New Advances in Holter Application by Philips Medical Improves Holter Scanning

Julie Routh, Paramedic and Electrophysiology Specialist The Iowa Clinic Heart and Vascular Care Team Leader-Arrhythmia Services

Julie Routh, Paramedic and Electrophysiology Specialist The Iowa Clinic Heart and Vascular Care Team Leader-Arrhythmia Services

We recently partnered with the Philips Medical staff to aide in the research and development of the new v2.8 software for their excellent Holter program. Their new software includes some state-of-the art features, which I will outline and discuss in this article. Technology Features Complete demographic information on the Holter report is a necessity for accurate reports. The new software allows for mandatory demographics data to be completed before the user can advance to the scanning mode. As a result, incomplete records will not be submitted to the physician. The reading electrophysiologist will find all necessary information available on the data sheet including the referring physician, preliminary diagnosis, age and sex of the patient, and whether or not a diary was returned with the Holter monitor. You may collect any data that your practice may desire or find helpful for future audits or studies. If you are a larger practice and you have multiple remote sites, you will be pleased with the new status feature. It enables the user to actively display the status of each file and prevents miscommunication or confusion in regard to which files have been scanned and which files are still pending. If your practice uses the full disclosure piece, a time stamp has also been added to each line of the report. This makes it very easy to correlate times with the diary entries. If you need to upgrade the firmware in the monitors themselves, the program also allows for the upgrade in a few easy steps. Another practical feature is the ability to customize the report to your practice. You may use your practice logo, direct phone numbers to your department, the primary care provider, the ordering provider, and much more. You may collect any information that you desire for that report. Another improvement is the ability to locate Holter records more efficiently. You may do this by alphabetical order, patient's identification number, or by date or month of the scan. This prevents lost or mislabeled files. The longest R-R interval was also added, which is helpful when scanning atrial fibrillation cases or instances of varying R-R intervals such as sinus arrhythmia. All of the new features included in the v2.8 software add value to the already state-of-the-art Philips Holter scanning program. It is obvious that they are listening to the needs of their customers and delivering on that promise. Together, we will be striving for better solutions in the diagnosis and treatment of cardiac arrhythmias. Conclusion In summary, and in my opinion, I would like to state that Holter scanning is one of the best diagnostic tools available to us in our cardiology practice today. The Iowa Clinic Heart and Vascular Care has six cardiologists, two electrophysiologists, and approximately 100 referring physicians who depend on the quality of our product. Without accurate and timely scans, the physician can easily miss good diagnostic rhythm strips, and therefore, the treatment may not be appropriate for the patient. Invest wisely in your diagnostic equipment and your arrhythmia detection team. Your efforts will be rewarded in excellent diagnostic data, appropriate treatment for the patient and an important job well done. For more information about The Iowa Clinic Heart and Vascular Care, please visit: www.iowaclinic.com