Holter ECG monitoring - what a patient needs to know about it

Holter ECG monitoring - what a patient needs to know about it

Electrocardiogram

How to make an ECG: features in adults and children

Electrocardiogram (ECG) is an informative method of studying the electrophysiological work of the heart. For diagnosis, an electrocardiograph is used - a device that registers changes in the work of the organ, displaying them in the form of a graphic image. There are several types of electrocardiographic research: ECG with load, at rest and daily monitoring. Examination of the heart is carried out as part of a preventive examination once a year and as prescribed by a doctor. ECG is done twice during pregnancy: in the first trimester and before delivery.

What does an electrocardiogram show:

  • change in the size of the heart cavities and thickening of the myocardium;
  • heart rhythm disorders (bradycardia, tachycardia, arrhythmia, repolarization disorders);
  • electrolyte metabolism disorders (dystrophic and inflammatory changes in the myocardium);
  • anomaly of the development of leading ways;
  • disruption of intracardiac conduction (blockage of His legs);
  • ischemia.

The electrocardiogram is completely safe and painless. It can be performed on pregnant women, children (a child's ECG has its own characteristics) and seriously ill patients.

Types of cardiogram and indications for its appointment

An electrocardiogram at rest is a common method used in the vast majority of cases.

Study with stress is an examination that is carried out after physical or medical stress. The technique makes it possible to detect diseases that are difficult to diagnose during a standard examination.

Holter ECG monitoring. A small device is installed in the patient's heart area, which records the work of the heart during the day.

Indications for an electrocardiogram:

  • hypertension and chest pain;
  • age over 40 years;
  • suffocation and chronic lung diseases;
  • angina, endocarditis;
  • chronic heart diseases;
  • periodic heart failure;
  • fainting, increased heartbeat, heart pain during physical exertion.

We would like to remind you that you can find out the operating mode of the ECG office in the polyclinic by calling the registry office. There are no contraindications for conducting a cardiogram at rest.

How to make an ECG

There are no special restrictions on conducting an ECG. The only recommendation is to refrain from cigarettes and energy drinks, including coffee.

How to make an ECG. In the office of functional diagnostics, the patient must undress to the waist and free the lower legs. Metal products (chains, watches, bracelets) should be removed. The patient lies down on the couch. The nurse degreases the skin in the places of contact with the electrodes (chest and lower legs), then applies the electrodes and fixes them with clips or bracelets. Conductive gel is applied to the skin. The nurse connects the electrodes to the cardiograph, which records the activity of the heart.

Important: during the examination, the patient should lie quietly, without straining his muscles, breathe evenly and not talk. The duration of the ECG is no more than 10 minutes. The patient will be able to receive the interpretation of the cardiogram of the heart by the doctor on the same day.

Survey results

Any doctor will be able to read an electrocardiogram and identify certain heart abnormalities. A detailed interpretation, taking into account the smallest nuances, is the prerogative of a functional diagnostics doctor and a cardiologist.

Reading the cardiogram, the doctor evaluates the regularity of heart contractions and their number, analyzes the shape and width of the QRS complexes and the relationship of the teeth to each other, and also determines the position of the electrical axis of the heart. You can get acquainted with the ECG norm data for adults on the website of the medical center.

When interpreting, it is important to take the patient's age into account, as infants and young children have a number of specific features. By the way, you can find out where to do an ECG for a child on our website https://dobrobut.com/

Exercise electrocardiogram

Exercise ECG helps reveal hidden problems that are revealed only during active work of the whole body. In other words, it is a kind of provocation of stress under controlled conditions. The following methods are used for diagnosis: functional tests, treadmill (an analogue of cycle ergometry), Holter ECG and usual cycle ergometry. Cardiogram with load is prescribed during angina pectoris, myocardial diseases and to assess the stability of the body in athletes. In addition, the use of this type of research is indicated for heart rhythm and electrical impulse conduction disorders.

Deciphering an electrocardiography with a load is done only by a doctor, however, as well as the results of an ECG in the case of a myocardial infarction. Here it is important to take into account all the details and nuances.

Holter ECG monitoring

24-hour monitoring is a method of continuous ECG recording during the day with the help of special cardiac recorders. Most often, the method is used for the diagnosis of arrhythmia, ischemia and as a control, after the treatment. You can find out the price of daily ECG monitoring on the clinic's website. The cost is affordable for most patients.

ECG norm in adults

You can familiarize yourself with the indicators in the table on the website of the medical center. Note that the cardiogram of children is qualitatively different from the results of the study of adults. Moreover, there are peculiarities in adolescence, and even in babies. Pathological conditions include arrhythmia, ischemia and angina pectoris. Signs of ventricular hypertrophy are alarming. We remind you that only a specialist should deal with decoding the results.

Disruption of repolarization

This condition is most common in people over 50 years of age. Its causes can be various pathologies of the neuroendocrine system, heart diseases and taking drugs that negatively affect the heart. In addition, repolarization disorders occur in adolescents, pregnant women, and during menopause. The reason is hormonal imbalance.

Related services:
Cardiology Check-up
Diagnosis of heart rhythm disorders by monitoring the ECG

Updated: 03.04.2025
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Doctors who advise on this issue:
14experience (y.)
Malysheva Oleksandra Yuriivna
Malysheva Oleksandra Yuriivna
Physician; A general practitioner is a family doctor
7experience (y.)
Vovchuk Tetiana Mykolaivna
Vovchuk Tetiana Mykolaivna
Pediatrician; A general practitioner is a family doctor
23experience (y.)
Borodina Olena Oleksandrivna
Borodina Olena Oleksandrivna
A general practitioner is a family doctor; Gastroenterologist; Physician; Ultrasound doctor

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