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HOLTER Report Article
HOLTER Report Article
the heart via a series of electrodes attached to the chest. The number and position of electrodes
varies by model, but most Holter monitors employ from three to eight. These electrodes are
connected to a small piece of equipment that is attached to the patient's belt, and is responsible for
keeping a log of the heart's electrical activity throughout the recording period.
Holter monitoring was introduced 40 years ago in 1963. Breakthroughs in technology have reduced
the size and weight of the recorders (making them easier for the patients to wear), reduced artifact
in recording, increased memory capacity, drastically improved the diagnostic capabilities and
automated much of the procedure. As a result, the procedure is being done not only by
cardiologists, but by many primary care physicians as well.
• Weakness
• Chest pain
• Abnormal ECG
• Post MI
• Dizziness
• Cardiologists
• DOs
Key Terms
Arrhythmia – Refers to an abnormal or out-of-rhythm heartbeat. Some of the common ones include
PVCs or premature ventricular contractions (big wide abnormal beat), tachycardia (very rapid
heartbeats), bradycardia (very slow heartbeats), pause (a gap between beats), V-Tach (series of
PVCs) and Couplets (two PVCs in a row).
ST segment – a small section on the ECG between the ‘S’ wave and the ‘T’ wave, which represents
the period of time during which the lower chambers of the heart are depolarized.
Superimposition – the ability to view on the monitor any recorded heartbeats overlaying one
waveform on top of another.
CPT Codes