Best Doctors in India for Holter Monitoring

Profile Highlights:

  • Dr. Hemant Madan is an experienced and accomplished cardiologist, with a professional experience of around 20 years.
  • His expertise includes all aspects of cardiology, including pediatric cardiology, complex coronary interventions, device implantation, all kinds of rhythm disorders, percutaneous treatment of valve stenosis, and peripheral interventions.
  • Dr. Madan pursued his Fellowship at the Royal College of Physicians from Edinburgh in UK.

Profile Highlights:

  • Dr. Rachit Saxena is an experienced cardiac surgeon, who is known for his extreme dedication to his profession, and for providing absolute patient satisfaction.
  • Supported by an efficient cardiac surgical team, Dr. Saxena is known for successfully managing the most complex of cardiac surgical problems.
  • Dr. Rachit Saxena is known especially known for the capability to perform cardiac surgery with minimal blood requirement and ensure early mobilization and return to work.

Profile Highlights:

  •  Dr. T Sundar is one of the best cardiothoracic surgeons in India.
  • He is having extensive exposure to critical heart diseases and he has operated on them successfully.
  • Dr. T Sundar is a Senior Consultant at Apollo Hospitals since 2003.
  • He has been associated with international standards of surgery and diagnosis since his education period.

Profile Highlights:

  • Dr. N Sastri is a renowned cardiothoracic surgeon in India with extensive experience in critical heart surgeries.
  • He has nearly 36 years of experience and is a senior consultant- Cardiothoracic & Vascular Surgery with Indraprastha Apollo Hospitals, New Delhi.
  • Dr. Sastri specializes in the diagnosis and treatment of vascular disorders using advanced techniques. He has expertise in Total Anomalous Pulmonary Venous Connection Repair, Arterial and Ventricle Defects Surgery, Cardiac Resynchronization Therapy, Balloon Valvuloplasty, CABG LV restoration, PDA Device Closure, PPI, Valve Replacement, and Atrial Fibrillation Surgery.
  • Over the years’ Dr. Sastri had treated patients across various countries. In addition to the adult and neonatal cardiac surgeries, he is involved in research and put out many research papers in different medical journals.

Profile Highlights:

  • Dr. Prashanta Kumar Ghosh is a senior cardiologist at Indraprastha Apollo Hospital in New Delhi with experience of nearly 47 years in the field.
  • Dr. Ghosh has expertise in testing and monitoring cardiac problems. The procedures mainly include minimally invasive cardiac surgery, implantations, device closure for congenital heart diseases, cardiac catheterization, Carotid Angioplasty, Stenting, etc. Half of his experience came from practicing non-invasive cardiology.
  • He has so far performed nearly 3 lakh Echos as well as thousands of Doppler and Trans Esophageal Echos in his professional journey.
  • Dr. Ghosh has participated in many studies and published papers in various conferences and journals. He also delivers lectures to the students of many institutions across India and abroad.

Profile Highlights:

  • Dr. Abraham Oomman is one of the best Cardiologists in Chennai, having an experience of 31 years in this field.
  • Dr. Oomman offers consultation and also performs cardiac procedures. He specializes in Preventive Cardiology, Interventional Cardiology, Rheumatic Heart Disease, and Lipidology.
  • Patients also visit him for ASD and VSD Surgery, Dextro-Transposition of the Great Arteries (DTGA), Minimally Invasive Cardiac Surgery, and Vascular Surgery.

Profile Highlights:

  • Dr. Refai is a world-renowned cardiologist who practices at Apollo Hospital in Greams Road, Chennai.
  • Dr. Refai completed advanced training in the United Kingdom after finishing his medical degrees in India.
  • He specializes in Angioplasty (Stent implantation), Implantable Cardioverter-Defibrillators (ICDS), Transradial Rotablation, Chronic Total Occlusion Angiography, Pacemaker, Cardiac Invasive Procedures, Bypass Surgery, and other cardiovascular procedures.
  • He was involved in many TAVI-related studies at King’s College Hospital in London, and a heart failure pilot trial at The Essex.

Profile Highlights:

  • Dr. I Sathyamurthy is a veteran Cardiologist and has an experience of more than 38 years in Interventional Cardiology.
  • Dr. Immaneni Sathyamurthy is a distinguished personality who bagged Padma Shri, the fourth-highest Indian civilian award. In addition to it, he was conferred many awards for his contribution to the medical sciences.
  • He has over 250 publications to his credit, some of these are used as textbooks in medical courses.

Profile Highlights:

  • Dr. Karthigesan A M is a renowned Interventional Cardiologist with more than two decades of experience.
  • He completed advanced training in cardiac arrhythmia in the USA to serve his patients in a better way.
  • Dr. A M Karthigesan received several awards from prestigious associations for his contribution to the field.
  • Dr. Karthigesan authored several research papers and articles in premier periodicals and presented papers at national conferences.

Profile Highlights:

  • Dr. Asha Mahilmaran is a seasoned Interventional Cardiologist in Chennai, with more than three decades of expertise in the sector.
  • She excelled in academics and was awarded a gold medal in medicine and cardiology.
  • Dr. Mahilmaran offers Ventricular Septal Defect Surgery, Cardioversion, Carotid Artery Disease, Chest Pain Treatment, Cardiac Ablation, and Dextro-Transposition of the Great Arteries (DTGA), etc.
  • Over the years, she has performed over 15,000 preventive heart checkups.

