Skip to Content
800-533-8762
  • Careers
  • Newsroom
  • Health Care Professionals
  • About Us
  • Contact Us
UPMC
  • Find a Doctor
  • Services
    • Frequently Searched Services
    • Frequently Searched Services
      Allergy & Immunology Behavioral & Mental Health Cancer Ear, Nose & Throat Endocrinology Gastroenterology Heart & Vascular Imaging Neurosciences Orthopaedics
      Physical Rehabilitation Plastic & Reconstructive Surgery Primary Care Senior Services Sports Medicine Telemedicine Transplant Surgery Walk-In Care Weight Management Women’s Health
      See all Services
    • Services by Region
    • Find a UPMC health care facility close to you quickly by browsing by region.
      UPMC in Western Pa. Western Pa. and New York
      UPMC in Central Pa. Central Pa.
      UPMC in North Central Pa. North Central Pa.
      UPMC in Western Md. Maryland & West Virginia
    • See All Services
  • Locations
    • Locations by Type
    • Locations by Type
      UPMC hospitals
      Hospitals
      Physical Therapy
      Physical Therapy
      Urgent care
      Walk-In Care
      UPMC Outpatient Centers
      Outpatient Centers
      UPMC Imaging Services
      Imaging
      Community Health Centers
      Community Health Centers
      See All Locations
    • Locations by Region
    • Locations by Region
      UPMC in Southwest Pa. Southwest Pa.
      UPMC in North Central Pa. North Central Pa.
      UPMC in Northwest Pa and Ny. Northwest Pa. & Western N.Y.
      UPMC in West Central Pa. West Central Pa.
      UPMC in Central Pa. Central Pa.
      UPMC in Western Md. Maryland & West Virginia
    • See All Locations
  • Patients & Visitors
    • Patient & Visitor Resources
    • Patient & Visitor Resources
      Patients and Visitors Resources Pay a Bill Classes & Events Medical Records Health Library Patient Information
      Patient Portals Privacy Information Shared Decision Making Traveling Patients Visitor Information
      Man uses mobile phone
      Pay a Bill
      Nurse reviews medical chart
      Request Medical Records
  • Patient Portals
  • Find Covid-19 updates
  • Schedule an appointment
  • Request medical records
  • Pay a bill
  • Learn about financial assistance
  • Find classes & events
  • Send a patient an eCard
  • Make a donation
  • Volunteer
  • Read HealthBeat blog
  • Explore UPMC Careers
Skip to Content
UPMC
  • Patient Portals
  • For Patients & Visitors
    • Find a Doctor
    • Locations
    • Patient & Visitor Resources
    • Pay a Bill
    • Services
    • More
      • Medical Records
      • Financial Assistance
      • Classes & Events
      • HealthBeat Blog
      • Health Library
  • About UPMC
    • Why UPMC
    • Facts & Stats
    • Supply Chain Management
    • Community Commitment
    • More
      • Financials
      • Support UPMC
      • UPMC Apps
      • UPMC Enterprises
      • UPMC International
  • For Health Care Professionals
    • Physician Information
    • Resources
    • Education & Training
    • Departments
    • Credentialing
  • Careers
  • Contact Us
  • Newsroom
  • UPMC >
  • Our Services >
  • Heart & Vascular >
  • ... >
  • Our Services >
  • Procedures >
  • Holter Monitor (24-Hour Electrocardiogram Monitoring)
Heart & Vascular
About Us
Conditions We Treat
Our Services
Artificial Heart & Ventricular Device (VAD)
Atrial Fibrillation (AFIB)
Cardiac Amyloidosis
Cardiac Rehabilitation
Cardio-Oncology
Cardiogenic Shock
Cardiology
Cardiothoracic Surgery
Coronary Artery Disease
Hypertrophic Cardiomyopathy (HCM)
Heart Failure
Heart Rhythm Disorders
Heart Surgery
Heart Valve Disease
Hypertension
Inherited Heart Disease
Interventional Cardiology
Limb Preservation
Pediatric Cardiology
Preventive Cardiology
Sports & Exercise Cardiology
Structural Heart
Telemedicine
