SCHILLER’s Holter, medilog®AR & ABPM, BR-102 plus Essential Tools For Ambulatory Monitoring

 

Ambulatory monitoring devices, such as Holters and ABPM, play a crucial role in collecting and analyzing long-term data for the early detection of significant physiological events.  This ability to provide timely alerts empowers cardiologists to act quickly and precisely, making them essential tools in modern cardiac healthcare.  

A Holter monitor is an ambulatory electrocardiograph. Originating from the early work of Clement Ader and modified by Einthoven in 1901, the Holter monitor records electrocardiographic signals from individuals engaged in daily activities.  Since its introduction in the 1960s, the Holter has evolved significantly from a bulky 40 Kg device to a compact recorder that is the size of a small mobile phone.  It continuously records the QRS complex and the R-R interval, providing essential data for analysis. 

The Holter monitor has gained popularity in detecting occult atrial fibrillation, a significant cause of cryptogenic stroke.  Its role in diagnosing and initiating anticoagulation has proven instrumental in preventing recurrent strokes. 

Ambulatory Blood Pressure Monitoring (ABPM), traces its roots back to Stephen Hales in 1733. It records blood pressure (BP) over 24 hours, offering a more accurate assessment of BP than standard one-time measurements.  ABPM detects circadian changes, variations in response to environmental and emotional changes, and aids in assessing the effectiveness of antihypertensive therapy. 

ABPM serves diagnostic, prognostic, and therapeutic purposes, making it the gold standard for diagnosing hypertension, including differentiating white coat, masked, and nocturnal hypertension.  It plays a vital role in initiating treatment based on cardiovascular risks. 

SCHILLER’s medilog® AR Holter is an advanced, efficient, and reliable device and is therefore perfect for routine clinical practice or for conducting advanced electrophysiology studies.  This image shows the details of the device:

Features of SCHILLER’s medilog® AR, SCHILLER’s Holter device are as follows: 

• SCHILLER’s advanced technology presents a lightweight, comfortable, and powerful ambulatory monitoring tool with features such as pre-analysis of traces, P-wave analysis, and continuous recording for up to 14 days.  
• The medilog® DARWIN2 software simplifies Holter study interpretation, offering extraordinary accuracy and customization options for reports. 

SCHILLER’s ABPM Device BR-102 plus combines auscultatory and oscillometric measurements simultaneously, ensuring accurate readings every time.  This image shows the details of the device:

Features of BR-102 plus SCHILLER’s ABPM device are as follows: 

• SCHILLER’s BR-102 plus ABPM boasts comfortable cuffs in various sizes, motion-tolerant technology, and an integrated silent inflation pump.   
• Paired with the medilog® DARWIN2 software, it enhances the work of cardiologists by providing interpretative summaries, distinguishing white coat hypertension, and presenting measurements in an easy-to-read format. 

SCHILLER’s sophisticated medilog® DARWIN2 software for medilog® AR Holter is so powerful that it can directly detect atrial fibrillation through atrial analysis. This software is an investment worth considering for many reasons that benefit the practice and income of physicians.  The sophisticated algorithm of the software simplifies the interpretation of Holter studies because, among many other things, it allows: 

• Review morphologies by cascade or superposition, with easy Drag and Drop editing;
• Reclassifying morphologies into groups or individually;
• Noise directory that allows the user to review strips marked as noise and accept or include them in the analysis;
• Extraordinary accuracy in classifying normal or ventricular beats thanks to the medilog® ADAPT process

The above features allow the specialist to interpret a study in approximately 10 minutes.  It is also possible to customize reports with the doctor’s name and their hospital or clinic logos to give them a more professional look. 

SCHILLER’s medilog® DARWIN2 is a one-time license purchase to access free updates.  It is also compatible with previous models of SCHILLER Holters.  

Finally, our MAPA BR-102 plus uses medilog® DARWIN2, which means you can equip yourself with both ambulatory monitors without paying an additional software fee.  

Holter and ABPM devices from SCHILLER represent a milestone in the evolution of modern cardiology.  These advanced tools simplify the work for specialists, offering valuable information for accurate diagnoses and treatment decisions.  The technological innovations in ambulatory monitoring contribute significantly to the continuous improvement of cardiac healthcare. 

REFERENCES:

[1] Wearable Devices for Ambulatory Cardiac Monitoring. Furrukh Sana et al. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7316129/

[2] Holter Monitor. Ateeq Mubarik y Arshad Muhammad Iqbal. https://www.ncbi.nlm.nih.gov/books/NBK538203/#article-22971.s2

[3] The evolution of ambulatory ECG monitoring. Harold L Kennedy. https://pubmed.ncbi.nlm.nih.gov/24215744/

[4] Blood pressure and its variability: classic and novel measurement techniques. Aletta E. Schutte et al.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9017082/

[5] Ambulatory blood pressure monitoring in clinical practice. Apaar Dadlani et al.

https://www.sciencedirect.com/science/article/pii/S0019483218305753?via%3Dihub#sec2

[6] Overnight pulse wave analysis to assess autonomic changes during sleep in insomnia patients and healthy sleepers” https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7205215/