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8. Ambulatory Holter ECG
     ECG Holter is nothing more than a small device that allows monitoring heart activity for 24 hours, both day and night. Often, when the resting electrocardiogram is performed in the cardiologist’s office, not all disorders of the heart activity can be observed. That is why the doctor recommends undergoing ECG Holter to indicate a fair treatment. It allows recording the electrical activity of the heart for a longer time than simple ECG.
 
     Rhythm Holter is recommended in the following cases:
- If you had dizziness or fainted (in this case, ECG holter may reveal exactly if these conditions were caused by a heart rhythm disorder);
- If you felt heart palpitations (your heart beats too hard, too fast or you feel irregular heartbeat);
- If you have already been diagnosed and treated for heart rhythm disorders and you want to know how efficient the treatment that you followed was.

     ECG Holter operates easily. You can come to the cardiologist at the German Diagnostic Center. He wraps a belt around your waist with a small and quiet device, connected to six electrodes, which the doctor attaches to your body. They are designed to monitor any changes occurring in the heart during daily activities. You wear the device for 6, 12, 24 or 48 hours, if required. Do not touch it; the only requirement is just to spend the day as you usually do.

     It is important to keep the monitor dry. Do not shower or bathe until the monitor is removed. Do not disconnect the electrodes. This will stop the recording.

     Afterwards, return to the clinic and the doctor will remove the device and will provide you, within minutes, with the results of the investigation.
This type of analysis is most appropriate to diagnose arrhythmias and silent ischemic heart disease, i.e. one that does not give conclusive symptoms. Here are some other situations where ECG Holter is effective:
- diagnosis and evaluation of cardiac arrhythmias;
- evaluation of supraventricular and ventricular arrhythmias;
- changes in sinus rhythm;
- determination of pacemaker function;
- diagnosis of silent ischemia (ischemia as the result of electrocardiographic changes that occur, but not accompanied by pain);
- determination of the effectiveness of antiarrhythmic therapy.

     The doctor recommends this test:
- to detect irregular heartbeats;
- to evaluate chest pain;
- to check heart activity after suffering a heart attack;
- to check heart activity after installing a pacemaker;
- to check the effect of the use of drugs.

     ECG Holter does not require preparation. You will only come to the doctor and wear loose clothing, a buttons-down shirt or blouse. You can eat and drink before the test, and if you follow a certain treatment for heart disease you are suffering from, it is not required to discontinue the treatment.
 
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