Holter Monitoring: Understanding Its Indications, Contraindications, and Clinical Relevance

• Nandita Chakraborty,  
• Soumen Jana*

Abstract

Holter electrocardiogram monitoring devices play a crucial role in assessing 24-hour heart rate and rhythm, aiding clinicians in evaluating underlying disorders, including arrhythmias. These devices have demonstrated significant clinical importance across various events, both cardiac and non-cardiac, since their inception. They've revolutionized how healthcare settings monitor cardiac rhythm and associated abnormalities, offering numerous applications and clinical benefits. Evidence underscores their efficacy in diagnosing and monitoring cardiac arrhythmias and other cardiovascular conditions, thereby improving patient prognosis and management. It's noteworthy that primary healthcare physicians should remain vigilant as many patients may harbor asymptomatic cardiac arrhythmias. However, there's a scarcity of studies adequately assessing these arrhythmias in non-cardiac populations, emphasizing the need for further investigation. Through this literature review, we aim to explore the indications, contraindications, and clinical significance of utilizing Holter monitoring devices, drawing insights from relevant studies in the field.

Keywords

Management, Cardiac, Mobile electrocardiogram, Holter, Cardiac diseases, Interventional cardiology