Ambulatory External Electrocardiography Monitoring: Holter, Extended Holter, Mobile Cardiac Telemetry Monitoring

Arjun N Sharma; Adrian Baranchuk

doi:10.1016/j.ccep.2021.04.003

Ambulatory External Electrocardiography Monitoring: Holter, Extended Holter, Mobile Cardiac Telemetry Monitoring

Card Electrophysiol Clin. 2021 Sep;13(3):427-438. doi: 10.1016/j.ccep.2021.04.003. Epub 2021 Jul 8.

Authors

Arjun N Sharma¹, Adrian Baranchuk²

Affiliations

¹ Internal Medicine, Department of Medicine, Kingston General Hospital, Queen's University, 76 Stuart Street, Kingston, Ontario K7L 2V7, Canada.
² Department of Cardiac Electrophysiology and Pacing, Kingston General Hospital, Kingston, Ontario, Canada; Department of Cardiology, Kingston General Hospital, Queen's University, 76 Stuart Street, Kingston, Ontario K7L 2V7, Canada. Electronic address: adrian.baranchuk@kingstonhsc.ca.

PMID: 34330370
DOI: 10.1016/j.ccep.2021.04.003

Abstract

Ambulatory external electrocardiography (AECG) monitoring is effective as an evidence-based diagnostic tool when suspicion for cardiac arrhythmia is high. Multiple modalities of AECG monitoring exist, with unique advantages and limitations that predict effectiveness in a variety of clinical settings. Knowledge of these characteristics allows appropriate use of AECG, maximizing patient adherence, diagnostic yield, and cost-effectiveness. In addition, new technology has allowed the development of a modern generation of devices that offer increased efficacy and functionality compared with Holter monitors.

Keywords: Ambulatory; Device; ECG; Holter; Telemetry.

Publication types

Review

MeSH terms

Arrhythmias, Cardiac / diagnosis
Cost-Benefit Analysis
Electrocardiography
Electrocardiography, Ambulatory*
Humans
Telemetry*