Guidelines for Holter and Wearable Electrocardiogram Monitoring in Arrhythmia Diagnosis and the Role of Medical Technologists

Cardiovascular disease ranks as the second leading cause of mortality after cancer, with arrhythmias, a significant subset, showing a marked annual increase in prevalence. Atrial fibrillation, often asymptomatic, necessitates early diagnostic testing. Long-term monitoring through Holter and wearable...

Full description

Saved in:
Bibliographic Details
Main Authors: Do-Hee KIM, Ji-Yeon CHANG
Format: Article
Language:English
Published: The Korean Society for Clinical Laboratory Science 2025-06-01
Series:Korean Journal of Clinical Laboratory Science
Subjects:
Online Access:http://www.kjcls.org/journal/view.html?doi=10.15324/kjcls.2025.57.2.215
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849433505872740352
author Do-Hee KIM
Ji-Yeon CHANG
author_facet Do-Hee KIM
Ji-Yeon CHANG
author_sort Do-Hee KIM
collection DOAJ
description Cardiovascular disease ranks as the second leading cause of mortality after cancer, with arrhythmias, a significant subset, showing a marked annual increase in prevalence. Atrial fibrillation, often asymptomatic, necessitates early diagnostic testing. Long-term monitoring through Holter and wearable electrocardiogram (ECG) devices enhances the detection rates. Holter monitoring allows 24- or 48-hour continuous ECG recording but is limited by patient discomfort and device bulk. Wearable devices enhance patient compliance and enable extended monitoring periods, but limitations in AI-based analysis persist. This paper highlights the critical roles and responsibilities of medical technologists in Holter and wearable ECG monitoring, assessing their strengths and considerations for clinical applications. The results underscore the need to enhance technologists’ skills to ensure accurate arrhythmia diagnoses and reduce procedural errors. Comprehensive guidelines on processes, such as essential processes, proper electrode placement, and accurate data transmission, offer practical recommendations for conventional ECG monitoring and data analysis.
format Article
id doaj-art-730ac675c19d42f097ec5b2dfec1c364
institution Kabale University
issn 1738-3544
language English
publishDate 2025-06-01
publisher The Korean Society for Clinical Laboratory Science
record_format Article
series Korean Journal of Clinical Laboratory Science
spelling doaj-art-730ac675c19d42f097ec5b2dfec1c3642025-08-20T03:27:01ZengThe Korean Society for Clinical Laboratory ScienceKorean Journal of Clinical Laboratory Science1738-35442025-06-0157221522710.15324/kjcls.2025.57.2.215kjcls.2025.57.2.215Guidelines for Holter and Wearable Electrocardiogram Monitoring in Arrhythmia Diagnosis and the Role of Medical TechnologistsDo-Hee KIM0Ji-Yeon CHANG1Department of Cardiology, Severance Hospital, Seoul, KoreaDepartment of Cardiology, Samsung Medical Center, Seoul, KoreaCardiovascular disease ranks as the second leading cause of mortality after cancer, with arrhythmias, a significant subset, showing a marked annual increase in prevalence. Atrial fibrillation, often asymptomatic, necessitates early diagnostic testing. Long-term monitoring through Holter and wearable electrocardiogram (ECG) devices enhances the detection rates. Holter monitoring allows 24- or 48-hour continuous ECG recording but is limited by patient discomfort and device bulk. Wearable devices enhance patient compliance and enable extended monitoring periods, but limitations in AI-based analysis persist. This paper highlights the critical roles and responsibilities of medical technologists in Holter and wearable ECG monitoring, assessing their strengths and considerations for clinical applications. The results underscore the need to enhance technologists’ skills to ensure accurate arrhythmia diagnoses and reduce procedural errors. Comprehensive guidelines on processes, such as essential processes, proper electrode placement, and accurate data transmission, offer practical recommendations for conventional ECG monitoring and data analysis.http://www.kjcls.org/journal/view.html?doi=10.15324/kjcls.2025.57.2.215arrhythmias; atrial fibrillation; wearable electronic devices
spellingShingle Do-Hee KIM
Ji-Yeon CHANG
Guidelines for Holter and Wearable Electrocardiogram Monitoring in Arrhythmia Diagnosis and the Role of Medical Technologists
Korean Journal of Clinical Laboratory Science
arrhythmias; atrial fibrillation; wearable electronic devices
title Guidelines for Holter and Wearable Electrocardiogram Monitoring in Arrhythmia Diagnosis and the Role of Medical Technologists
title_full Guidelines for Holter and Wearable Electrocardiogram Monitoring in Arrhythmia Diagnosis and the Role of Medical Technologists
title_fullStr Guidelines for Holter and Wearable Electrocardiogram Monitoring in Arrhythmia Diagnosis and the Role of Medical Technologists
title_full_unstemmed Guidelines for Holter and Wearable Electrocardiogram Monitoring in Arrhythmia Diagnosis and the Role of Medical Technologists
title_short Guidelines for Holter and Wearable Electrocardiogram Monitoring in Arrhythmia Diagnosis and the Role of Medical Technologists
title_sort guidelines for holter and wearable electrocardiogram monitoring in arrhythmia diagnosis and the role of medical technologists
topic arrhythmias; atrial fibrillation; wearable electronic devices
url http://www.kjcls.org/journal/view.html?doi=10.15324/kjcls.2025.57.2.215
work_keys_str_mv AT doheekim guidelinesforholterandwearableelectrocardiogrammonitoringinarrhythmiadiagnosisandtheroleofmedicaltechnologists
AT jiyeonchang guidelinesforholterandwearableelectrocardiogrammonitoringinarrhythmiadiagnosisandtheroleofmedicaltechnologists