In this section
Note: This guideline is currently under review.
Definition of Terms
Removal of Holter Monitor
Appenix 1 - Holter Monitor Event Card
Appenix 2 - Placement of holter monitor electrode
A cardiac Holter monitor is a small, portable, non-invasive ambulatory device, used to record continuously the heart’s electrical activity in a 24–72 hour period. A cardiac Holter monitor is sometimes referred to as an ‘Ambulatory electrocardiography’ or ‘Ambulatory ECG’.
Cardiac Holter Monitors can provide the following information:
The benefit of ambulatory ECG lies in its ability to examine continuously a patient over an extended period of time, permitting patient ambulatory activity while examining electrocardiographic activity in changing environmental situations (both physical and psychological).
To provide guidance on the management and troubleshooting of Holter Monitors. This clinical guideline applies to children requiring a Holter monitor during inpatient admission, children being discharged home with a Holter monitor and/or children having a Holter monitor applied during an outpatient clinic.
After the prescribed time, the Holter Monitor is removed from the child and, together with the Event’s record, returned to RCH Diagnostic Cardiology, Ground Floor, reception A3.
Some children may experience minor skin irritation from the glue on the electrodes. If severe irritation occurs remove the dots and inform the cardiac team. It is rare that anaphylaxis will result, but perform skin, respiratory, circulatory and disability
assessment regularly to ensure child is stable. If anaphylaxis occurs employ
Clinical Practice Guidelines:
Appendix 2 - Placement of holter monitor electrode
Click here to view the Holter Monitor guidleine's evidence table.
Please remember to read the
The development of this nursing guideline was coordinated by Annabelle Santos, Clinical Support Nurse, Koala Ward, and approved by the Nursing Clinical Effectiveness Committee. Updated August 2020.