Safety & ProfessionalismQuestion 92 of 100
A patient is being fitted with a 24-hour Holter monitor. Which instruction is correct?
a.Remove the electrodes at night and reapply them in the morning
b.Avoid all physical activity so the recording stays clean
c.Take the monitor off for showers and note the time
d.Keep a diary of activities and symptoms with the times they occur, and do not get the monitor wet
Explanation
The value of a Holter study comes from matching recorded rhythm changes to the patient's diary of activities and symptoms, so accurate timed entries are essential and the device must stay on and dry for the full recording period. Removing electrodes at night or for showers creates gaps in exactly the data being sought. Patients are told to follow their normal routine, not to avoid activity, because the goal is to capture everyday events.
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