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HOLDER MONITOR PATIENT DIARY Name: D.O.B. / / Lab ID: Sex: Male / Female (please circle) Address: Medications: Pacemaker: Yes / No (please circle) Recording date: Type: / / Start and finish time:

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How to fill out holter monitor form

How to fill out holter monitor:

01

Make sure to read the instructions provided along with the holter monitor carefully.

02

Clean the area of your chest where the electrodes will be attached using soap and water. Dry the area thoroughly.

03

Apply the adhesive electrodes to the specified locations on your chest. Make sure they are securely attached.

Who needs holter monitor:

01

Individuals who experience irregular heart rhythms or palpitations may need a holter monitor to monitor their heart activity over a period of time.

02

Patients who have undergone heart surgery or have a history of heart disease may require a holter monitor to assess their heart function.

03

People who have been prescribed certain medications that may affect heart function may also need to use a holter monitor for monitoring purposes.

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What is holter monitor?

A holter monitor is a small, wearable device that continuously records the heart's electrical activity for a period of time, typically 24 to 48 hours.

Who is required to file holter monitor?

Individuals who are experiencing symptoms of heart problems, such as palpitations or irregular heartbeat, may be required to undergo holter monitor testing.

How to fill out holter monitor?

Holter monitor is filled out by attaching the device to the chest using electrodes and carrying out normal daily activities while the device records the heart's electrical activity.

What is the purpose of holter monitor?

The purpose of holter monitor is to diagnose and monitor heart rhythm abnormalities and evaluate the effectiveness of certain heart medications or treatments.

What information must be reported on holter monitor?

The holter monitor reports must include a detailed record of the heart's electrical activity, any symptoms experienced, and the time and date of any abnormal heart rhythms.

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