Thoracic Aortic Disease
Vascular Surgery
Vein
Women’s Heart
Wound Healing
Procedures
AFib Ablation
Ablation for Varicose and Spider Veins
Angioplasty (Percutaneous Coronary Intervention)
Aortic Root Surgery
Aortic Valve Surgery
Arterial Bypass Surgery
Cardiac (Heart) Catheterization
Cardiac Rhythm Management Devices
Carotid Artery Angioplasty and Stenting (CAS)
Carotid Endarterectomy
Catheter Ablation
Compression Therapy
Coronary Artery Bypass Graft (CABG) Surgery
Electrical Cardioversion
Emergent Aortic Dissection Repair
Endarterectomy Surgery
Heart Valve Surgery
Holter Monitor (24-Hour Electrocardiogram Monitoring)
Hybrid Ablation
Implantable Cardioverter Defibrillator (ICD) Insertion
iSVR: Intercostal Surgical Valve Replacement
Left Atrial Appendage Ligation (LAL)
Pacemaker and Defibrillator Lead Extraction
MAZE Procedure for AFib
Microphlebectomy
MitraClip® Therapy
Mitral Valve Surgery
Open Thoracoabdominal Aortic Aneurysm Repair
Ozaki Procedure for Aortic Valve Replacement
Pacemakers
Percutaneous Atherectomy
Peripheral Angioplasty and Stenting
Peripheral Vascular Ablation
Patent Foramen Ovale (PFO) Closure
Popliteal Aneurysm Repair
Pulsed Field Ablation
Renal Artery Stenting
Sclerotherapy
Septal Defect Repair
Septal Myectomy
Sternotomy Approach for Aortic Aneurysm Repair
Transcatheter Aortic Valve Replacement (TAVR) Procedure
Thoracic Endovascular Repair for Aortic Aneurysms (TEVAR)
Transesophageal Echocardiogram (TEE)
Tricuspid Valve Surgery
Venous Bypass Surgery
Venous Stents
Watchman Device™ for Atrial Fibrillation
Tests
For Patients
For Professionals & Students
Our Locations
Contact Us
Heart & Vascular
About Us
Conditions We Treat
Our Services
Artificial Heart & Ventricular Device (VAD)
Atrial Fibrillation (AFIB)
Cardiac Amyloidosis
Cardiac Rehabilitation
Cardio-Oncology
Cardiogenic Shock
Cardiology
Cardiothoracic Surgery
Coronary Artery Disease
Hypertrophic Cardiomyopathy (HCM)
Heart Failure
Heart Rhythm Disorders
Heart Surgery
Heart Valve Disease
Hypertension
Inherited Heart Disease
Interventional Cardiology
Limb Preservation
Pediatric Cardiology
Preventive Cardiology
Sports & Exercise Cardiology
Structural Heart
Telemedicine
Thoracic Aortic Disease
Vascular Surgery
Vein
Women’s Heart
Wound Healing
Procedures
AFib Ablation
Ablation for Varicose and Spider Veins
Angioplasty (Percutaneous Coronary Intervention)
Aortic Root Surgery
Aortic Valve Surgery
Arterial Bypass Surgery
Cardiac (Heart) Catheterization
Cardiac Rhythm Management Devices
Carotid Artery Angioplasty and Stenting (CAS)
Carotid Endarterectomy
Catheter Ablation
Compression Therapy
Coronary Artery Bypass Graft (CABG) Surgery
Electrical Cardioversion
Emergent Aortic Dissection Repair
Endarterectomy Surgery
Heart Valve Surgery
Holter Monitor (24-Hour Electrocardiogram Monitoring)
Hybrid Ablation
Implantable Cardioverter Defibrillator (ICD) Insertion
iSVR: Intercostal Surgical Valve Replacement
Left Atrial Appendage Ligation (LAL)
Pacemaker and Defibrillator Lead Extraction
MAZE Procedure for AFib
Microphlebectomy
MitraClip® Therapy
Mitral Valve Surgery
Open Thoracoabdominal Aortic Aneurysm Repair
Ozaki Procedure for Aortic Valve Replacement
Pacemakers
Percutaneous Atherectomy
Peripheral Angioplasty and Stenting
Peripheral Vascular Ablation
Patent Foramen Ovale (PFO) Closure
Popliteal Aneurysm Repair
Pulsed Field Ablation
Renal Artery Stenting
Sclerotherapy
Septal Defect Repair
Septal Myectomy
Sternotomy Approach for Aortic Aneurysm Repair
Transcatheter Aortic Valve Replacement (TAVR) Procedure
Thoracic Endovascular Repair for Aortic Aneurysms (TEVAR)
Transesophageal Echocardiogram (TEE)
Tricuspid Valve Surgery
Venous Bypass Surgery
Venous Stents
Watchman Device™ for Atrial Fibrillation
Tests
For Patients
For Professionals & Students
Our Locations
Contact Us

