Daily monitoring of ECG
(Holter)

Not all heart conditions can be detected using a standard ECG, because heart rhythm disturbances often occur only during physical or emotional stress.

Holter monitoring is a method of continuous recording of the heart’s electrical activity over 24 hours or more using a portable device – a Holter monitor. A Holter is a small device whose sensors are attached to the patient's body. They do not interfere with daily activities.

This procedure allows the heart's function to be assessed under everyday conditions, to record possible rhythm or conduction disturbances, and to detect problems that may not be visible during a standard ECG. Thanks to this method, doctors receive accurate information for diagnosing cardiovascular diseases and adjusting treatment.

Holter monitoring is recommended if the following symptoms are present:

• Pain or burning in the heart area;

• Heart rhythm disturbances;

• Shortness of breath, feeling of air shortage;

• Persistent weakness;

• Irregular heartbeat;

• Dizziness;

• Fainting.

Holter monitoring is indispensable after a myocardial infarction or before heart surgery. It is used to diagnose many cardiovascular conditions:

• Heart rhythm disorders;

• Conduction disturbances;

• Silent myocardial ischemia;

• Heart defects;

• Coronary heart disease, etc.

Holter monitoring helps not only to detect the presence of arrhythmia but also to determine its frequency, duration, and the threshold level of exertion that causes it.

24-hour Holter ECG monitoring offers several key advantages compared to a standard ECG:

• Detection of abnormalities in real time – Holter monitoring captures heart irregularities during physical activity, emotional stress, and sleep, which greatly improves diagnostic accuracy.

• Continuous recording – Unlike a standard ECG, which usually lasts a few minutes, Holter records heart activity for 24 hours or more, making it possible to detect hidden problems.

• Assessment of external influences – Monitoring shows how the heart responds to exertion, stress, or changes in body position.

The procedure is completely painless and has no contraindications, which is why cardiologists recommend it for cardiovascular disease prevention. No special preparation is required for Holter monitoring.

During Holter monitoring, the patient is not required to limit physical activity or change their usual routine. However, there are a few simple rules to follow while the device is attached:

• Keep a detailed diary of your activities so the doctor can assess the level of physical and emotional stress and correlate it with the Holter data.

• Do not take a shower or bath.

• Avoid mechanical damage, overheating, or exposure to electrical fields on the device.

• Make sure the electrodes do not come off.

Electrodes are attached to the patient’s chest, as with a standard ECG. They are connected to the Holter device, which is fastened to the patient’s waist or chest. The patient then resumes their regular activities. After 24 hours, the device is removed, and a cardiologist analyzes the recorded data.

No special preparation is required before installing the Holter device. It’s important that the skin on the chest is clean and dry, and men with a lot of chest hair may need to shave the area where electrodes will be attached. Comfortable clothing should also be chosen so as not to interfere with wearing the device.

The results obtained from Holter monitoring are analyzed by a cardiologist and provide essential information for an accurate diagnosis and evaluation of heart function. If necessary, additional tests (heart ultrasound), lab analyses, or consultations with related specialists are recommended.

Holter monitoring is also used to assess the effectiveness of treatment and to make adjustments if needed. The device can also be used to evaluate the functioning of a cardiac pacemaker.

At the Oxford Medical cardiology department, we use advanced devices for Holter monitoring, ensuring accurate results. Our patients receive high-quality diagnostics and comfort during the procedure. Here are some of the benefits of undergoing ECG monitoring at our clinic:

• Modern equipment – We use the latest Holter models for accurate and safe recording of the heart’s electrical activity.

• Comfortable conditions – The procedure is painless and does not affect your daily routine.

• Professional approach – Experienced cardiologists analyze the data and provide an accurate assessment of heart function.

• Personalized care – Each patient receives tailored recommendations and a treatment plan based on monitoring results.

You can schedule Holter monitoring at Oxford Medical clinic via the online form or by phone.

The price of Holter monitoring at Oxford Medical clinic depends on the duration of the monitoring. You can check the prices here. For a more precise estimate of the cost of 24-hour ECG monitoring and interpretation, your doctor will provide guidance during the initial consultation. Contact our call center and make an appointment at a convenient time for you.