the Small Device for Heart Monitoring: What You Need to Know - Cardiology

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A small device related to heartbeats?


Hello, Doctor: My mother-in-law feels very uncomfortable with her heart.
She went to a medical center, and the cardiologist gave her a small device that can monitor her heartbeats for ten times.
Could you please tell me what that device is? What is its function? Will she need to carry that device with her in the future? Thank you.

Leilei, 30~39 year old female. Ask Date: 2016/12/16

Dr. He Dongjin reply Cardiology


Hello Leilei, typically, a 24-hour Holter monitor is used to monitor heart rhythms.
After the examination is completed, there is no need to carry that small device with you.
Changhua Hospital cares about you.

Reply Date: 2016/12/16

More Info


The small device your grandmother received is likely a portable heart monitor, often referred to as a Holter monitor or an event recorder. These devices are designed to continuously record the heart's electrical activity for a specific period, typically 24 to 48 hours, but some can be worn for longer durations. The purpose of these monitors is to help healthcare providers diagnose various heart conditions by capturing the heart's rhythm during normal daily activities.


Purpose and Functionality of the Device
1. Monitoring Heart Rhythm: The primary function of the device is to monitor the heart's rhythm over time. It records electrical signals from the heart, allowing doctors to identify any irregularities, such as arrhythmias (irregular heartbeats), that may not be detected during a standard electrocardiogram (ECG) performed in a clinical setting.

2. Symptom Correlation: Patients often experience symptoms like palpitations, dizziness, or chest pain that may not occur during a doctor's visit. By wearing the monitor, patients can correlate their symptoms with the recorded heart activity, providing valuable information to the physician.

3. Data Collection: The device collects data continuously, which can then be analyzed by a healthcare professional. This analysis helps in diagnosing conditions such as atrial fibrillation, bradycardia (slow heart rate), tachycardia (fast heart rate), and other cardiac issues.


Usage and Duration
- Wearing the Device: Typically, the monitor is worn on a belt or shoulder strap, and electrodes are attached to the skin with adhesive pads. Patients are instructed to go about their normal activities while wearing the device, which helps capture the heart's activity in a real-world setting.

- Duration of Monitoring: The duration for which the device is worn can vary. In your grandmother's case, it seems she can use it for ten recordings, which may indicate that it is an event recorder. This type of device is activated by the patient when they experience symptoms, allowing for targeted recording during those episodes.


Will She Need to Carry It Long-Term?
- Temporary vs. Long-Term Use: The use of such devices is generally temporary. After the monitoring period, the data is analyzed, and the healthcare provider will discuss the findings with the patient. Depending on the results, further testing or treatment may be recommended.

- Follow-Up: If the monitoring indicates a need for ongoing observation or treatment, the doctor may recommend additional monitoring or other interventions, such as medication or lifestyle changes.


Conclusion
In summary, the small device your grandmother received is a valuable tool for monitoring her heart's activity. It helps in diagnosing potential heart issues by capturing data during her daily life, particularly when she experiences symptoms. While it is not intended for long-term use, it plays a crucial role in understanding her heart health. After the monitoring period, her healthcare provider will review the data and determine the next steps based on the findings. If your grandmother continues to experience discomfort or symptoms, it is essential to maintain open communication with her healthcare team for appropriate management and care.

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