Consent Form for Holter Monitor - pending

1. WHAT IS A HOLTER MONITOR?
A holter monitor is a battery operated device that records your heart’s activity for 24 hours. It contains electrodes, wires and a small electronic device. The electrodes are attached to your chest and are connected to the device by the wires. The device will be worn around your chest or waist depending on the type of machine used.


2. WHY DO I NEED HOLTER MONITOR?
A holter monitor detects any abnormal heart rhythms over the time you wear the monitor whilst you go about doing your normal daily activities. An ECG does the same thing but gives you the snap shot of your heart’s activity at that single point in time.
Your doctor may recommend this test if you have symptoms such as:
1. Dizziness or fainting
2. Arrhythmias e.g. Palpitations, irregular heartbeat, heart racing, skipping a beat
3. Shortness of breath
4. Chest pains.

3. WHAT ARE THE RISKS OF HOLTER MONITOR?
There are no risks and it causes no pain. Because the electrodes are attached to your skin after light exfoliation using abrasive tape you MAY have some skin irritation. Please tell the technician if you are allergic to any tapes or adhesives.

4. ARE THERE ANY PREPARATIONS BEFORE I DO THE HOLTER MONITOR?
You should preferably have a shower before coming for the procedure. After the holter has been fitted you will not be able to remove it and cannot get the monitor wet. For men – some of the hair on the chest may need to be shaved prior to the procedure.

Start Over