– Extended Cardiac Monitoring

7 Day ECG Holter Monitor

A full week of continuous heart rhythm recording — for when symptoms are too infrequent for a 24-hour monitor.

Monitoring Duration

7 Days

Before Device Fitting

Shower First

Results

5–7 Days

– What is a 7 Day Holter Monitor?

Extended Monitoring for Infrequent Symptoms

A 7-day Holter monitor functions in the same way as a 24-hour monitor but provides a dramatically longer recording window — 168 continuous hours of heart rhythm data. This makes it substantially more likely to capture arrhythmias that occur only a few times per week.

The recorder is fitted at our clinic. Electrode pads are replaced mid-week, which is a simple procedure that most patients can manage at home using the instructions we provide, or by visiting the clinic briefly. The device is lightweight and designed to be worn discreetly under normal clothing throughout your everyday routine.

At the end of the seven days, you return the device and symptom diary. Our cardiologists perform a full analysis of the recording, identifying any significant rhythm abnormalities and correlating them with the times you recorded symptoms.

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We provide a full instructions sheet and a spare set of electrode pads. Changing them mid-week is a simple process: you peel off the old pads, clean the skin with a provided wipe, and attach the new pads in the same positions. If you prefer, you can come into the clinic and a member of our team will do this for you.

Yes — most patients find they can sleep normally. The recorder is small and can be placed on the bed beside you or worn in a soft pouch. We'll advise you on the most comfortable way to position it at night. Night-time recordings are particularly important as some arrhythmias occur more frequently during sleep.

If you experience severe chest pain, collapse, or are concerned about a serious episode, please call 999. The Holter monitor is a diagnostic tool, not an emergency response device. Do note the time and your symptoms in your diary, as this will be very useful for the cardiologist. Call our team for guidance if you have any concerns that are not an emergency.

Your clinician recommended 7-day monitoring because your symptoms are likely occurring less than daily, making a 24-hour capture window statistically unlikely to record an event. Extending the monitoring to 7 days significantly increases the probability of catching a rhythm abnormality at the exact moment you experience symptoms.

You cannot shower or bathe while wearing the device, as the recorder is not waterproof. For 7-day monitoring we can provide a waterproof patch cover that allows a brief shower with care, though this is subject to device type. Please ask our team at the time of fitting about your specific device's tolerances.