Depending on the objective of the study, one of the three types of 24-hour monitoring is applied: 24-hour ECG monitoring (or Holter monitoring), 24-hour arterial blood pressure monitoring, or the third type which combines the above two procedures -- bifunctional ECG and ABP monitoring.
Holter ECG monitoring is an instrumental diagnostics technique which involves 24-hour registration of the patient's electrocardiogram with the use of 12 modified limb leads and a wearable recorder.
24-hour arterial blood pressure monitoring is a diagnostics technique which involves multiple measurements of arterial pressure throughout a 24-hour period with the use of a special device.
Bifunctional ECG and ABP monitoring is the technique which incorporates simultaneous arterial blood pressure and ECG recording.
INDICATIONS FOR THE EXAMINATION
- Cardiovascular disorders;
- Diabetes mellitus;
- Frequent headache;
- Chronic fatigue;
- Visual deterioration;
- Blocked ears and ringing/buzzing in the ears.
THE PROCEDURE OF THE TEST
The monitoring may be carried out either in the inpatient facilities or on outpatients.
24-hour arterial blood pressure monitoring The patient is issued an arterial pressure recorder and a cuff is strapped on their arm. The recorder is carried in a satchel. The monitoring takes for 24 hours with pressure applied to the cuff every 15 to 30 minutes. The patient shall carry on their normal life, but shall make regular records of their activities in a special notebook.
Bifunctional ECG and ABP monitoring and Holter ECG monitoring. Disposable electrodes are attached to the patient's chest. In the case of bifunctional monitoring, the patient also wears cuff for pressure measurement. All the devices are connected to the arterial pressure and ECG data recorder which the patient keeps close at all times. The patient shall carry on their normal life, but shall make regular records of their activities in a special notebook.
There are no absolute contraindications.
PREPARATION FOR MONITORING
Before the study: undergo an electrocardiography, men should shave their chest. Bring a knitted short sleeve t-shirt (women shall not wear a dress) and comfortable clothes (to be worn during the 24 hour period). If the patient uses a cardiac pacemaker, they should bring along the most current programming data.
HOW CAN I GET THIS TEST AT THE RCMC
To be eligible for the examination, the patient must have a physician’s referral
- Please call the Contact Center and book an appointment for the examination
- You need to complete and sign a paid service contract at the Reception (present a physician's referral to the receptionist)
- Pay the bill at the RCMC pay office, or through the ERIP electronic system
- Get the test at the appointed time.