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Pulmonary Procedures

Pulmonary Procedures

EKG

An electrocardiogram (EKG or ECG) is a test that checks for changes in the heart while the patient exercises. Sometimes ECG abnormalities can be seen only during exercise or while symptoms are present.

During the test, specialists monitor the heart while the patient exercises on a treadmill or a stationary bicycle. Small disks, called electrodes, are applied to the patient’s chest and are connected to wires called leads. The leads are connected to a monitor that records the electrical activity of the heart. The level of exercise is gradually increased to see how the patient’s heart responds to exercise.  

An ECG is done to help find the cause of chest pain or other symptoms, and to determine treatment plans for people with heart problems. Sometimes cardiologists perform the test without exercise. This may involve medication that has the same effect on the heart as exercise.

Patients can expect:

  • Some prior preparation, including no food or fluid for a minimum of 4 hours before the test.
  • No food or drink items containing caffeine (coffee, tea, chocolate, cola) for at least 12 hours before the test.
  • The patient may be advised to stop taking certain medications before the test.

What to Bring:

  • Physician referral form
  • Current medical insurance card
  • Driver’s license or other government-issued identification
  • Wear comfortable clothing. (Avoid metal straps, buttons, zippers)

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Event & Holter Monitoring

Event Monitor

What to expect:

An event monitor is a monitor that is worn for 14-30 days, depending on the doctor's order. When the patient arrives, a cardiopulmonary technician will attach and activate the monitor. The process for using the monitor will be explained and the patient should feel comfortable with the monitor and its instructions before leaving. McLaren Thumb Region contracts with a company that will contact the patient if he or she experiences an "event" while the monitor is activated. Prior to leaving, the patient will speak with a representative from the company. An envelope will be provided to send the monitor and accompanying items back to the company at the end of the monitoring period.

Instructions

  • Keep a log of activities while wearing the monitor and relay the events and notes to the cardiopulmonary staff.
  • Follow the instructions included with the event monitor.

Total Time: 30 minutes

Holter Monitor

What to expect:

A Holter monitor is a 24 or 48-hour heart monitor that records the patient's heart activity. When the patient arrives, a cardiopulmonary technician will attach and activate the monitor. The patient must keep a diary of normal activities and any symptoms experienced. They will be instructed to return at the same time 24 to 48 hours later to have the monitor removed.

Instructions

  • Keep a log of normal activities and any symptoms experienced in the 24 to 48-hour time span
  • Continue normal daily activities. However, NO swimming, showering or bathing as the monitor cannot get wet.

Total Time: 30 minutes

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