Ambulatory ECG and Blood Pressure Monitoring
Blood pressure sometimes needs monitoring over 24 hours to make a correct diagnosis of high blood pressure. Your doctor may ask for you to be fitted with a blood pressure cuff that is wrapped around your arm, and is connected to a small device on a strap that is worn for 24 hours.
- The device will measure your blood pressure at regular intervals during the day and at night while you are asleep.
- You can carry out your normal daily activities with the exception of anything that involves getting the monitor wet such as swimming. You will not be able to bath or shower while wearing the monitor.
- A diary sheet will be given to you so that you can record your day time activity level when the blood pressure measurement is recorded. It is normal for your blood pressure to be higher during episodes of increased physical activity.
- You will need to return to the hospital at the end of the monitoring period, so that the recording can be downloaded and interpreted. We will also need the monitor returned on time so that it can be cleaned and prepared for the next patient.
Electrocardiogram (ECG) is the recording of electrical activity and rhythm of the heart. Ambulatory ECG monitoring (also known as holter monitoring or 24-hour ECG) involves continuously recording your heart’s rhythm for 24 hours, although sometimes this is performed for longer periods.
The video below from the British Heart Foundation provides a guide on what happens during the test.
- Three electrodes will be attached to your chest.
- The monitor is small and discrete, it can be clipped to a belt of placed in your pocket.
- You can carry out your normal daily activities with the exception of anything that involves getting the monitor wet such as swimming. You will not be able to bath or shower while wearing the monitor.
- A diary sheet will be provided so that any symptoms such as palpitations can be recorded.
- You will need to return to the hospital at the end of the monitoring period so that the recording can be downloaded and interpreted. We will also need the monitor returned on time so that it can be cleaned and prepared for the next patient.
- If the department is closed the monitor can be returned to the “Small Cardio Monitor Returns” box. For the location of these boxes, please see the relevant map for Princess Royal Hospital or Royal Shrewsbury Hospital.
These are small portable ECG monitors that can be used at times of symptoms, usually when symptoms do not occur frequently enough to be recorded on a 24-hour ECG.
- The recorder is placed underneath your clothes onto the bare skin of your chest at the time of your symptom.
- ECG will be recorded for 1 minute.
- Multiple recordings can be made.
- Once the recording is complete the ECG data can be transmitted to the hospital using your telephone land line.
- Please see our instruction leaflet for more information