Ambulatory Monitoring

Cardiac Monitoring

Holter Monitoring

A Holter monitor is used for monitoring the electrical activity of the heart for a continuous 24 hour period. This extended recording period is useful for documenting occasional cardiac arrhythmias, or for determining the effectiveness of cardiac medications. A series of electrodes are attached to the chest and then connected to a small monitoring device that can be worn around the neck, or attached to a belt or waistband. When the recording period is completed, signal analysis is performed by special software that automatically determines different sorts of heart beats, rhythms etc. This analysis provides your Cardiologist with information about heart beat morphology, beat interval measurement, heart rate variability, and rhythm overview.

Ambulatory Blood Pressure Monitoring

Ambulatory blood pressure monitoring measures blood pressure at regular intervals. It is believed to be able to reduce the “white coat” hypertension effect in which a patient’s blood pressure is elevated during the examination process due to nervousness and anxiety caused by being in a clinical setting. Out-of-office measurements are highly recommended as an adjunct to office measurements by almost all hypertension organizations. Additionally, 24-hour non-invasive ambulatory blood pressure monitoring allows evaluation of treatment, and excessive blood pressure that is known to increase the risk of cardiovascular events. A blood pressure cuff is worn on the non-dominant arm and is attached to a monitoring device that is worn around the neck. The information obtained is analyzed by special software and provides your Cardiologist with data to aid in formulating a treatment plan specialized for your needs.

Cardiac Event Monitoring

A cardiac event monitor is a device used to monitor patients with transient cardiac symptoms. Unlike the Holter monitor, the event monitor is worn for 30 days. There are two classifications of event monitoring; looping and non-looping. With a looping monitor, two electrodes are attached to the chest and then connected to a small monitoring device that is worn on the belt or waistband. If the patient feels symptoms, a button on the monitoring device is pressed and the device will record 1 minute of cardiac electrical activity. The patient will then transmit the stored recording (via telephone), to the monitoring center, and a report will be sent to the Cardiologist. With a non-looping monitor, the patient holds the device up to the chest to obtain the recording. Data obtained from the non-looping monitor is also transmitted via telephone to the monitoring center, and a report is sent to the Cardiologist. The non-looping monitor may be carried in a pocket or pocketbook.

With all of our ambulatory monitoring, a trained Cardiovascular Technologist will explain the procedure to you and answer any questions you may have.