Ambulatory Arrhythmia Monitoring: Choosing the Right Device
Abstract
R emote cardiac telemetry was developed to allow home ECG monitoring of patients with suspected cardiac arrhythmias.It was first introduced by the American biophysicist Norman J. Holter (1914 -1983) in the 1940s.The original Holter monitor was a 75-lb backpack with a reel-to-reel FM tape recorder, analog patient interface electronics, and large batteries.1,2 It could record a single ECG lead for several hours and provided the first opportunity to record and analyze ambulatory ECG data outside a standard hospital or outpatient care setting.The clinical need to monitor outpatients has resulted in advances in technology that now allow us to monitor heart rhythms remotely through a wide variety of devices, including ambulatory external monitors, implantable event recorders, pacemakers, and cardioverter-defibrillators.The rapid expansion of ambulatory monitoring technologies affords the clinician the obvious diagnostic advantage of more comprehensive and real-time data.It also presents the challenge of creating systems to handle and pay for this increased information and the potential liability associated with a continuous data stream.This review focuses on the available technology and factors that guide the choice of monitor.
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Extending ambulatory electrocardiographic monitoring beyond the traditional 24- to 48-hour duration can improve the diagnostic yield of infrequent arrhythmias.
“Continuous ECG monitoring longer than the traditional 24to 48-hour duration might improve the diagnostic yield of infrequent arrhythmias.”
From Diagnostic utility of a novel leadless arrhythmia monitoring device. (2013) · cites this paper as [3]
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- Authors
- Zimetbaum, P., & Goldman, A.
- Affiliations
- Beth Israel Deaconess Medical Center (US)
- ORCID
- Zimetbaum, Peter
- Venue
- Circulation
- Published
- 2010-10-19
- Volume
- 122
- Issue
- 16
- Pages
- 1629-1636
- ISSN
- 0009-7322 (ISSN-L)
- 1524-4539
- OpenAlex
- W1991071650
- Cited by
- 209
- References
- 35
- Citations by year
- 2026: 13 · 2025: 9 · 2024: 11 · 2023: 16 · 2022: 12 · 2021: 23 · 2020: 10 · 2019: 20 · 2018: 10 · 2017: 18 · 2016: 16 · 2015: 14 · 2014: 14 · 2013: 13 · 2012: 6
- FWCI
- 1.24
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Circulation (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › ECG Monitoring and Analysis
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac electrophysiology and arrhythmias
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiac pacing and defibrillation studies
- Keywords
- Holter monitoring, cardiac arrhythmias, electrocardiogram
- MeSH terms
- Arrhythmias, Cardiac, Electrocardiography, Humans, Monitoring, Physiologic, Pacemaker, Artificial, Electrocardiography, Ambulatory, Defibrillators, Implantable
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