93268 External patient and, when performed, auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days, 24-hour attended monitoring; includes transmission, review and interpr

Name of the Procedure:

External Patient and Auto-Activated Electrocardiographic Rhythm-Derived Event Recording with Symptom-Related Memory Loop with Remote Download Capability up to 30 Days, 24-Hour Attended Monitoring; Includes Transmission, Review, and Interpretation

Summary

This procedure involves the use of an external monitoring device that records the heart's electrical activity for up to 30 days. It can automatically activate in response to abnormal rhythms and allows remote data transmission to healthcare providers for continuous review and interpretation. It is particularly useful for diagnosing irregular heartbeats related to symptoms.

Purpose

• Medical Condition: Detects and monitors irregular heartbeats (arrhythmias) and other cardiac anomalies.
• Goals/Outcomes: To provide a continuous and thorough evaluation of cardiac activity to diagnose arrhythmias and related symptoms.

Indications

• Symptoms like dizziness, fainting, palpitations, or rapid heartbeat.
• Conditions such as unexplained syncope or suspected arrhythmias.
• Patients needing extended cardiac monitoring beyond a standard Holter monitor.

Preparation

• Pre-procedure Instructions: Patients may need to avoid certain medications or supplements as directed by their healthcare provider.
• Diagnostic Tests: A baseline ECG and a thorough medical history review may be required.

Procedure Description

1. Device Attachment: A small external device (cardiac event recorder) is attached to the patient's chest using adhesive electrodes.
2. Recording: The device continuously records ECG data and can automatically capture events when abnormal rhythms are detected or when the patient triggers the device based on symptoms.
3. Data Transmission: The recorded data are transmitted remotely to a monitoring service, where healthcare professionals review the information.
4. Monitoring: The patient's heart rhythm is monitored 24/7 for up to 30 days, with healthcare providers interpreting the data as it is received.
5. Review and Interpretation: The data is reviewed periodically, and any significant findings are interpreted and reported to the patient's primary healthcare provider.

Duration

• The monitoring period typically lasts up to 30 days.

Setting

• The procedure is usually performed in an outpatient setting, including hospitals or specialized diagnostic centers.

Personnel

• This procedure involves cardiologists, specialized technicians, and nursing staff who monitor and interpret the data.

Risks and Complications

• Common Risks: Skin irritation from adhesive electrodes.

• Rare Risks: Potential for technical malfunctions or data transmission issues.

  Benefits

• Expected Benefits: Accurate diagnosis of intermittent arrhythmias, better-tailored treatment plans, and improved overall cardiac health monitoring.
• Realization Time: Benefits can be realized as soon as the data is reviewed and interpreted, leading to timely diagnosis and management.

Recovery

• Post-Procedure Care: Minimal with instructions on maintaining the device and ensuring continuous data transmission.
• Expected Recovery Time: No significant recovery time is needed as it is a non-invasive procedure.
• Follow-Up: Follow-up appointments may be scheduled to discuss findings and plan further treatment if necessary.

Alternatives

• Other Options: Standard Holter monitors (24-48 hours), mobile cardiac telemetry, implantable loop recorders.
• Pros and Cons: Holter monitors are shorter duration; implantable devices are more invasive but can monitor for longer periods.

Patient Experience

• During the Procedure: Little to no discomfort; normal daily activities can typically be maintained.
• After the Procedure: Potential mild skin irritation at electrode sites; otherwise, no significant discomfort.