Monday, January 16, 2012

Holter Montior vs. CardioNet?

I work in a pacemaker clinic / cardio-diagnostic department and we do 24 hour holter monitors and the 30 day cardiac event monitors. Our cardiologists will order the monitors based on how frequent and what kind of symptoms the patient is having. Also they do an EKG in the office to determine any presenting arrhythmia (irregular heart rhythm). The holter monitors work well for finding arrhythhmia if you are actively having the symptoms or irregular heart beat during that 24 hour period. Some times we have patients that don't have any arrhytmia during a 24 hour holter monitor recording and then the doctor orders the longer event monitor. As far as the event monitors they can be used for patients that have intermittent symptoms where the patient presses a on on the monitor when they feel symptoms (i.e. a flutter,flip-flop,dizziness,and sinking feeling to name a few) It captures a ekg strip and then they call in over a phone to "download" it. The event monitors ususally hold 5 recordings and when the monitor is full you call in and download it. I had one patient that called in over 300 recordings in 30 days. The doctor can get several strips or readings of your heart rhythm and verify if you are just having a normal palpitation (premature beat) or something more serious. The newer event monitors can even make automatic recordings by being triggered by an irregular heart beat or a pre-set low heart rate or high heart rate. Hope this helps and my preference would be for the event monitor just to put my 2 cents in. And just for the legal department out there, "I am not a doctor. This text is for informational purposes only. You should always consult a liscensed medical doctor regarding tests and procedures." Yada-yada-yada!

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