Cardiac Monitoring Services
Specialized Medical provides a complete range of ambulatory cardiac monitoring solutions designed to help healthcare organizations obtain dependable ECG data, maintain visibility into active studies and receive clear, physician-ready reporting. Our platform supports Holter Monitoring, Extended and Long-Term Holter Monitoring, Cardiac Event Monitoring and Mobile Cardiac Telemetry (MCT), with flexible device options for a wide range of clinical and patient needs.
Unlike monitoring workflows that may not reveal a technical problem until a study has ended, our LIVE STREAMING solutions allow our team to follow key test-status indicators while monitoring is in progress. We can see battery status, electrode quality and contact with the body, device and phone connectivity, cellular communication and whether ECG data is being received. When a parameter falls outside the expected range, our team contacts the patient and works with them to correct the issue before valuable monitoring time is lost.
Every monitoring type has a different clinical purpose. The key distinction is not simply whether the device records ECG data. It is whether the study provides LIVE test-status visibility and when clinical findings are presented to the ordering provider.
See how Specialized Medical combines LIVE test-status visibility, proactive patient support and physician-ready reporting.
A cardiac monitor can only provide useful information when it remains powered, properly attached, connected and successfully transmitting data. Specialized Medical does not treat monitoring as a passive process. For our LIVE STREAMING studies, our team has ongoing visibility into the operational health of the test while it is underway.
This visibility helps us identify many technical issues that can reduce the quality or completeness of a study, including a low battery, poor electrode contact, interrupted Bluetooth communication, loss of cellular connection, a monitor that has been removed or a study that is no longer transmitting as expected.
When an issue is detected, our team contacts the patient and works with them to correct it. The goal is to restore the study quickly, preserve monitoring time and reduce the likelihood that the physician receives an incomplete or unusable test.
LIVE Test-Status Visibility means Specialized Medical can follow the operational condition of a LIVE STREAMING study while it is underway. This includes battery level, electrode contact and quality, monitor-to-phone connection, cellular connectivity and successful data transmission. If a parameter falls out of range, our team can contact the patient and help correct the issue.
Clinical Findings Presented describes when diagnostic findings are delivered to the ordering provider. For Holter and Extended/Long-Term Holter studies, findings are presented after the final report is generated. For Cardiac Event Monitoring and Mobile Cardiac Telemetry, qualifying findings are presented during the study according to the prescribed notification protocol.
The two NOT LIVE STREAMING Holter options are intended for patients who refuse to carry the additional cellular phone. These studies are recorded for later analysis and do not provide LIVE test-status visibility during the wear period.
| Monitoring Type | Typical Duration | LIVE Test-Status Visibility | Clinical Findings Presented |
|---|---|---|---|
| Holter Monitoring (LIVE STREAMING) | 24–48 hours | Yes | After Final Report Is Generated |
| Extended / Long-Term Holter (LIVE STREAMING) | 3–14 days | Yes | After Final Report Is Generated |
| Cardiac Event Monitoring (LIVE STREAMING) | Up to 30 days | Yes | During Test — According to Prescribed Notification Protocol |
| Mobile Cardiac Telemetry (MCT) (LIVE STREAMING) | Up to 30 days | Yes | During Test — According to Prescribed Notification Protocol |
| Holter Monitoring (NOT LIVE STREAMING VERSION) | 24–48 hours | NO | After Final Report Is Generated |
| Extended Holter (NOT LIVE STREAMING VERSION) | 3–7 days | NO | After Final Report Is Generated |
Specialized Medical helps practices select and operate the monitoring workflow that fits the prescribed test, the patient’s condition and the desired timing of clinical information.
Holter Monitoring is commonly prescribed for 24 to 48 hours when continuous ECG recording is needed over a defined period. With the Specialized Medical LIVE STREAMING version, our team can see test-status information as the study progresses and assist the patient if the battery, electrodes or connection require attention. Clinical findings are presented after the final report is generated.
Extended or Long-Term Holter Monitoring expands continuous ECG recording beyond the traditional Holter period, generally from 3 to 14 days. LIVE test-status visibility helps our team support the patient and protect study quality throughout the longer wear period. Clinical findings are presented after the final report is generated.
Cardiac Event Monitoring may be used for intermittent symptoms or rhythm events that may not occur during a shorter study. Qualifying clinical findings can be presented while the test is in progress according to the physician’s prescribed notification protocol, while the monitoring team also maintains LIVE operational visibility.
MCT provides continuous rhythm surveillance with qualifying clinical findings presented during the monitoring period according to the prescribed notification protocol. It is well suited to patients who require closer rhythm oversight, including selected patients following procedures such as TAVR.
For patients who refuse to carry the additional cellular phone, Specialized Medical also offers a 24-48 hour Holter and a 3-7 day Extended Holter in a NOT LIVE STREAMING configuration. These studies do not provide LIVE test-status visibility, and findings are presented after the final report is generated.
Patients may leave the hospital before every conduction disturbance becomes apparent. Ambulatory ECG monitoring can help the heart team maintain rhythm surveillance during the post-discharge period, when delayed high-grade atrioventricular block and other rhythm changes may occur in selected patients.
Specialized Medical is especially well suited to post-TAVR monitoring because our LIVE STREAMING workflow combines continuous ECG transmission, multi-carrier cellular connectivity, LIVE test-status visibility and active patient support. The heart team receives a monitoring solution designed to remain connected while the patient returns home, rather than a passive recorder that may not reveal technical problems until the study is over.
