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Holter Monitor

Biomedical Engineering

A small, portable device worn on a strap or belt that continuously records a person's electrocardiogram for an extended period, typically one to several days, so a physician can review the heart's electrical activity during ordinary daily life rather than only during a brief office visit. It is named for Norman Holter, who built early wearable electrocardiographic recording equipment in the United States beginning in the late 1940s, work that was refined over the following decade into a genuinely portable recorder practical for patients to wear while going about their day. Electrodes attached to the chest feed the heart's electrical signal to the recorder, which stores it for later analysis, or in newer designs transmits it, so that occasional irregular heartbeats that might never appear during a short recording in a doctor's office have a much better chance of being captured. The device remains a standard tool for diagnosing intermittent arrhythmias and for judging whether symptoms such as palpitations, dizziness, or fainting coincide with an abnormal heart rhythm.

Facts
Patent or First-Use Date
1965-11-02 1
Year
1962 2
Significance
Experimental physicists Norman Holter and Bill Glasscock adapted radio telemetry research begun in 1949 into a wearable device that could record a patient electrocardiogram continuously for a day or more, catching intermittent arrhythmias that a brief in-office reading would miss. 2
FAQs

How long is a Holter monitor worn and what should you avoid while wearing it?

It is worn for 24 to 48 hours during normal activity; avoid electric blankets and magnets and keep the recorder dry.

A 24 hour Holter monitor is worn for 24 to 48 hours during normal activity. Electrodes are stuck onto the chest and wired to a small recorder carried in a pocket or in a pouch worn around the neck or waist, and the wearer keeps a diary of activities and symptoms so the provider can match them with the recording. MedlinePlus advises avoiding electric blankets, high-voltage areas, magnets and metal detectors while wearing the device. The wearer also cannot shower or bathe during the test, so it is advised to do so before it starts.
Connections

In Field

Source Holter monitor (Wikipedia)
Sources
1. Ambulatory Electrocardiography Patent US3215136 (Google Patents)
Google Patents / United States Patent OfficeBibliographic data panel, publication date
Quote, Bibliographic data panel, publication date
Publication date 1965-11-02
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2. Holter monitor (Wikipedia)
Wikipedia
  • History section, commercial release
    The Holter monitor was released for commercial production in 1962.
  • History section, origin of the device
    The Holter monitor was developed at the Holter Research Laboratory in Helena, Montana, by experimental physicists Norman J. Holter and Bill Glasscock, who started work on radio telemetry in 1949.
  • In Field: Biomedical Engineering, Categories
    Diagnostic cardiology
  • In Group: Patient Monitoring and Diagnostic Instruments, Lead
    In medicine, a Holter monitor (often simply Holter) is a type of ambulatory electrocardiography device, a portable device for cardiac monitoring (the monitoring of the electrical activity of the cardiovascular system) worn for at least 24 hours.
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