Holter monitor (24h)
Alternative names:
ambulatory electrocardiography; electrocardiography, ambulatory
How the test is performed:
Electrodes (small conducting patches) are placed on your chest and attached to a small heart recording monitor that can be carried in a pocket or small pouch worn around your neck. The monitor is battery operated. Your heart activity is recorded, usually for a 24-hour period while you keep a diary of your activity during the 24-hour period. The recording is then analyzed, a report of the heart's activity is tabulated, and irregular heart activity is correlated with activity. In some Holter monitoring, a person may be asked to manually activate a recording if symptoms such as palpitations, chest pain, or irregular rhythms are noticed.
How to prepare for the test:
There is no special preparation for the test. The recording monitor will be initiated (started) by the health care provider, and instructions will be given on how to replace electrodes should they become loosened. Instructions will also be given on how to record activity for the diary.
Infants and children:
The physical and psychological preparation you can provide for this or any test or procedure depends on your child's age, interests, previous experience, and level of trust. For specific information regarding how you can prepare your child, see the following topics as they correspond to your child's age:
How the test will feel:
There is no discomfort associated with the test. Hair may be shaved from the chest for electrode placement. The recording monitor is kept close to the body in a pouch worn around the shoulder or neck. Continue activities while wearing the monitor.
Why the test is performed:
To determine how the heart responds to normal activity, or in some cases, to cardiac medication. It may be done on some people after a heart attack.
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