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    The inauguration of the NKTI-Baxter Peritoneal Dialysis (PD) Center of Excellence was held last February 23, 2021 at the NKTI. The center is a two-storey warehouse for PD dialysis solutions and accessories. Facilities include areas for patient training and clinical management as well as a queuing system to make the process of claiming these lifesaving fluids more efficient for PD patients.
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Holter Monitor
(Ambulatory electrocardiography; Ambulatory ECG Monitoring; Electrocardiography – ambulatory)
 
Description:
Holter monitoring is a painless test which provides a continuous recording of heart rhythm during normal activity. This electrophysiologic test is used to assess and document cardiac rhythm disturbances, and to monitor the effect of antidysrhythmic and pacemaker therapy. The monitor is usually worn for 24 hours (or longer) to obtain a recording.

The Holter monitor can record heart rate and rhythm when you feel chest pain or symptoms of an irregular heartbeat (called arrhythmia). The doctor can then look at the time when patient noticed these symptoms. Reading this printout will give the doctor an idea about the nature of the heart problem.
 

Preparation/What to Expect:

  • Electrodes are placed on the chest and attached to a small recording monitor that patient can carry in a pocket or in a small pouch worn around the neck. The monitor is battery operated.

  • The heart electrical activity is recorded (much like the recording of an ECG), usually for a 24-hour period while patient keeps a diary of activities.

  • The recording is then analyzed, a report of the heart's activity is tabulated, and irregular heart activity is correlated with the activity at the time.


  It is a good idea to bathe before monitor is attached, because once fitted, patient cannot get wet in the shower or bathtub.
 

It takes 10-15 minutes to complete the preparation and instructions.
The nurse/technician gives intructions on the following:

  • how to keep the electrodes attached to patient’s skin.

  • how to check the monitor for problems.

  • when to call the physician's office for help.

  • keeping the electrodes and monitor dry

  • avoiding situations where patient may perspire excessively, causing the leads to detach.

  • how to keep a diary during the procedure, noting the date and time of day of any changes in activity and symptoms patient experiences.

  • avoiding using electrical appliances such as electric razors, hair dryers, or electric toothbrushes near the patient so that the EKG signal will not receive electrical interference on the recording tape. If these appliances must be used , patient should note it in the diary.

  • avoiding magnets, metal detectors, areas with high-voltage electrical wires, and electric blankets during the procedure, since they can also create electrical interference on the recording tape.


After 24 hours, patient returns to the hospital and the electrodes will be removed and the monitor discontinued.

Depending on the results of the Holter monitor, additional tests or procedures may be scheduled to gather further diagnostic information.