Patient Preparation Guidelines for Holter Electrocardiogram (ECG) Monitoring
Before the procedure:
- The patient must take a shower prior to the procedure (exposure to water is not permitted after device placement).
- The chest area must be clean and dry (no creams, lotions, or ointments should be applied).
- For optimal electrode adhesion, chest hair removal may be required in male patients.
- The patient must inform the physician about all medications currently being taken (do not discontinue any medication without medical advice).
During the procedure:
- Removal or exposure of the device to water is strictly prohibited.
- Maintenance of normal daily activities is recommended, in agreement with the physician.
- The patient must keep a diary including:
- Symptoms (chest pain, palpitations, dizziness, shortness of breath)
- Time of occurrence and type of activity
- Restrictions:
- Avoid strong electromagnetic fields (e.g., MRI)
Template for Exercise Stress Testing Conditions
Patient preparation before the procedure:
- A valid echocardiography report must be provided.
- The report is considered valid if performed within the last 1 month.
- It is recommended to bring recent medical documentation issued by the treating cardiologist (including primary diagnoses and prescribed medications).
- The patient should refrain from food intake for 3–4 hours prior to the test (water intake is allowed).
- The patient should avoid the following for 48 hours prior to the procedure:
- alcohol
- energy drinks
- Comfortable clothing and footwear are recommended.
- Temporary discontinuation of certain medications (e.g., beta-blockers) is allowed only upon physician’s instruction (self-discontinuation is strictly prohibited).
Inform the physician about:
- any history of cardiovascular disease
- issues related to arterial blood pressure
- all medications currently being taken
During the procedure:
The patient must immediately inform medical staff if experiencing:
- chest pain
- severe shortness of breath
- dizziness
- generalized weakness
