30 Day Monitoring

Your doctor may order 24 hour/30 day cardiac event monitoring for you to help evaluate any of a variety of symptoms to determine if these symptoms are related to your heart. These symptoms may include palpitations (also described by patients as irregular beats, skipped beats, hard beats, fluttering, rapid beats or pounding), chest pain, dizziness, lightheadedness, SOB, rapid rates, near syncope or syncope (passing out) or irregular rates. These monitors can also be used to evaluate medication changes or the effectiveness of various cardiology procedures. For information about heart rhythms and the basic heart anatomy and physiology related to these rhythms, view our Heart Rhythms.

Cardiac event monitors are similar to another monitor you may be more familiar with called a Holter monitor. Holter monitors are typically worn for 1-2 days and record every heart beat. However, many patients don’t have symptoms every day, so a cardiac event monitor may be ordered. Cardiac event monitors are generally ordered for 30 days (since this is the only insurance billing period), although if your doctor finds what he or she is looking for prior to the end of 30 days, you may be able to return your monitor sooner.

There are two different monitor types, patient activated and auto triggered devices, With the patient activated devices, when you experience symptoms, you push the Record button. These monitors are what are called looping monitors, so when you push the Record button it actually records your rhythm starting 15 to 75 seconds before you pushed Record depending on the programming options your clinic has selected. So, even if your symptoms are of short duration, if you pushed the button within the programmed time selected by your clinic of feeling your symptoms, the associated rhythm will be captured. The auto triggered devices will automatically record certain types of rhythms as selected by your clinic. However, even with these auto trigger devices, you should still push Record when you are having your symptoms.

When you call the Service Center to transmit the events you have recorded, you will tell the technician when you recorded them and describe your symptoms. Then when instructed, you will transmit your events over the phone.

If anything serious or life threatening is detected during your call, we will call your physician immediately. If not, we will send your doctor a report within a few hours (during the week) or on Monday morning if your call was received on the weekend. When EquiMed sends the reports to your doctor, the description of your symptoms is included with the events you have recorded. This will allow the doctor to evaluate whether or not the symptoms you are having are heart related, make an assessment as to how serious they may be and determine an appropriate course of action.