Pacemaker Monitoring


The pacemaker and leads can last for years, but follow-up appointments must be kept to make sure they are working correctly. These follow-up appointments with our cardiologist allow for all the components of the pacemaker to be checked. Here, we will check the pacemaker settings, battery status, and check the leads to see how they interact with the heart. These appointments are critical to your long-term health and should always be kept.

What is the purpose of a Holter Monitor?

The Holter monitor is used by your doctor to determine the electrical activity of your heart (EKG) during normal everyday activities. It also provides your doctor with valuable information about the rhythm of your heart and allows him to determine if your symptoms correlate with any changes in your heart rhythm.

How should I prepare for my monitor?

  • Please wear a loose fitting, comfortable shirt so that electrodes can be placed on your chest. No one-piece outfits, please (i.e.: dresses, girdles or overalls).
  • Refrain from using lotion or powder on your chest area as this makes it difficult for the electrodes to stay in place.
  • You may want to bathe or shower prior to this test as you will not be able to during the 24-hour monitoring period.

What will I experience during the monitor test?

  • Seven electrodes will be placed on your chest. They will be attached to a monitor that records your heart rhythm for 24 hours.
  • You will be given a carrying case and shoulder strap to wear the monitor over your shoulder or around your waist.
  • You will be required to log your activities and/or symptoms in a diary while wearing the monitor. During the 24 hours you are encouraged to do normal activities, however, you are not able to bathe, shower or swim.
  • Remove the monitor after 24 hours. Return the monitor to our office as soon as possible. If the monitor, wires and case are not returned within 48 hours, a fee may be charged to your account.

What is an event monitor?

Some patients experience symptoms (palpitations, dizziness, chest pains, etc) only once or twice a week. For those patients a 24-hour Holter monitor might not be adequate since it might happen the patient does not have symptoms that day. The event recorder is a device that monitors the electrical heart activity continuously and the information is sent via cell phone technology to a central station that is monitored by a trained technician 24/7. At the same time the patient can “send” and special signal and recording if he/she experience symptoms. All the recordings are sent to the ordering physician for analysis and interpretation. If serious abnormalities are detected the ordering physician can be notified immediately. The patient is contacted and given instructions (ie: go to emergency, take different medication, etc)

How should I prepare for event recorder monitor?

Most of the time the monitor will be sent to your home via UPS or FedEx. Easy to follow instructions are provided how to set up the monitor yourself. If you need help you can contact our office or the toll free number provided with the equipment.

What will I experience during event recorder monitor?

  • Two electrodes will be placed on your chest and you will be given a monitor to wear.
  • Be sure to keep track of your symptoms and the time of the recording in the diary provided.
  • You will wear this monitor for 2-3 weeks unless otherwise instructed.
  • When test period is done, you will set up an appointment with your physician to review the tracings and the interpretation.
Heart and Vein Center
18915 Twelve Mile Rd
Lathrup Village, MI 48076
Phone: 248-277-5205
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