Symptoms that commonly lead to suspicion of arrhythmia are palpitations, syncope, presyncope, or congestive heart failure. The physician must evaluate the patient’s overall status rather than the rhythm disturbance in isolation.
What are the major indications for Holter monitors?
• Detection of a suspected rhythm disturbance
• Syncope work-up
• Evaluation after myocardial infarction
• Evaluation of high-risk cardiac patient
• Risk stratification
• Evaluation after cardiac surgery
• Diagnosis of silent ischemia
• Diagnosis of suspected myocardial ischemia
• Evaluation of therapy, i.e., antiarrhythmic drugs, pacemaker function, cardiac ablation
• Evaluation of heart-rate variability