What is an Implantable Holter Monitor?
It is a medical device approximately 3mm thick, implanted subcutaneously to continuously monitor heart rhythm and detect any asymptomatic arrhythmia, which might have gone unnoticed.
The Holter monitor enables remote and long-term screening of heart rhythm anomalies such as bradycardia, tachycardia, and arrhythmias. This facilitates the prompt implementation of appropriate and effective treatment.
How does the procedure unfold?
The implantation of a Holter monitor is a minimally invasive technique performed in a sterile environment, on an outpatient basis, and under local anesthesia. The procedure typically lasts around 15 minutes. Follow-up can be conducted through in-person consultations as well as remote monitoring.
What are the indications for the placement of a Holter monitor?
What are the indications for the implantation of a long-term Holter monitor? The placement of an implantable Holter monitor may be considered for assessing syncope or fainting episodes (to investigate rhythmic causes, particularly cardiac electrical conduction disorders). In patients with a history of transient ischemic attack or ischemic stroke and a negative etiological assessment, an implantable Holter monitor may be suggested to detect paroxysmal atrial fibrillation, which can be embolic in nature. In the presence of atrial fibrillation, anticoagulant therapy may also be recommended.
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Video produced as part of the Medical Talent program in collaboration with the American Hospital of Paris.