Holter monitoring: what not to do?

Monitoring of the heart is an important diagnostic study that determines the pathology in the cardiovascular system. For more accurate results in medicine found its dissemination of so-called «Holter» monitoring, in which the work of the heart monitor for twenty-four hours.

Methods of examination of heart, created by Norman Holter was successfully applied in all countries and deservedly received the name of its Creator. Halter himself claimed that his technique is valuable because the work of the heart is observed not only at rest when a person is lying on the couch (as in ECG), and monitoring encompasses the entire process from morning awakening until bedtime. This allows you to more objectively evaluate the work of the heart.

Varieties of Holter monitoring

Monitoring of the heart by Holter may be performed in two forms – a full-scale monitoring and fragmentary monitoring of the activity of the heart. In some cases, a Holter monitor is applied in parallel with the daily monitoring of blood pressure. Full-scale monitoring is conducted for three days, so you better examine the heart and to identify the features in his work. So you notice when there is a noise that provokes tachycardia, etc. During this time the receiver logs information on more than one hundred thousand heart beats.

Electrocardiogram also registers a tiny fraction of strokes – only about fifty, therefore, the value of Holter monitoring is much higher than the value of the printed ECG. A fragmentary study is assigned to those patients who are experiencing heart pains not so often. For management of patients removed normal electrocardiogram and device for Holter monitoring is driven by the patient when he feels unpleasant pinching or stabbing pain behind the breastbone.

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Principles of conducting research

Holter monitoring has some peculiarities. In order to obtain objective data on the functioning of the heart, you need to understand how research is conducted and what rules to be followed by the patient to the monitoring data were as close as possible to reality and become useful for further treatment.

Monitoring is not complicated or time-consuming. The doctor puts the patient electrodes to certain locations on the chest, then connects them to the device-Registrar. The device is placed in a special purse or clips on a belt, similar to a mobile phone in the case. The weight of the device is not great, it does not interfere with walking.

Patient responsibilities in monitoring

Usually before the procedure, the patient is given a reminder that he must comply with all requirements contained in the text. During monitoring, the patient must keep a diary of their activities where it will record the following positions:

  • a) Wake-up time and sleep time;
  • b) the presence and type of physical activity during the day;
  • C) list of medications taken;
  • d) the presence of stressful situations;
  • d) the number of meals;
  • e) the presence of pain symptoms of the heart, their duration, character of pain.

Холтеровское мониторирование: чего нельзя делать?

Limitations of the procedure

Holter monitoring of the heart is a very delicate and sensitive study which is necessary to carry out strict rules for the patient. Mostly these rules concern restrictions, which cannot be neglected, otherwise the research results would not be reliable, and treatment will be in vain. So, the patient needs to know what not to do during Holter monitoring, namely:

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  • Not to carry out any action with the device, which didn’t tell him in a medical facility.
  • To monitor the device and the sensors do not leak the liquid, otherwise the results will be incorrect, and the study will have to stop.
  • To observe the attachment of the electrodes, as in the case of disconnection of the electrode – to be able to pin to the required point.
  • Not to overheat and not to overcool your pet device (for example, to apply heating pads).
  • Do not attach the receiving sensors to other locations.
  • Not to x-ray diffraction study.
  • To make sure that the device is not in contact with active chemicals.
  • Not to undergo physiotherapy.
  • Do not include in the daily routine of heavy physical exertion. Going to the gym is strictly forbidden, but in some cases, the doctor may specifically designate the controlled load, climbing stairs or briefly Jogging to register cardiac activity at this time.
  • To minimize the effects of radio waves – turn off your mobile phone (if possible), do not heat food in a microwave oven, do not sit near the players with a built-in radio, etc.
  • Not carry out hygienic procedures in the area of the chest, not to take a shower.
  • During sleep, not to roll over on his side, sleeping all the time on the back below the electrodes are not disconnected.
  • Wear clothes made of natural fabrics that do not allow overheating of the body, sweating.
  • The final diagnosis after monitoring, the cardiologist will be able to talk when the decode data of the receiver. These results are compared with the data of electrocardiogram, ultrasound and other diagnostic procedures was administered to the patient.

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    As practice shows, daily Holter monitoring is crucial in determining the pathology of the cardiovascular system of the patient. It is very important that the patient diligently kept a diary and have read the restrictions which must be adhered to when conducting research. Only the reciprocal forces of the patient and the doctor will be able to contribute to the diagnosis of heart pathology.