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Zio Patch: New Ambulatory Heart Monitor

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the new ambulatory heart monitor is the Zio patch iStockphoto/Thinkstock

Perhaps the only thing worse than spending the day in the emergency room is the follow-up care which is sometimes required.

Heart patients, particularly those with suspected arrhythmias or other heart conditions which are difficult to diagnose, often find that an initial diagnosis can’t be determined in an emergency room.

Time-consuming, and somewhat cumbersome, follow-up treatment is sometimes required.

When a diagnosis can’t be determined, a suspected arrhythmia patient may be asked to wear a Holter monitor to help physicians confirm or make a definitive diagnosis.

Used since the 1960s, the Holter monitor is a medical device which is used to monitor how the heart responds during normal activity.

It’s often used to help diagnose conditions such fainting spells, atrial flutters, slow heart beat, heart palpitations, ventricular tachycardia, multifocal atrial tachycardia, and paroxysmal supraventricular tachycardia.

Sometimes, Holter monitors are worn to monitor heart rhythms after a heart attack or when new heart medications are prescribed.

While wearing a Holter monitor is painless, it can be somewhat intrusive and may interfere with daily activities such as showering or sleeping. This is because the heart patient is connected to the Holter monitor through electrodes which are attached to the chest of the heart patient.

The battery-operated Holter monitor is then worn in a bag either around the neck or waist of the patient. Holter monitors are generally worn from 24 to 48 hours at which time the patient returns to the physician to have the electrodes removed and the results read.

Patients must also keep a log of symptoms while the monitor is worn so that the physician can match the symptoms to the monitor results.

Researchers at Scripps Health believe that a new digital device, the Zio Patch, may be a viable -- and more patient-friendly -- alternative to the Holter monitor.

The Zio Patch is a single-use ambulatory, digital device that can be worn up to 14 days, enabling a longer monitoring period. Unlike the Holter monitor, there are no batteries and electrodes involved and no bags which the patient must wear.

Add a Comment4 Comments

EmpowHER Guest

Does this show false positives if the device falls off in the shower twice?

December 5, 2016 - 12:46pm
EmpowHER Guest

Great summary!
Unfortunately, insurers have been slow to pay for this advance, primarily concerned that too many expensive heart problems will be uncovered (pretty sad, huh?). I believe in the ZioPatch so much I have started a company, SuddenLife, to allow selected patients to get this heart monitor shipped to their own home for self-application. Check it out.
Steven Higgins, MD

February 10, 2013 - 7:08pm

This looks like it will improve the patients experience and response to having the followup completed. Also it probably wont make you feel like you are even wearing it. Which is a good thing. Love it!


May 21, 2012 - 10:03am
Blogger (reply to Marielaina Perrone DDS)

Could not agree more. In terms of patient comfort, it looks like this will be a huge winner on many levels.

June 4, 2012 - 6:52pm
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We value and respect our HERWriters' experiences, but everyone is different. Many of our writers are speaking from personal experience, and what's worked for them may not work for you. Their articles are not a substitute for medical advice, although we hope you can gain knowledge from their insight.


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