ECG Patch Monitoring vs Holter Monitor

Holter monitor = Worn for 24 to 48 hours to detect arrhythmias ECG patch monitoring = Worn for 7 to 14 days and detects more arrhythmias compared to the Holter monitor Intermittent cardiac event monitors = Captures arrhythmias when the patient experiences symptoms and may need to record events for several days to a month Wireless transmission = Method used to transmit recorded ECGs from intermittent monitors to the primary provider

Single use and waterproof = ECG patch monitoring Requires multiple electrodes, wires, and recorders = Holter monitor Eliminates the need for multiple ECG electrodes, wires, and recorders = ECG patch monitoring Keeps an accurate diary and worn by the patient for a longer period of time = Holter monitor

Returns it to the manufacturer for analysis = ECG patch monitoring Keeps an accurate diary = Holter monitor Records events for several days to a month = Intermittent cardiac event monitors Transmits recorded ECGs to the primary provider by telephone or wireless transmission = Intermittent cardiac event monitors

Holter monitors = Small portable recorders connected to chest electrodes that record all ECG activity Digital memory device = Device onto which ECG activity is recorded for further analysis Primary provider's office = Location where the patient returns the monitoring device and diary after completion Continuous monitors = Devices worn externally or implanted under the skin for continuous ECG monitoring

Holter monitors = Record all ECG activity using two or more leads onto a digital memory device Digital memory device = Stores ECG activity data for upload into a computer for analysis Primary provider's office = Identifies rhythms that need further evaluation by the primary provider Continuous monitors = Provide continuous ECG monitoring via chest electrodes and digital memory device

Holter monitors = Record ECG activity for 24 to 48 hours using two or more leads Digital memory device = Uploads data into a computer for further analysis by the primary provider Primary provider's office = Correlates symptoms with detected arrhythmias using patient's diary Continuous monitors = Worn externally or implanted under the skin to record all ECG activity

Holter monitors = Do not provide real-time ECG recordings or analysis Digital memory device = Stores recorded ECG activity for subsequent upload and analysis Primary provider's office = Receives the monitoring device and diary from the patient after completion Continuous monitors = Enable continuous ECG monitoring via chest electrodes and digital memory device

Holter monitors = Connected to chest electrodes to record all ECG activity for symptom correlation Digital memory device = Uploads recorded data for correlation of symptoms with detected arrhythmias Primary provider's office = Uses patient's diary to correlate symptoms with detected arrhythmias Continuous monitors = Worn externally or implanted under the skin for continuous ECG monitoring

Monitor ST segments = ST-segment depression is a marker of myocardial ischemia; ST-segment elevation provides evidence of an evolving MI. Provide graded visual and audible alarms = Based on priority, asystole merits the highest grade of alarm. Trend data over time = Tracks changes in ECG patterns over a period. Print a copy of rhythms from one or more specific ECG leads over a set time = Called a rhythm strip.

Hardwire cardiac monitoring = Found in EDs, critical care units, and progressive care units. Telemetry = Found in general nursing care units or outpatient cardiac rehabilitation programs.

Patients are instructed to report new or worsening symptoms immediately. = Purpose is to caution that continuous ECG monitoring does not detect shortness of breath or chest pain. Continuous ECG monitoring is used to continuously observe the heart for arrhythmias and conduction disorders using one or two ECG leads. = Purpose is to inform patients about the use of hardwire cardiac monitoring.

Interpret and store alarms = Stores information related to alarms triggered by the system. Save electronic copies of cardiac rhythms into the electronic health record (EHR) = Captures and stores electronic versions of cardiac rhythms for record-keeping.

Monitor more than one ECG lead simultaneously = Ability to track multiple ECG leads at the same time. A real-time ECG is displayed on a bedside monitor and at a central monitoring station = Capability to display real-time ECG data at different locations.