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Click ‘Get Form’ to open the Holter Monitor Diary in the editor.
Begin by entering your name at the top of the form. This personalizes your diary and ensures it is correctly attributed.
Record the date at the beginning of each entry. This helps in tracking your activities and symptoms over time.
For each time you experience a symptom or engage in an activity, fill out the corresponding fields. Start with the 'Time' column, noting when each event occurs.
In the 'Activity' column, describe what you were doing (e.g., sitting, exercising). Be as detailed as possible to provide a complete picture.
In the 'Symptoms' column, document any symptoms experienced during that time (e.g., chest pain, dizziness). Even if they seem minor, include them for accuracy.
Review your entries for completeness before saving or sharing your diary. Accurate records are crucial for your healthcare provider's assessment.

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What do you write in a Holter monitor diary?

Your activities Sitting, walking, strenuous exercise, eating, sexual activity, taking medications, etc. Your symptoms Chest pain, back pain, dizziness, nausea, other pain whether or not you feel they are important. Time of day Write the time of day for every activity or symptom that you record on the diary.

What is the purpose of a patient diary in Holter monitor testing?

A Holter monitor is a type of portable electrocardiogram (ECG). It records the electrical activity of the heart over 24 hours or longer while you are away from your healthcare providers office.

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