![]() Once this has been done, you can dress and go. They will show you how to fill out a diary so we can see if your symptoms relate to your heart rhythm. They will also instruct you how to wear your monitor, what to do if you need to take it off for a bath and how to re-attach the electrodes. The technician will press some buttons on the monitor to ensure they have the best quality trace. The electrodes will constantly monitor your heart rhythm and relay signals back to the monitor. The monitor has three cables which are then attached to the electrodes. The technician will lightly rub your chest to provide a better contact with the electrode – an electrode is a sticky pad that is attached to your chest. The ECG technician will show you your monitor (and also ask if you will be able to return it the next day as we will need it back to analyse your results and to clean it in readiness for the next patient.) You will be asked to remove your clothes down to your waist and sit on the couch. The ECG technician will call you into the room. Please bring your appointment letter to reception and you will be shown where to wait. You will find the Cardio-respiratory Department through Outpatients. Please do not wear any creams or lotions on your chest that day as it may reduce the electrodes sticking to your chest. Please wear loose fitting clothes that are easily removable from the waist up. The doctor may think your symptoms may be due to a too slow heart rate or too fast heart rate so they need to identify the best way to treat them. This is a little monitor about the size of a mobile phone that is designed to pick up all different types of heart rhythms (too slow heart rate, too fast heart rate). He or she will interpret the recordings and will then provide your physician with a written report.Having a 24 hour, 72 hour or seven day heart monitor ![]() The Holter recordings will be submitted to our Cardiologist who is a specially-trained physician in reading these recordings. If you have redness/itching or are uncertain please remove the electrode adhesive and contact us. Some patients are sensitive to the electrode adhesive, but no serious allergic reactions are known. Our Cardiac Physiologist will also explain to you how to take off the monitor and how to return it to us. This will allow the Cardiologist to correlate symptoms with the ECG recording at that precise time. The diary should include the date, time of day, type, and duration of symptoms. It is very important for you to keep a diary of symptoms. Our Cardiac Physiologist will start the monitor and tell you how to replace the electrodes should they fall off or become loose. You carry the Holter monitor in a pocket or small pouch worn around your neck or waist. ![]() These are then connected by wires to the monitor. Three self-adhesive patches will be attached to the skin on the chest. You will be fitted with a Holter monitor by our Cardiac Physiologist. Please expect to be at London Heart Centre for 30 minutes to be fitted with a Holter monitor. Make sure you shower before you start the test as you will not be able to do so while you are wearing a Holter monitor. If you take medications, you should continue to take them as normal unless your doctor specifies otherwise. You should come as you are and eat or drink as you normally do. ![]() However, wearing clothing that gives easy access to the chest is helpful. There is no special preparation required. The monitor can be worn for 1 to 7 days (depending on your referring doctor’s instruction). A Holter monitor is a device that records the heart rhythm continuously as you go about your normal routine. ![]()
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