrodes, wires or monitor wet.
  • Avoid electric blankets, magnets, metal detectors, and high voltage areas such as power lines. Signals from such devices may affect recording.

Where is the test performed?

The Holter monitor is placed and removed at Eastside Cardiology  The actual testing period occurs at the patient’s home (or wherever the usual daily routine dictates).

How long does this test take?

The holter monitor placement takes about 10 to 20 minutes to complete.

How do I get the results of my test?

After your recorded events have been reviewed, the results will be sent to your primary care physician and or you will be called directly with results.



What is an Event Recorder?

An event recorder is a recording device used to record the heart rhythm. You can wear the recorder over a period of 14 days to 30 days, while you go about your usual daily activities. When you feel symptoms, you press a record button and the event monitor records and stores up to five events of your heart's electrical activity. The event recorder is about the size of a pager. You can clip it to a belt, your pants, or place it in your pocket. Two electrodes (sticky patches) are worn on your chest. A wire attaches the electrodes to the event recorder. The event recorder is worn day and night, and continuously scans your heart's electrical activity.

How do I prepare for the procedure?

There is no special preparation for event monitoring. You may eat and go about your normal activities, unless you are told otherwise. Make sure you wear a two-piece outfit to make the event recorder easier to hook up.

What is an Event Recorder used for?

If you have been having recurrent symptoms, such as dizziness, chest pain, palpitation, or fainting spells, the doctor will use an event recorder to help determine if these symptoms are caused by an arrhythmia.

During an arrhythmia (abnormal heart rhythm), the heart will either beat too fast, too slow, or irregularly. Doctors can diagnose an arrhythmia by obtaining an EKG, a recording of the heart's electrical activity. Quite often, an arrhythmia will not occur in a brief period of actual recording like when you are getting an EKG at your doctor's office. If your doctor suspects you have an arrhythmia, he or she will want to record the EKG when you are having symptoms.

If your symptoms are infrequent, you may require the use of an event recorder to catch your EKG during your symptoms.

How long does this test take?

Instructions and set up take about 15 to 30 minutes to complete.

How do I get the results of my test?

After your recorded events have been reviewed, the results will be sent to your primary care physician and or you will be called directly with results.