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Medical Process Description


The process of caring a holter/ cardiac monitor is very easy if patients remember several important rules. The rules are created with the purpose to assure that the holter is retuned safe and the patients do not suffer any inconveniences. Also, the validity and reliability of the results depends on the way the holter is carried. Caring holter/ cardiac monitor is a very simple procedure, aimed at continuous recording of the human heart rhythms for 24 - 48 hours during both normal activity and increased physical activities. The patients have to perform their usual activities, while carrying a holter.

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Rules to Caring Holter/ Cardiac Monitor

The only difference from the everyday actions will be making notes procedure. To make the holter/cardiac monitoring an effective procedure, patients have to note the particular actions they make during the day. The monitoring of the heart rhythm in combination with the understanding what a person did is an effective tool in diagnosing such diseases and heart problems as atrial fibrillation, bradycardia, paroxysmal supraventricular and multifocal atrial tachycardia, palpitations, reasons for fainting, etc. Immediately done electrocardiogram is not always effective, as it checks heart during a very limited period of time (several minutes while the procedure takes place). As for holter/ cardiac monitoring, this procedure helps to check heart in a more detailed manner and to define the serious problems unavailable for a moment monitoring. The main steps a patient will have to perform is to have a hotler on him/ her, to go home and perform everyday activities, writing down the main changes in activities, and come 24 or 48 hours later (depending on the prescription) to take a holter off.

This process functions as a very detailed heart rhythm monitoring for identification of any problems. The procedure is very easy, patients just have to carry a holter very carefully, make sure not to wet or damage it.

Steps in the Process

Each patient, who is intended to carry a holter/ cardiac monitor have to come to the hospital wearing plane T-shirt without any metal or plastic prints. A nurse puts a holter on a patient. The main rules each patient should know are that the holter is electronic equipment which may be damaged. It is important not to put it close to water and magnetic fields. Also, a patient has to reduce the cases of the use of mobile phones, as they can cause a low battery faster. The device works from the battery, so each patient must keep in mind this fact and check whether the battery is working properly. Also, the electrodes may fall from a human body. Patients must know how to put them back. It is important to do it as fast as possible.

The process of caring a holter/ cardiac monitor is painless. At the same time, it may cause some discomfort to people as it is forbidden to take a shower. Also, people may feel some discomfort while sleeping. It is important to behave normally, performing the daily procedures in the usual pace. Keeping notes is also important. It cannot cause many problems, as people just have to note the time and the change of activities. For example, cooking, walking, lying, sitting, running, etc. There is no need to be very detailed; at the same time, it is important to note the main procedures during the day. Depending on the proposed diagnosis, a patient may be asked to maintain a physical activity during the day. It means that a patient has to put the time and either run or climb the ladder, or to refer to any other physical exercises to see how a heart reacts to the abnormal physical activities. The time of this procedure must be clearly stated in the dairy.

The final stage of the procedure is brining the results to the medical center and getting the report with the results within 24-48 hours. At the previously agreed time, a patient must come to the medical center with the notes and a holter. The hotler is put off only by the professional nurses. A patient must not try to do it him/ herself. The monitoring of a human heart starts immediately after the holter is put on and stops right before it is going to be taken off in the hospital. A nurse checks the dairy and asks some questions if something is not clear. After that, the synthesis and analysis of the data take place. The nurses check the electronically recorded data on the holter and refer to the dairy of a patient. Once the results are obtained, they are transferred to a patient with the recommendations to see a therapist for diagnosis.


In conclusion, the holter/ cardiac monitoring process is a painless procedure, which starts with putting on a holter on a patient, sticking electrodes and turning on a holter. Since this time, all the information is recorded. A patient must keep a dairy where he/ she notes all the action done during the day. It is important for a patient to perform everyday activities. The main warning concerning the holter is to keep away from water, magnetic devices and not cause any damages to the equipment. In 24 or 48 hours (depending on a prescription), a patient must come to the medical center with a dairy. A nurse turns off a holter, stops monitoring and takes off a holter. Overall, the procedure is very easy to perform, a patient just have to cope with some slight discomfort connected to wearing a holter. Even though the holter causes some problems to the patient, it is a very important procedure which must be carried out if prescribed. The main purpose of the holter is to record the heart rhythm aimed at determining how the human heart responds to the everyday activities. It is helpful in having a diagnosis in case electrocardiogram shows nothing.

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