Holter Monitoring
Ambulatory ECG monitoring has been developed as a means of recording the ECG over a set period of time in patients suspected of having cardiac arrhythmias. A Holter monitor is preferable to all other monitoring as it provides a 24-hour window of the heart rate changes and can be partnered to symptoms.
Arrhythmia indications for ambulatory ECG monitoring
- Cardiac palpitations
- Unexplained syncope or dizziness
- Suspected slow heart rhythms
- Hereditary ‘‘electrical” abnormalities
- Evaluate the abnormal ECG; ectopy and heart block
- Cryptogenic stroke evaluation to document paroxysmal atrial fibrillation
- Evaluation of success of either antiarrhythmic or ablative therapy
- Evaluation of ventricular tachycardia
- Paediatric monitoring
- Following acute myocardial infarction
- Potentially lethal arrhythmias with congestive and hypertrophic cardiomyopathy
- Monitor cardiac implantable electronic device therapy
- Chest pain or dyspnoea thought to be associated with arrhythmias
