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6/2/22, 9:03 AM
`
`Holter monitor (24h) Information | Mount Sinai - New York
`
`Masks are still required in health care facilities, according to New York State. Visitors must show
`proof of full vaccination or a negative PCR test. For more general info, visit our COVID-19 Hub
`(https://www.mountsinai.org/about/covid19).
`
`x
`
`Holter monitor (24h)
`
`Ambulatory electrocardiography; Electrocardiography - ambulatory; Atrial fibrillation - Holter;
`Flutter - Holter; Tachycardia - Holter; Abnormal heart rhythm - Holter; Arrythmia - Holter;
`Syncope - Holter; Arrhythmia - Holter
`
`Share
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`
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`
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`
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`
`
`A Holter monitor is a machine that continuously records the heart's rhythms. The
`monitor is worn for 24 to 48 hours during normal activity.
`
`During a heart Holter monitor study, the patient wears a monitor that records electrical activity of their
`heart (similarly to the recording of an electrocardiogram). This usually occurs for 24 hours, while at the
`same time the patient also records a diary of their activity. Health care providers then analyze the
`recording, tabulate a report of the heart's activity, and correlate irregular heart activity with the entries of
`the patient's diary.
`
`How the Test is Performed
`
`https://www.mountsinai.org/health-library/tests/holter-monitor-24h
`
`1/6
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`APPLE 1068
`Apple v. AliveCor
`IPR2021-00970
`
`1
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`

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`Holter monitor (24h) Information | Mount Sinai - New York
`6/2/22, 9:03 AM
`Electrodes (small conducting patches) are stuck onto your chest. These are
`Masks are still required in health care facilities, according to New York State. Visitors must show
`attached by wires to a small recording monitor. You carry the Holter monitor in a
`proof of full vaccination or a negative PCR test. For more general info, visit our COVID-19 Hub
`pocket or pouch worn around your neck or waist. The monitor runs on batteries.
`(https://www.mountsinai.org/about/covid19).
`
`x
`
`While you wear the monitor, it records your heart's electrical activity.
`
`Keep a diary of what activities you do while wearing the monitor, and how
`you feel.
`After 24 to 48 hours, you will return the monitor to your health care
`provider's office.
`The provider will look at the records and see if there have been any
`abnormal heart rhythms.
`
`It is very important that you accurately record your symptoms and activities so
`the provider can match them with your Holter monitor findings.
`
`Electrodes must be firmly attached to the chest so the machine gets an accurate
`recording of the heart's activity.
`
`While wearing the device, avoid:
`
`Electric blankets
`High-voltage areas
`Magnets
`Metal detectors
`
`Continue your normal activities while wearing the monitor. You may be asked to
`exercise while being monitored if your symptoms have occurred in the past while
`you were exercising.
`
`How to Prepare for the Test
`
`You do not need to prepare for the test.
`
`Your provider will start the monitor. You'll be told how to replace the electrodes if
`they fall off or get loose.
`
`Tell your provider if you are allergic to any tape or other adhesives. Make sure you
`shower or bathe before you start the test. You will not be able to do so while you
`are wearing a Holter monitor.
`
`https://www.mountsinai.org/health-library/tests/holter-monitor-24h
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`6/2/22, 9:03 AM
`How the Test will Feel
`Masks are still required in health care facilities, according to New York State. Visitors must show
`proof of full vaccination or a negative PCR test. For more general info, visit our COVID-19 Hub
`This is a painless test. However, some people may need to have their chest
`(https://www.mountsinai.org/about/covid19).
`shaved so the electrodes can stick.
`
`Holter monitor (24h) Information | Mount Sinai - New York
`
`x
`
`You must keep the monitor close to your body. This may make it hard for you to
`sleep.
`
`Occasionally there may be an uncomfortable skin reaction to the sticky
`electrodes. You should call the provider's office where it was placed to tell them
`about it.
`
`Why the Test is Performed
`
`Holter monitoring is used to determine how the heart responds to normal activity.
