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5933 Coronado Lane Ste. 104 Pleasanton, CA 94588 (925) 416-0100 www.heartofthevalley.us
Heart Rhythm Monitors
Background Heart Rhythm monitors are often used to detect problems with the rhythm of your heart when they cannot be detected by a simple ECG in the office. They can be used to detect rhythms that can only be detected when one is in the abnormal rhythm. Monitors can be used to determine how much time of the day one is having an abnormal rhythm, whether the rhythm changes with different activities or whether the rhythm changes with the use of medications. Types of Monitors: The three main types of heart rhythm monitors are Holter monitors, Event recorder and Combination Holter monitor/Event Recorder. A Typical Holter Monitor monitor will either be placed at this office visit or at a future office visit or mailed to your home following successful insurance authorization. If it is mailed to your home, you will receive a box containing the monitor, all the necessary supplies and a detailed instruction booklet explaining how to place and use the monitor. Please note: If a monitor is mailed it should be received within two weeks of approval by your insurance company. If it has not been received in the expected time please contact our office. Placing the Monitor: A separate instruction sheet that is specific to the monitor selected for you should be included with this general instruction sheet. Wearing the Monitor: The Holter monitor is usually worn uninterrupted for 24 or 48 hours. The event recorder is often worn for 3 to 4 weeks at a time. Some monitors are both a Holter monitor and event recorder combined into one. When your doctor has you wear one of these combination monitors, it is important to wear the monitor uninterrupted for the first 24 or 48 hours. After that, it can be used as a typical event recorder where it can be taken on and off through the 3 to 4 week period according to how you and your doctor agree it will be worn. Please note that some monitors have the ability to detect when it is being worn and not worn. At the end of the monitoring period, the service will report how often the monitor was worn during the monitoring period. Monitor Costs: If you have private insurance, monitoring costs are usually covered by your insurance company. However, different insurance companies contract with different monitoring services and some insurances require priorauthorization. Most of the heart rate monitors are owned by a separate service from Heart of the Valley Pediatric Cardiology, therefore, they are billed separately by that service. Heart of the Valley Pediatric Cardiology contracts with these services to obtain discounted rates but is not responsible for the final costs and cannot waive any costs to you. If you have a public insurance such as MediCal or a county health plan, monitoring services often do not contract with these plans or have additional requirements before authorizing the use of their services. Some services require Hardship Forms to be completed and turned in prior to a monitor being mailed out. Please be sure to obtain a Hardship Form which is available from the doctor or medical assistant. They are also found on our website.
Various Types of Event Recorder or Combination Monitors
General Information Registration of Monitor: Your doctor is arranging for you to wear one of these monitors by registering you today. The