© Copyright 2026 American Medical Association. All rights reserved.
External electrocardiographic recording for more than 48 hours up to 21 days by continuous rhythm recording and storage is a procedure designed to monitor the heart's electrical activity over an extended period. This method allows for the collection of comprehensive data regarding the patient's cardiac rhythm while they engage in their normal daily activities. The procedure utilizes a compact, lightweight, and waterproof external ECG recording device that includes both the electrodes and the recording unit. This device is typically placed on the upper left chest of the patient, ensuring optimal contact for accurate readings. Once positioned, the device is tested, and an initial recording is obtained to confirm functionality. The patient is then instructed on how to use and care for the device, which is activated to continuously record and store ECG rhythm data for a duration exceeding 48 hours, extending up to 21 days. Upon completion of the monitoring period, the patient returns the device to the healthcare facility, where the recorded data is downloaded for further analysis. A computerized analysis is performed, and a detailed report is generated. This report is subsequently reviewed by a physician or other qualified healthcare professional, who provides a written interpretation of the findings. The procedure is essential for diagnosing various cardiac conditions that may not be evident during shorter monitoring periods.
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