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Ambulatory Cardiac Monitoring: Outpatient Rhythm Monitoring Guide

··3 mins
Assoc. Prof. Dr. Habib ÇİL
Author
Assoc. Prof. Dr. Habib ÇİL
Istanbul University Faculty of Medicine graduate, Akdeniz University Cardiology specialization. Expert in interventional cardiology, coronary angioplasty and TAVI.
This content has been prepared for informational purposes to protect public health, in compliance with the regulations of the Ministry of Health of the Republic of Turkey and medical ethical rules. It does not provide any diagnosis, treatment guarantees, or specific medical advice. Please consult a qualified healthcare provider for the most accurate information.
Ambulatory cardiac monitoring is the continuous recording of heart rhythm during daily life. It is important for evaluating intermittent symptoms. This comprehensive guide covers ambulatory cardiac monitoring methods, indications, and application details.

What is Ambulatory Cardiac Monitoring?
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Ambulatory cardiac monitoring is the recording of heart rhythm during the patient’s daily activities. It is important for evaluating intermittent symptoms.

Monitoring Types:

  • Holter monitor (24-48 hours)
  • Event recorder (weeks)
  • Implantable loop recorder (years)
  • Mobile cardiac telemetry

Ambulatory Monitoring Indications
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Symptom Evaluation
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  • Palpitations
  • Dizziness
  • Syncope (fainting)
  • Chest pain

Arrhythmia Detection
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  • Atrial fibrillation
  • Supraventricular tachycardia
  • Ventricular arrhythmias
  • Bradycardia

Treatment Follow-up
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  • Antiarrhythmic drug efficacy
  • Post-ablation
  • Pacemaker control
  • ICD control

Holter Monitor
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Features
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  • 24-48 hour continuous recording
  • Recording of all heartbeats
  • Symptom diary
  • Activity correlation

Indications
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  • Frequent symptoms
  • Suspected arrhythmia
  • Drug efficacy evaluation

How It’s Done
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  1. Electrode placement: On chest
  2. Device connection: Recording device
  3. Normal activity: Daily life
  4. Symptom recording: Keeping diary
  5. Device return: After 24-48 hours
  6. Analysis: Expert evaluation

Event Recorder
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Features
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  • Weeks of monitoring
  • Recording at time of symptom
  • Activated by patient
  • For rare symptoms

Types
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Loop Recorder:

  • Continuous recording
  • Retrospective recording
  • Patient activation

Post-Event Recorder:

  • Recording at time of symptom
  • Patient activation
  • Short recording duration

Implantable Loop Recorder
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Features
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  • Subcutaneous placement
  • Up to 3 years of monitoring
  • Automatic recording
  • Remote monitoring

Indications
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  • Unexplained syncope
  • Cryptogenic stroke
  • Rare arrhythmias
  • Long-term monitoring need

Mobile Cardiac Telemetry
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Features
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  • Real-time monitoring
  • Automatic alarm
  • Remote evaluation
  • Weeks of monitoring

Frequently Asked Questions
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Can I shower while wearing Holter? +

Does Holter affect my daily activities? +

How long is event recorder worn? +

Is implantable loop recorder surgery? +

When will Holter results be ready? +

Appointment and Contact
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To schedule an appointment for ambulatory cardiac monitoring:

Ask via WhatsApp

📍 Avrasya Hospital - Beştelsiz Mah. 101. Sokak No:107, Zeytinburnu, Istanbul

📞 Phone: +90 212 665 50 50 (Ext: 4012)


This content was prepared by Assoc. Prof. Dr. Habib Çil for general informational purposes. Please consult a cardiology specialist for definitive diagnosis and treatment.

⚠️ Disclaimer: This content is for informational purposes only. Please consult your doctor for diagnosis and treatment.