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If an ECG doesn't reveal any heart problems, your consultant may recommend measuring your heart's activity over an extended time using a Holter monitor.

What is a Holter monitor?

A Holter monitor is a small, portable medical device that continuously records your heart’s electrical activity (your ECG or EKG) over a longer period than a standard ECG in a clinic would, usually 24 to 48 hours, although some versions can record for several days.

Unlike an ECG, which only captures a few seconds, a Holter monitor:

  • Tracks your heart rhythm continuously 
  • Detects irregular heartbeats (arrhythmias) that might not show up during a short test
  • Records how your heart behaves during normal daily activities like walking, sleeping, or exercising.

Why is a Holter monitor used?

A Holter monitor helps doctors investigate:

  • Palpitations or a feeling of a racing/skipping heart
  • Dizziness or fainting (syncope)
  • Suspected arrhythmias (like atrial fibrillation)
  • How well heart treatments or medications are working.

How does a Holter monitor work?

Most modern Holter monitors include lightweight adhesive patches worn comfortably on the chest. These are connected to a portable recording device, about the size of a phone, which you wear on a belt on strap.

Doctors may ask you to keep a diary of symptoms (e.g., dizziness, palpitations) to match them with the recorded data.

Advantages of a Holter monitor

  • Gives a real-world picture of heart activity
  • Can catch intermittent problems that don’t appear during a clinic visit
  • Non-invasive and painless.

Holter monitor consultants at Parkside Hospital

Parkside Hospital

53 Parkside, Wimbledon, London, SW19 5NX

020 8971 8000

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