Thank you for choosing Rose Medical Center for your cardiac care. Our goal is to make your stay as comfortable and pleasant as possible. Please let our knowledgeable and friendly staff know if there is anything we can do to improve your experience.
What is a loop monitor?
A loop monitor is a heart monitor smaller than a pack of gum, which is inserted underneath the skin in your upper chest. It will allow your heart rate and rhythms to be constantly monitored. It can stay in place for up to three years. At the time your procedure is scheduled, your doctor will discuss the risks and benefits of this procedure.
Why is this procedure being done?
Your doctor may be performing this procedure:
- To determine if your symptoms are caused by your heart
- To detect any abnormal heart beats
- To see if your heart treatments are working, such as medications or other heart devices
Before the procedure:
You will be asked not to eat or drink anything after midnight the night before the procedure. Discuss your medications with your doctor, as he or she may want you to stop or adjust the doses several days prior to your procedure. Please bring all your current medications in their original bottles with you on the day of your procedure. Please bring a list of all drug/food allergies, past medical and surgical history also with you. We recommend that you wear comfortable clothing and bring a small bag with your personal items and toiletries in the event you spend the night in the hospital to make your stay as comfortable as possible.
What to expect upon arrival to the hospital
When you arrive for your procedure, you will be asked to change into a gown. Please remove all undergarments and use the restroom as needed. Please let the staff know if you are taking blood thinners such as aspirin, warfarin, clopidogrel, prasurgel, ticagrelor, rivaroxaban, apixaban and dabigatran etexilate, diuretics (water pills), and/or any form of diabetic medication. An IV will be started so you can receive medications during your procedure and the nurse will review your medical history with you once again. At this time blood work will be drawn if needed and an EKG will be performed.
During the procedure:
The temperature in our catheterization lab is kept cool to prevent damage to our x-ray equipment that is present in the room. We will offer you warmed blankets for your comfort. You will stay on your gurney while we perform this procedure.
The cardiac cath lab staff will shave and cleanse your chest where the device will be implanted, while keeping your privacy as our primary concern. A sterile drape will be used to cover the site to prevent infection. It will be important for you to keep your arms and hands down at your sides during the procedure.
You will be awake during the procedure so we can ask questions and assess your comfort. A local anesthetic will be given by the physician to numb the procedural site and aid in your comfort. A small incision will be made in your upper chest area. The device is placed inside this incision. Steri-strips and sutures may also be placed over the incision.
The procedure may take 30 min. Your device will be programmed in the room and start recording information immediately after. You will be given instructions on how to use the equipment provided to you.
After the procedure:
You will be observed for signs of bleeding and/or complications by your nurse. You will be given instructions on how to care for your chest incision before you go home.
Remember to use the hand held device if you feel an onset of the symptoms you have been experiencing such as dizziness, heart palpitations, fatigue, and lightheadedness.
- Allergic reactions to the medication
Contact your doctor if:
- Fever greater than 101 and/or chills.
- Redness, swelling, tenderness, and pus-like drainage from the incision site.
- You have problems taking or obtaining any of your heart medications.
Seek care immediately/dial 911 if:
- Chest pain and shortness of breath.
- Bleeding or swelling from your incision site.
- You have feelings of dizziness, extreme fatigue, or fainting spells.
Follow up and discharge instructions
- Keep your dressing clean and dry for 24 hours after the procedure, and then you may remove the outer white dressing leaving the steri-strips in place. Keep your incision clean and dry for 7 days after the procedure. You will be able to shower with the steristrips in place. Do not try to remove them, as they will fall off on their own. DO NOT submerge your incision in water, i.e. in a hot tub, whirlpool, swimming pool, or bathtub.
- Refrain from using Band-Aids, powders, lotions or creams on the incision site.
- It is normal to have a small amount of bruising and some tenderness at the incision site
- Wear comfortable and loose-fitting clothes for the first 3 days following the procedure.
- Ask your doctor when it is safe to return to work.
- Ask your doctor when it is safe to start driving again.
- Ask your doctor when it safe to resume sexual activity.
- Arizona Heart Rhythm Center.(2014). After a Loop Monitor Implant. Retrieved from http://www.azheartrhythm center.com/resources/discharge-instructions/after-a-loop-monitor-implant/
If you have any further questions before your procedure please call the office and speak with your physician.
Thank You For Choosing Rose Medical Center For Your Cardiac Care!