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What is a Holter monitor and why does my pet need one?
By Risa Roland, DVM, DACVIM (Cardiology)

A Holter monitor is a 24-hour electrocardiogram (ECG or EKG).  An ECG is a tracing of the electrical activity of the heart that appears as lines on paper.

ECG 2

If you place a Holter monitor on a patient, you are able to see the ECG trace for a whole day.  This is helpful to see if there are any abnormalities in the electrical activity of the heart (abnormal heart beats) over the course of a day.

In addition, a Holter monitor is helpful to determine if an abnormal heart beat occurs with a certain activity (like sleep or exercise or excitement).  The owner of the patient with the Holter monitor keeps a Holter diary and records the activity of the patient.  Then, the ECG can be evaluated at the time of the activity to determine if there is an abnormal heart beat.

ECG

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