A Holter monitor is a small, wearable device that records the heart’s rhythm and is used to determine the risk of irregular heartbeats (arrhythmias). A Holter monitor test may be done if a traditional electrocardiogram (ECG or EKG) doesn’t provide enough details about the heart’s condition.
Why might I need Holter monitoring?
A cardiologist shall access it if you are Holter monitoring. You will be provided with a Holter monitor to wear for 1-2 days to track your cardiac activity and spot irregular heart
rhythms that an ECG missed.
A cardiologist may recommend a Holter monitor if you have:
- Signs and symptoms of an irregular heart rhythm (arrhythmia)
- Unexplained fainting
- A heart condition that increases the risk of arrhythmias
Ambulatory blood pressure (ABP) monitoring involves measuring blood pressure (BP) at regular intervals (usually every 20–30 minutes) over 24 hours while patients undergo normal daily activities, including sleep. The portable monitor is worn on a belt connected to a standard cuff on the patient’s non-dominant upper arm to detect systolic, diastolic, and mean BP as well as heart rate. When complete, the device is connected to a computer that prepares a report of the 24-hour, day time, night time, and sleep and awake (if recorded) average systolic and diastolic BP and heart rate.
ABP monitoring can detect:
- High blood pressure (Hypertension)
- Low blood pressure (Hypotension)
- The potential for cardiovascular events, mortality, or end-organ disease
- Efficacy of drugs on blood pressure
- The potential for worsening of renal issues in patients with chronic kidney disease (CKD), or the potential for cardiovascular events in patients with CKD
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