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Holter 1

The document discusses Holter monitoring, which uses a portable device to record cardiac electrical activity over 24-72 hours. A Holter monitor typically uses 2-3 channels to monitor the electrocardiogram (ECG) via electrodes placed on the patient's chest. The document provides information on Holter monitor preparation and use, contraindications such as recent heart attack, and precautions like avoiding electromagnetic interference. It also shows typical 3-channel, 7-lead electrode placements for Holter monitoring.

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Riyas Ahamed
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20 views30 pages

Holter 1

The document discusses Holter monitoring, which uses a portable device to record cardiac electrical activity over 24-72 hours. A Holter monitor typically uses 2-3 channels to monitor the electrocardiogram (ECG) via electrodes placed on the patient's chest. The document provides information on Holter monitor preparation and use, contraindications such as recent heart attack, and precautions like avoiding electromagnetic interference. It also shows typical 3-channel, 7-lead electrode placements for Holter monitoring.

Uploaded by

Riyas Ahamed
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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AMBULATORY ECG ( HOLTER )

RECORDING
Holter monitor
• Type of ambulatory electrocardiography device, a portable
device for cardiac monitoring (the monitoring of the
electrical activity of the cardiovascular system) for at least
24 to 72 hours (often for two weeks at a time).
• The Holter's most common use is for monitoring ECG
heart activity (electrocardiography or ECG)
• Most of the Holters monitor the ECG via only two or three
channels
• 12 channel Holters have recently appeared. These systems
use the classic Mason-Likar lead system
Preparation
Test Performance
Contraindication
• Recent MI ( within 1 week )
• Unstable angina
• HCMP
• Severe AS
• Malignant HTN
Precautions

• Patient leads must be removed from electrodes before


• defibrillation.
• When using Pacer Detect, the physician should be aware
that
• false positive and false negative pacer detects may occur.
• False positives - may result from poor electrode hook-up or
• high noise conditions.
• False negatives - may occur with bipolar pacers due to a
weak
Precautions
• pacer pulse signal at the patient's skin surface.
• When reviewing ECG data, the presence of
pacemaker
• signals in the ECG trace should not be considered
true
• representations of the actual pacemaker stimulus
amplitude.
• Observe local laws for disposal of alkaline
batteries.
Precautions
• Do not leave the batteries in the monitor when it is
not in use.
• Damage from corrosion could result.
• • For the best recording results, the patient should
be instructed
• to avoid close proximity to heavy electrical
equipment or other
• sources of electromagnetic interference such as
electric
• blankets, heating pads, etc.
3 Channel (7 lead) Electrode Placement

• 3 Channel (7 lead) Electrode Placement


• Seven color-coded lead wires are utilized to create a
3-channel
• ECG recording. This is a typical electrode placement,
refer to
• Analysis System software and the physician for
recommended
• positioning.
3 Channel (7 lead) Electrode Placement
5- lead 3- Channel Electrode Placement
Chart (for Holter)

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