Holter Monitor Test for the Heart

Introduction

The Holter monitor test is a continuous electrocardiogram (ECG) recording that typically lasts 24 to 48 hours, although longer periods are sometimes used. It helps diagnose irregular heart rhythms (arrhythmias) that may not be detected during a standard ECG.

How Does It Work?

A small, portable device with electrodes is attached to your chest. These electrodes detect electrical activity in the heart, which is then recorded.

Why Is It Done?

Doctors order Holter monitoring to: - Detect arrhythmias - Investigate unexplained fainting, dizziness, or palpitations - Assess the effectiveness of heart medications or treatments - Monitor the heart after a heart attack or procedure

What to Expect During the Test

  • The device is worn continuously, even during sleep.
  • You will be asked to keep a diary of symptoms and activities.
  • The test is painless, though some skin irritation from electrodes may occur.

Interpreting the Results

Your doctor will analyze the recorded data to look for abnormal rhythms, correlating them with your symptoms. Based on findings, they may recommend further tests or treatments.

Conclusion

The Holter monitor test is a valuable diagnostic tool for identifying heart rhythm disorders in daily life and guiding appropriate treatment.

Source recommendations

1. American Heart Association Guidelines on Ambulatory ECG Monitoring

  1. https://www.ahajournals.org/doi/10.1161/01.cir.100.8.886
  2. https://www.aafp.org/pubs/afp/issues/2000/0201/p884.html
  3. https://www.jacc.org/doi/10.1016/S0735-1097%2899%2900354-X
  4. https://www.heart.org/en/health-topics/arrhythmia/symptoms-diagnosis--monitoring-of-arrhythmia/cardiac-event-recorder
  5. https://pubmed.ncbi.nlm.nih.gov/29084733/

2. European Society of Cardiology Guidelines on Arrhythmias

  1. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Ventricular-Arrhythmias-and-the-Prevention-of-Sudden-Cardiac-Death
  2. https://academic.oup.com/eurheartj/article/43/40/3997/6675633
  3. https://www.escardio.org/Guidelines/Clinical-Practice-Guidelines/Supraventricular-Tachycardia
  4. https://pubmed.ncbi.nlm.nih.gov/36017572/
  5. https://www.ahajournals.org/doi/10.1161/01.cir.0000091380.04100.84

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