Best Hospitals in India for Holter Monitoring

Holter Monitoring

Holter Monitoring involves measurement of the heart’s activities like rhythm and heart rate with the help of a small, battery-powered device called Holter Monitor. Your doctor may recommend using Holter Monitor to determine the functioning of your heart. Holter Monitoring is a 24-hour test that records your heart’s rhythm and rate for 24 hours continuously. For that, you may need to wear the Holter Monitor for around 48 hours while performing your routine activities. The medical device has electrical leads & electrodes and can pick up your chest pain or symptoms of arrhythmia & irregular heartbeats. Sometimes, it is referred to as ambulatory electrocardiography.

Your doctor will use the information captured on the Holter Monitor to determine if you have arrhythmia (problems with the heart rhythm). Your doctor may recommend a wireless Holter Monitor, that works for weeks if standard Holter Monitor fails to capture irregular heartbeats.

Reasons for Holter Monitoring

Your doctor may recommend an electrocardiogram if you are suffering from symptoms of heart problems. It is a non-invasive test that utilizes electrodes for checking the rhythm of your heart. However, the test may not detect the irregular heartbeats because you are taped with the electrodes of the machine for a short time. If an irregular heart rhythm is causing the condition and you experience the signs & symptoms, your doctor will ask you to wear a Holter Monitor.

The Holter Monitor that you wear will detect the irregularities with your heart rhythm that the electrocardiogram isn’t able to detect within that period. If your heart condition is responsible for increasing the risk of irregular heart rhythm, then Holter Monitor will be suitable for you. Even if you don’t experience the symptoms of abnormal heart rhythm, your doctor may ask you to wear the Holter Monitor. Your doctor might recommend Holter Monitor if you:

  • Are tired or experience shortness of breath
  • Have a pacemaker and experience dizziness
  • Have fast and pounding heartbeat
  • Have chest pain without performing any exercise
  • Have fluttering heartbeat
  • Need to determine the working of your pacemaker
  • Have an irregular, too fast, or too slow heartbeat
  • Feel dizzy or faint
  • Suffered a heart attack and your doctor needs to determine the risks for heart problems for you.

What conditions does Holter Monitor diagnose?

A Holter Monitor can diagnose various heart conditions like:

  • Ventricular tachycardia (fast heartbeat starting in the lower chambers of the heart)
  • Atrial fibrillation (rapid heartbeat causing stroke)
  • Cardiac arrhythmia (irregular heartbeat) and conduction disorders with a slow heartbeat.

Working of Holter Monitor

The Holter Monitor is quite smaller in size to which several wires or leads attach. The leads connect with the electrodes by a glue-like gel. The metal electrodes placed on your chest are responsible for the conduction of the activities of your heart. They conduct the activity through the wires into the monitor where it is recorded. The small pouch that holds the monitor remains around your neck. During the testing period, the monitor should be close to your body for accuracy in the readings.

During the testing period, if the electrodes fall off or become loose, your doctor will tell you how to reattach them. He or she will instruct you how you must take care of the monitor when you wear it and what things you should not do. You must not take a bath, shower or swim while you wear the Holster Monitor. However, you must perform your daily activities during the test. You must record your activities in a book that will help your doctor to determine if the changes in heart activity are because of your movements and behaviors.

Although there are no risks of wearing Holter Monitor, you may experience mild skin irritation because of the adhesives or tapes that attach your skin to the electrodes. If you are allergic to tapes or adhesives, you must inform the technician who attaches your monitor beforehand. The 24-hour test is painless and records any chest pain, cardiac symptoms or rapid heartbeat during the test period.

Once the Holter Monitor is in place, your doctor will tell you how to:

  • Change the batteries of the Holter Monitor
  • Push the button present on the monitor when you could feel any of the heart symptoms
  • Maintain a diary for all the symptoms that include chest pain, dizziness, changes in the heartbeat, when do the symptoms take place and the activity you were performing while you experienced the symptoms.

Outcomes

Your doctor will talk to you about the results of the Holter Monitor recorder after having a look at it and your activity book/diary in which you noted. Your doctor may recommend some more tests for finding out the symptoms of your problems or the information record from the Holter Monitor itself may be enough to determine if you have a heart condition. Sometimes, the doctor is not able to diagnose the condition on the basis of the results from the Holter Monitor testing. This may be common if you didn’t experience irregular heart rhythm while you were wearing the monitor for two days.

In such situations, your doctor may ask you to use an event recorder or a wireless Holter Monitor or both, instead of the standard one as you can wear them for longer. Event recorders are of different types and similar to the Holter Monitor. You may just need to push a button as you experience any signs or symptoms.

Risks

There aren’t any risks associated with wearing a Holter Monitor but you may experience skin irritation or discomfort in the areas where the technician taped the electrodes. If you are using a wireless Holter Monitor, your technician will instruct you regarding disconnecting and reconnecting the sensors & the Holter Monitor to allow you to bathe or swim. You must avoid magnets, electric blankets, electric toothbrushes, metal detectors, microwave ovens and electric razors while wearing the Holter Monitor as these devices may hinder the path of the signals arising from the electrodes and reaching the monitor. Ensure that you keep your portable music players or cellphones at a distance from the monitor because even they may interrupt the signals arising from the electrodes.

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