Building or Expanding a Post-TAVR Monitoring Program?
Learn how Specialized Medical can support post-discharge rhythm surveillance with LIVE ECG transmission, multi-carrier connectivity, proactive patient support and a workflow designed around the heart team’s protocol.
A monitoring system is only useful when it can remain connected in the patient’s real environment. Specialized Medical uses a cellular phone gateway designed to connect through Verizon, T-Mobile and AT&T, helping the system maintain service across a broad range of locations, including many rural areas where relying on a single carrier may be limiting.
The monitor communicates with the assigned phone by Bluetooth, and the phone transmits ECG data through the available cellular network. When connectivity is interrupted, the system is designed to reconnect automatically when service becomes available. LIVE test-status visibility allows our team to recognize when communication has been interrupted and assist the patient when necessary.
The assigned cellular phone is configured as a dedicated cardiac monitoring device, not as a general-purpose smartphone. It is locked down to only two essential patient screens: Device Status and Log Symptoms. This simplified design helps patients remain connected without having to navigate apps, messages, settings or other smartphone functions.
The Device Status screen gives the patient a simple view of the monitoring connection. The Log Symptoms screen allows the patient to record symptoms during the study so the physician can compare the reported symptom time with the transmitted ECG data. If the assigned phone is misplaced, Specialized Medical can help locate it using geolocation and can remotely activate an audible ring to make it easier for the patient to find, provided the phone is powered on and connected.
The S-Patch uses a single wire with two electrodes, allowing the electrode positions to be changed on the skin as directed. This can help reduce repeated stress on the same skin location while maintaining strong P-wave clarity and reliable ECG acquisition. The compact configuration is designed to support everyday movement while the patient remains connected to the assigned phone.
Specialized Medical provides more than a monitor. The service is designed to support the complete practice workflow, including patient enrollment, pre-enrollment, device hookup, technical support, physician-ready reporting, electronic signature and billing-support information. The goal is to make monitoring easier for the practice while keeping the physician in control of the prescribed test and notification parameters.
The final report should help the physician review the study efficiently. Specialized Medical provides physician-ready reporting designed to summarize the monitoring period while preserving the supporting ECG information needed for clinical review. Report availability and the timing of clinical findings depend on the prescribed monitoring type.
Schedule a demonstration to see the S-Patch, LIVE test-status visibility, patient-support workflow, clinical notification process and physician reporting platform.
Specialized Medical offers Holter Monitoring, Extended and Long-Term Holter Monitoring, Cardiac Event Monitoring and Mobile Cardiac Telemetry. LIVE STREAMING and selected NOT LIVE STREAMING Holter configurations are available.
The four primary options shown in the comparison table are LIVE STREAMING. Specialized Medical also offers two NOT LIVE STREAMING Holter options for patients who refuse to carry the additional cellular phone.
It means Specialized Medical can follow operational indicators such as battery status, electrode contact and quality, Bluetooth connection, cellular connectivity and successful ECG data transmission while the study is underway.
When the system indicates that electrode quality or contact has fallen out of the expected range, Specialized Medical can contact the patient and help them correct the issue.
For LIVE STREAMING tests, the team can see whether the monitor and phone are communicating and whether ECG data is being received, helping identify when the patient may no longer be properly connected.
For Holter and Extended/Long-Term Holter studies, clinical findings are presented after the final report is generated.
Qualifying findings from Cardiac Event Monitoring and MCT are presented while the test is in progress according to the physician’s prescribed notification protocol.
This option is available when a patient refuses to carry the additional cellular phone. It records ECG data for later analysis but does not provide LIVE test-status visibility during the wear period.
The monitor communicates with the assigned phone by Bluetooth. The phone then transmits ECG data through available cellular service. The phone is locked down to two essential patient screens - Device Status and Log Symptoms - to reduce complexity and help the patient remain connected.
The patient uses the dedicated Log Symptoms screen on the assigned phone. The simplified interface allows the patient to document symptoms during the study without navigating unrelated smartphone functions. The reported symptom time can then be compared with the transmitted ECG data.
Specialized Medical can help locate the assigned phone using geolocation and can remotely activate an audible ring to make the phone easier to find, provided it is powered on and connected. This added support helps reduce disruption to the monitoring study.
The Specialized Medical connectivity approach uses Verizon, T-Mobile and AT&T to help maintain service across a broad range of locations.
Yes. Practices may pre-enroll patients in advance so the final enrollment and hookup process is faster when the patient arrives.
Yes. Specialized Medical provides LIVE STREAMING monitoring options that can support post-discharge rhythm surveillance when prescribed by the treating heart team.
The treating heart team determines the appropriate patient selection, test type and monitoring duration based on the patient’s clinical status and the program’s protocol.
No. Specialized Medical provides monitoring technology, review workflows and communication support. Clinical decisions remain with the treating physician and healthcare organization.
Physicians can review and complete the electronic signature workflow through the Specialized Medical portal.
Specialized Medical can review the practice’s current ambulatory cardiac monitoring workflow, explain the available service options, and demonstrate how enrollment, monitoring, reporting, and physician review can be configured.
Prefer to talk? Speak With a Cardiac Monitoring Specialist — 1-855-SPEC-MED (1-855-773-2633)
