LAB TEST
Cardiac event monitors
A cardiac event monitor is a device that you control to record the electrical activity of your heart. Cardiac event monitors range in size, with the largest being about the size of a deck of cards. The device records your heart rate and rhythm. Cardiac event monitors are used when you need long-term monitoring of symptoms that occur less than daily.
How the Test is Performed
Each type of monitor is slightly different, but most have sensors (called electrodes) to record the electrical activity of your heart, similar to an electrocardiogram (ECG). In some models, these attach to the skin on your chest using sticky patches. The sensors need good contact with your skin. Poor contact can cause…
How to Prepare for the Test
Tell your provider if you are allergic to any tape or other adhesives.
How the Test will Feel
For devices just placed on the skin, this is a painless test. However, the adhesive of the electrode patches may irritate your skin. This goes away on its own once you remove the patches. For devices implanted under the skin, you may be given a small amount of local anesthetic to numb the area during the incision. You…
Why the Test is Performed
Most often, in people with frequent symptoms, a test called Holter monitoring , which lasts 1 to 2 days, will be performed before using a cardiac event monitor. The event monitor is ordered only if no diagnosis is reached. The event monitor is also used for people who have symptoms that occur less often, such as…
Normal Results
Normal variations in heart rate occur with activities. A normal result is no significant changes in heart rhythms or pattern.
What Abnormal Results Mean
Abnormal results may include various arrhythmias. Changes may mean that the heart is not getting enough oxygen. It may be used to diagnose or further evaluate: Atrial fibrillation or flutter Multifocal atrial tachycardia Paroxysmal supraventricular tachycardia Ventricular tachycardia Slow heart rate (bradycardia)…
Risks
Skin irritation is the most common complication. There is a small risk of infection from the implantable devices. If infection occurs or is suspected, the device is removed.
References
Curtis AB, Tomaselli GF. Approach to the patient with cardiac arrhythmias. In: Libby P, Bonow RO, Mann DL, Tomaselli GF, Bhatt DL, Solomon SD, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine . 12th ed. Philadelphia, PA: Elsevier; 2022:chap 61. Fish J. Electrical cardioversion. In: Fowler GC, ed.…
This is a summary. Read the full article at www.ucsfbenioffchildrens.org (reviewed 15/10/2024).
This page is general information and is not medical advice. It does not replace a registered doctor, and it is not a prescription or a recommendation to use any medicine or test. Prices are listed prices and may change. Always follow the advice of your doctor or pharmacist.