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24-Hour Ambulatory Electrocardiogram (Holter Monitor Study)

Published: August 9, 2026Updated: August 16, 2026

This test involves wearing a small device called a Holter monitor for 24 hours to continuously record your heart’s electrical activity, helping detect irregular rhythms or episodes of heart problems that may not occur during standard office visits.

Quick summary

["A Holter monitor helps identify hidden heart rhythm issues by tracking your heart’s electrical signals over a full day."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
18754-2
Short code
Holter monitor study
Synonyms
Holter monitor study
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
holter-monitor
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What Is Recorded During the Test?

The Holter monitor attaches to your chest with electrodes and records your heart’s electrical activity (ECG) continuously. You’ll keep your normal daily activities, but note any symptoms like dizziness, chest pain, or palpitations, as these may correlate with abnormal readings. The device is removed after 24 hours, and the recorded data is analyzed by a healthcare provider to identify any irregular patterns.

Preparing for the Test

No special preparation is needed. Wear comfortable clothing with easy access to your chest. Avoid removing the monitor unless instructed, and keep it dry. If you have a pacemaker or other implanted device, inform your doctor beforehand.

During the Test

The monitor is attached to your chest with sticky electrodes. You’ll carry it in a pouch around your waist or neck. It’s lightweight and doesn’t interfere with daily tasks. If you experience discomfort or the electrodes come loose, contact your doctor immediately.

After the Test

Remove the monitor after 24 hours and return it to your doctor. You may resume normal activities, but avoid swimming or showering with the device still attached. Your doctor will review the recordings to check for any abnormal heart rhythms or patterns.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Holter Monitor Study

Frequently asked questions

Why would I need a Holter monitor?
Your doctor may recommend this test if you’ve had symptoms like palpitations, dizziness, fainting, or chest discomfort that don’t fit a typical heart rhythm pattern, or if you’re at higher risk for heart rhythm problems.
How long does the test take?
The actual recording happens over 24 hours, but the setup and removal take only a few minutes each. You’ll be able to go about your normal daily activities during this time.
Will I feel any pain or discomfort during the test?
You may feel a slight pinch when the electrodes are placed, but the monitor itself is lightweight and painless. Most people find it comfortable to wear for the full day.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy