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A holter monitor is a small, portable ECG recorder that's worn for either 24, 48 or 72 hours. It records the heart rhythm during normal daily activities and while sleeping. This may identify slow, fast or irregular heart rhythms that may be responsible for symptoms such as fainting (syncope) or palpitations (feeling a fast or irregular heart beat). Nuclear Cardiology has 24 or 48-hour monitors.
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There is no special preparation for a Holter Monitor.
Bring with you to your appointment your:
When you arrive at the
TGH Electrophysiology Department or the
TWH Nuclear Cardiology Lab check in at the reception desk. The receptionist will ask you for:
When you check in, the receptionist will give you a name band to wear. After you check in with reception, please sit down in the waiting area.
When it's time, a technologist will take you directly to the Holter Room. The procedure is explained. Consent is not required
ECG electrodes (sticky patches) are attached to your chest and connected with wires to the recorder. The monitor comes with a carrying pouch and can be worn around your waist. It's important for the monitor to remain attached for the duration of the test so that an accurate recording of your heart's rhythm can be obtained.
While you're wearing the monitor, you'll be asked to keep a diary of your activities and your symptoms, such as fluttering feelings in your chest (palpitations), rapid heartbeats, and any episodes of dizziness or fainting.
The holter monitor is worn for 24, 48 or 72 hrs. The length of time the monitor is worn depends on the doctor's orders. Following the test you return the monitor to the department.
Once the test is completed, the technologist uploads your results to your records. The physician/radiologist will write a report and send it to your doctor.
The technologist can't give you the results during your visit, but once the report is in your health record, your doctor can review it and will give you the results.
Hooking up a holter monitor usually takes about 30 minutes. It needs to be worn for the prescribed period of time. When the test is complete, you'll need to return the holter monitor to the lab.
We do everything that we can to stay on time. Unfortunately, your appointment may be delayed by unforeseen circumstances. We recommend that you come prepared for delays.
You will be contacted with information about your first appointment.
Please bring the following to your appointment. Not all of these items may be needed for your appointment. Our clinic or your referring doctor will let you know what you must bring.
Please arrive 15 minutes before your appointment.
When you arrive, you will sign in with the receptionist. You will need your health card (OHIP card) to sign-in. If you do not have an OHIP card, please bring another form of government-issued photo ID, such as a driver’s license or passport.
You may be given a Measuring Health Equity Questionnaire to fill out. This form contains questions about your background. We collect this information to find out who we serve and what unique needs you may have. The form is voluntary and you can choose ‘prefer not to answer’ to any or all questions. However, the information you choose to give us will help us improve the quality of care for you and others.
First appointments take longer than follow-up appointments. Your first appointment can take 2 hours or more. Follow-up appointments usually take 15 to 30 minutes. We do everything we can to stay on time but sometimes unforeseen circumstances may delay your appointment.
At the end of your first appointment, the nurse or doctor will give you a contact list for your health care team. If you don’t get a contact list, feel free to ask for it.
After every appointment, a member of your health care team will tell you about your next visit. Be sure you understand what is going to happen next. For example, know the time and place of your next visit or if someone will call you with this information.
If you are unsure about what your next steps are, don’t be afraid to ask a member of your team. We are here to help you.
We understand that reaching us by phone can sometimes be difficult. Often our phone lines are busy or are turned over to the message centre so our staff can prepare for clinic visits or help other patients. We make every effort to return your call within 24 hours. Our staff will try to reach you 2 times. If we are not able to reach you directly you may need to call us again.