`The monitor may also be used:
`
`After a heart attack (/health-library/diseases-conditions/heart-attack)
`To diagnose heart rhythm problems that may be causing symptoms such as
`palpitations (/health-library/symptoms/heart-palpitations) or syncope
`(passing out/fainting (/health-library/symptoms/fainting))
`When starting a new heart medicine
`
`Heart rhythms which may be recorded include:
`
`Atrial fibrillation or flutter (/health-library/diseases-conditions/atrial-
`fibrillation-or-flutter)
`Multifocal atrial tachycardia (/health-library/diseases-conditions/multifocal-
`atrial-tachycardia)
`Paroxysmal supraventricular tachycardia (/health-library/diseases-
`conditions/paroxysmal-supraventricular-tachycardia-psvt)
`Slow heart rate (bradycardia)
`Ventricular tachycardia (/health-library/diseases-conditions/ventricular-
`tachycardia)
`
`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
`https://www.mountsinai.org/health-library/tests/holter-monitor-24h
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`Holter monitor (24h) Information | Mount Sinai - New York
`6/2/22, 9:03 AM
`Abnormal results may include various arrhythmias (/health-library/diseases-
`Masks are still required in health care facilities, according to New York State. Visitors must show
`conditions/arrhythmias) such as those listed above. Some changes may mean
`proof of full vaccination or a negative PCR test. For more general info, visit our COVID-19 Hub
`that the heart is not getting enough oxygen.
`(https://www.mountsinai.org/about/covid19).
`
`x
`
`Risks
`
`Other than the uncommon skin reaction, there are no risks associated with the
`test. However, you should be sure not to let the monitor get wet.
`
`
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`
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`
`
`References
`
`Find a Doctor
`
`Request an Appointment
`
`At Mount Sinai
`
`Cardiovascular Care (/care/heart)
`
`Find a Heart Location (/care/heart/locations)
`
`Meet Our Team (/care/heart/team)
`
`  
`
`Related Articles
`
` Heart attack (/health-library/diseases-conditions/heart-attack)
`
` Arrhythmias (/health-library/diseases-conditions/arrhythmias)
`
` Chest pain (/health-library/symptoms/chest-pain)
`
` Atrial fibrillation or flutter (/health-library/diseases-conditions/atrial-
`fibrillation-or-flutter)
`
` Multifocal atrial tachycardia (/health-library/diseases-
`conditions/multifocal-atrial-tachycardia)
`
`
`
`https://www.mountsinai.org/health-library/tests/holter-monitor-24h
`
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`Holter monitor (24h) Information | Mount Sinai - New York
`6/2/22, 9:03 AM
`Paroxysmal supraventricular tachycardia (PSVT) (/health-library/diseases-
`Masks are still required in health care facilities, according to New York State. Visitors must show
`conditions/paroxysmal-supraventricular-tachycardia-psvt)
`proof of full vaccination or a negative PCR test. For more general info, visit our COVID-19 Hub
` Heart palpitations (/health-library/symptoms/heart-palpitations)
`(https://www.mountsinai.org/about/covid19).
` Fainting (/health-library/symptoms/fainting)
`
`x
`
`Patient Information
`
`MyMountSinai® App (/about/mymountsinai)
`
`Pay My Bill (/about/pay-my-bill)
`
`No Surprises Act (/about/insurance/rights-protections)
`
`International Services (/care/international)
`
`Mount Sinai Access (/about/access)
`
`Find a Doctor (/find-a-doctor)
`
`Patient Representatives Offices (/about/contact)
`
`Language and Accessibility (/about/language-accessibility)
`
`Health Library (/health-library)
`
`Clinical Trials (/clinical-trials)
`
`Newsroom (/about/newsroom)
`
`Research & Education
`
`Icahn School of Medicine at Mount Sinai (https://icahn.mssm.edu/)
`
`Medical Education (https://icahn.mssm.edu/education/medical)
`
`Graduate Education (https://icahn.mssm.edu/education/graduate)
`
`Research (https://icahn.mssm.edu/research)
`
`Find Faculty (https://icahn.mssm.edu/find-a-faculty)
`
`Phillips School of Nursing (/locations/beth-israel/pson)
`
`For Health Professionals
`
`Transfer a Patient (/about/access/patient-transfer)
`
`Mount Sinai Connect (https://www.mountsinai.org/ms-connect)
`
`Refer a Patient (/about/access)
`
`Nursing (/care/nursing-at-mount-sinai)
`
`Hospital Sponsored Programs (/about/hospital-sponsored-programs-office)
`
`Medical Staff Services (/about/medical-staff)
`
`
` Hospitals  Urgent Care/Walk-In
`
`Choose a location
`
`https://www.mountsinai.org/health-library/tests/holter-monitor-24h
`
`
`
`5/6
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`6/2/22, 9:03 AM
`
`Holter monitor (24h) Information | Mount Sinai - New York
`
`Masks are still required in health care facilities, according to New York State. Visitors must show
`proof of full vaccination or a negative PCR test. For more general info, visit our COVID-19 Hub
`©2022 Icahn School of Medicine at Mount Sinai
`(https://www.mountsinai.org/about/covid19).
`
`x
`
`https://www.mountsinai.org/health-library/tests/holter-monitor-24h
`
`6/6
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`6
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`

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