Ambulatory Electrocardiographic Monitoring

Flashcards on Ambulatory Electrocardiographic Monitoring.

Holter Monitor

A portable device for continuously monitoring the electrical activity of the heart for 24 hours or more.

Norman Jefferis "Jeff" Holter

American biophysicist who invented the Holter monitor.

Heart Monitor

A device that tracks a patient’s heart rhythm, ordered when a patient has a complaint of palpitations, syncope, or a known history of arrhythmia.

Frequency and regularity

Palpitations that last for a few seconds and occur randomly and episodically that are often due to premature beats.

Atrial fibrillation

Rapid and irregular palpitations are commonly reported in this condition.

Holter Monitors

Monitors that continuously record rhythm for 24-48 hours and are about the size of a large deck of cards.

Event Monitors

Monitors that, unlike the Holter, only record rhythm at certain times.

Continuous loop records (aka pre-symptom memory loop recorders)

Continuously recording and erasing data every few minutes.

Ambulatory electrocardiography

A noninvasive procedure that continuously records the heart’s activity as the patient does his normal routine, usually for 24 to 72 hours up to one month.

Pause

Episodes, time, longest, what happened before, ventricular standstill or SApause?

NSVT / SVT

Patient underlying disease, ischemic or not, # episodes, longest, initiate episode, how terminate, ablation done

PVC / PAC

of episodes, monomorphic or polymorphic, burden, RFA done previously?

AF

of episodes, Max/min duration, burden, any anticoagulant drugs? ablation done previously?

Loop recorders

They continually analyze the ECG and retain information pertaining to relevant arrhythmias that are automatically detected.

Post-event Recorders

Event recorders with a ‘loop memory’; they continually analyse the ECG and retain information pertaining to relevant arrhythmias that are automatically detected thanks to predefined algorithms and the registration of the ECG a few minutes before the onset of the arrhythmia.