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Cardiac monitoring for ambulatory patients (those well enough to walk around) is known as ambulatory electrocardiography and uses a small, wearable device, such as a Holter monitor, wireless ambulatory ECG, or an implantable loop recorder.
In medicine, a Holter monitor (often simply Holter) is a type of ambulatory electrocardiography device, a portable device for cardiac monitoring (the monitoring of the electrical activity of the cardiovascular system) for at least 24 hours. The Holter's most common use is for monitoring ECG heart activity
Electrocardiography is the process of producing an electrocardiogram (ECG or EKG [a]), a recording of the heart's electrical activity through repeated cardiac cycles. [4] It is an electrogram of the heart which is a graph of voltage versus time of the electrical activity of the heart [ 5 ] using electrodes placed on the skin.
Wireless ambulatory ECGs are able to provide voice alarm messages when cardiac abnormalities occur, such as bradycardia, and can record this information and provide a screen prompt for the patient to view the data. The devices can also store mass amounts of ECG data on the phone, replay the ECG readings at a high speed, and have a low-voltage ...
A small monitor worn by an ambulatory patient for this purpose is known as a Holter monitor. Cardiac monitoring can also involve cardiac output monitoring via an invasive Swan-Ganz catheter. Hemodynamic monitoring, which monitors the blood pressure and blood flow within the circulatory system.
The ILR records by "freezing" the electrical information preceding, during and after the symptoms in the format of an electrocardiogram. [1] The technician or physician can download and review the recorded events during an office visit using a special programmer [ 4 ] or via online data transmission.
When electrical recordings are made from the skin, it is considered to be an ECG as described above. However, electrical recordings made from within the heart such as with an artificial cardiac pacemaker or during an electrophysiology study, the signals recorded are considered an "electrogram" instead of an ECG. These signals are not ...
An aggressive diagnostic approach is recommended for those at high risk and can include ambulatory monitoring or electrophysiologic studies. [1] There are three types of ambulatory EKG monitoring devices: Holter monitor, continuous-loop event recorder, and an implantable loop recorder. [1]