The recorder is applied to the patient in the department of Cardiology by an experienced technician. The technician attaches five electrode patches (with wires) to the child's chest.
The electrodes are like conventional EKG patches and make it possible to record the heart's electrical activity. The wires are attached to a tape recorder that is worn for 24 hours on a belt around the waist or on a shoulder strap like a shoulder bag.
The patient or parents can remove the monitor after 24 hours or bring the child back to Cincinnati Children's Heart Institute for removal of the monitor.
If the parent removes the monitor, it should be brought back to the Heart Institute or shipped back via overnight delivery within 24 hours so the tracing can be analyzed.
A patient or parent may be asked to keep a log of activities during the day that the monitor is attached, especially recording any symptoms that develop that are suspected of being related to a cardiac rhythm problem.