Chat Keywords List

  • cancel or exit: Stops your conversation
  • start over: Restarts your current scenario
  • help: Shows what this bot can do
  • terms: Shows terms of use and privacy statement
  • feedback: Give us feedback
Continue
Chat with UPMC
RESTART
MENU
CLOSE

Holter Monitor (24-Hour Electrocardiogram Monitoring)

The Holter monitor and event recorders are wearable types of electrocardiograms (EKG) used to  monitor heart function. Your cardiologist may recommend these tests if you show irregular heartbeat (arrhythmia) or other heart condition symptoms. 

UPMC cardiologists have extensive experience using Holter and event recorder monitors to diagnose heart conditions that may not be fully diagnosed in a resting EKG.



Find a Provider


Find a Location


What Is a Holter Monitor?

A Holter monitor is a wearable device that performs an electrocardiogram (EKG) while you go about your daily activities. It helps your cardiologist determine if certain activities cause your heart rate to beat irregularly.

How does a Holter monitor work?

The Holter monitor measures and records your heart rhythm continuously for a period of 24 to 48 hours. Some monitors have a feature that you can activate only when symptoms begin to occur. Your cardiologist will read the EKG report generated by the monitor.

How do I wear a Holter monitor?

Electrodes will be attached to your chest and abdomen and then attached to the Holter monitor with lead wires. The monitor box may be worn over your shoulder like a shoulder bag, or it may clip to your belt or pocket. Some newer versions can be attached directly to your chest.

After you have been hooked up to the monitor and given instructions, you will return to your usual activities, such as work, household chores, and exercise, unless your doctor instructs you differently. You will keep a diary of your activities during the recording period, writing down the date and time of your activities and if any symptoms, such as dizziness, palpitations, or chest pain, occur. This will allow your cardiologist to identify problems that occur during certain activities.

What is the goal of wearing a Holter monitor?

The Holter monitor allows your cardiologist to measure your heart rhythm when a standard resting EKG does not provide enough information to explain your symptoms and make an accurate diagnosis.

What is the advantage of wearing a Holter monitor?

A Holter monitor allows your cardiologist to measure your heart rhythms based on “real-life” activities. This is a more precise diagnosis than you would get from a standard resting EKG.

How common is the Holter monitor test?

Holter monitoring is one of the most common tests for diagnosing heart rhythm problems.

What are the different types of Holter monitors?

  • Traditional Holter monitors continuously monitor heart activity for 24-48 hours.
  • Extended-wear monitors can be used for a longer period, up to two weeks or more.
  • Event monitors use a smaller recording device that only records when symptoms occur.
  • Wireless Holter monitors record heart electrical activity for a set time, then send the data to the doctor's office using a cell phone.

Conditions we treat with Holter monitors

Holter monitors are used to determine the cause of symptoms that include:

  • Dizziness.
  • Fainting.
  • Low blood pressure.
  • Prolonged fatigue.
  • Palpitations.

Why Would I Need a Holter Monitor?

You may be a candidate for a Holter monitor test if you have:

  • Chest pain not reproduced with exercise testing.
  • Symptoms that may be heart-related, such as fatigue, shortness of breath, dizziness, or fainting.
  • An irregular heartbeat or palpitations.
  • Cardiomyopathy.
  • Had a heart attack.
  • Have an implanted pacemaker.
  • Have had treatment for arrhythmia.

What are the benefits of a Holter monitor?

Some abnormal heart rhythms may occur infrequently or only when you are doing certain activities. These cannot be recorded during a standard at-rest EKG.

A Holter monitor test is a simple, non-invasive test that allows your cardiologist to measure your heart rhythm when you are living your everyday life.

Can a Holter monitor detect anxiety?

A Holter monitor does not directly detect anxiety, but it may measure an abnormal heart rhythm that occurs during an anxiety or panic attack.

Does a Holter monitor detect a blockage?

A Holter monitor can detect inadequate blood supply, which can indicate a blockage. It may be prescribed for you if you have had a recent heart attack. The goal is to check for new blockages.

What Are the Risks and Complications of Holter Monitor Testing?

The Holter monitor is an easy way to check your heart’s function. The risk of complications is very low.

You may have some difficulty keeping the electrodes stuck to your skin and removing them may be uncomfortable. If the electrodes are on for a long time, some itchiness or blistering may occur.

What Should I Expect From the Holter Monitor Test Procedure?

The procedure requires no preparation and is usually done on an outpatient basis. However, you will need to shower beforehand since you cannot get the monitor wet after it is on.

What should I avoid while I am wearing a Holter monitor?

  • Magnets.
  • Metal detectors.
  • Electrical appliances such as shavers, toothbrushes, and microwave ovens.
  • Swimming.
  • Showering or bathing.

Keep cell phones at least six inches away from the monitor box.

How long does it take to place my Holter monitor?

A Holter monitor takes about 10-20 minutes to place. This appointment includes putting on the electrodes, testing the monitor, and giving you instructions on how to care for the device.

Your second appointment will be about 30 minutes and include removing the monitor, downloading the data, and discussing your results.

Why Choose UPMC for Holter Monitor Care?

The cardiologists at UPMC are experts at using cardiovascular testing to accurately diagnose heart conditions. Our team of experts will develop a treatment plan to manage your heart health and improve your symptoms.


By UPMC Editorial Staff. Last reviewed on 2024-10-01.

UPMC
200 Lothrop Street Pittsburgh, PA 15213

412-647-8762 800-533-8762

Patients And Visitors
  • Find a Doctor
  • Locations
  • Pay a Bill
  • Patient & Visitor Resources
  • Disabilities Resource Center
  • Services
  • Medical Records
  • No Surprises Act
  • Price Transparency
  • Financial Assistance
  • Classes & Events
  • Health Library
Health Care Professionals
  • Physician Information
  • Resources
  • Education & Training
  • Departments
  • Credentialing
Newsroom
  • Newsroom Home
  • Inside Life Changing Medicine Blog
  • News Releases
About
  • Why UPMC
  • Facts & Stats
  • Supply Chain Management
  • Community Commitment
  • Financials
  • Supporting UPMC
  • HealthBeat Blog
  • UPMC Apps
  • UPMC Enterprises
  • UPMC Health Plan
  • UPMC International
  • Nondiscrimination Policy
Life changing is...
Follow UPMC
  • Contact Us
  • Website/Email Terms of Use
  • Medical Advice Disclaimer
  • Privacy Information
  • Active Privacy Alerts
  • Sitemap
© 2025 UPMC I Affiliated with the University of Pittsburgh Schools of the Health Sciences Supplemental content provided by Healthwise, Incorporated. To learn more, visit healthwise.org
Find Care
Providers
Video Visit
Portal Login