Indications, Contraindications, and Clinical Significance of Holter Monitoring Device
Marwah Yakoop Abdullah *
Department of Family Medicine, East Jeddah Hospital, Jeddah, Saudi Arabia.
Traad Louai Zarei
Department of Psychiatry, Eradah Mental Health Complex, Jeddah, Saudi Arabia.
Mubarak Mohamed Althaidy
College of Medicine, Arabian Gulf University, Manama, Bahrain.
Ibrahim Ahmed Alghamdi
College of Medicine, Ibn Sina National College, Jeddah, Saudi Arabia.
Abdulrhman Shamsuddin Alkindy
Department of Cardiology, Saud Al Babtin Cardiac Center, Dammam, Saudi Arabia.
Ibrahim Hassan Almalki
College of Medicine, Medical University of Lublin, Lublin, Poland.
Jomannah Fahad Barnawi
College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia.
Eman Hassan Alfayez
Department of Obstetrics and Gynecology, Almoosa Specialist Hospital, Al Ahsa, Saudi Arabia.
Amjad Saad Alali
King Khalid University Medical City, Abha, Saudi Arabia.
Saleh Fouad Merza
East Jeddah Hospital, Jeddah, Saudi Arabia.
Fatema Shaker Hasan
College of Medicine, Xi’an Jiaotong University, Xi’an, China.
Saad Khalid Almaghrabi
Medical Center in Civil Defence, Riyadh, Saudi Arabia.
*Author to whom correspondence should be addressed.
Abstract
Holter electrocardiogram monitoring devices are mainly indicated to assess the 24-hour heart rate and rhythm, enabling clinicians and physicians to evaluate the underlying disorders, possibly arrhythmias. The clinical significance of these modalities was apparent in different clinical events, including cardiac and non-cardiac ones. Many applications and clinical advantages were reported since the device was first reported, which changed the way how healthcare settings deal with and monitor cardiac rhythm and associated abnormalities. Evidence shows that Holter monitoring devices are useful in the appropriate patient populace and are very efficacious in diagnosing and following cardiac arrhythmias and other different cardiac conditions, which can significantly enhance the prognosis and management of cardiovascular patients. In this context, it has been shown that primary healthcare physicians should always be aware that many patients might be present with asymptomatic cardiac arrhythmias. However, not many studies have adequately assessed them in the non-cardiac population, which calls for conducting more future investigations. In the present literature review study, we aim to discuss the indications, contraindications, and clinical significance of using the Holter monitoring device based on data from the relevant studies in the literature.
Keywords: Management, cardiac, Mobile electrocardiogram, Holter, cardiac diseases, interventional cardiology