Don’t perfom Holter electrocardiographic monitoring in patients suffering from syncope, near syncope o dizziness, in whom a non arrhytmic origin has been documented

Type of practice

Cardiological tests

Topic Area


Holter monitoring is indicated if the likelyhood of arrhytmia causing a syncope is elevated. Monitoring devices should be choosen according to syncope frequency: Holter for daily symptoms, external loop recorder for weekly, and subcutaneous implantable device for monthly or less frequent events.


1. Linee guida per la diagnosi e il trattamento della sincope (versione 2009). Task Force per la Diagnosi e il Trattamento della Sincope della Società Europea di Cardiologia (ESC) con la collaborazione di European Heart Rhythm Association (EHRA), Heart Failure Association (HFA) e Heart Rhythm Society (HRS). G Ital Cardiol 2010; 11 (10 Suppl 2): e94-e135.



Attention. Please note that these items are provided only for information and are not intended as a substitute for consultation with a clinician. Patients with any specific questions about the items on this list or their individual situation should consult their clinician.