Adults only (18+)

How to Sleep with a 24-Hour ECG

A 24-hour ECG, also known as Holter monitoring, is a common diagnostic test used to record your heart’s electrical activity continuously over a full day. Wearing the device can sometimes disrupt your normal routine, including sleep. Since a good night’s sleep is important for your health and the accuracy of the test, knowing how to sleep comfortably with a 24-hour ECG is valuable. This article provides practical tips to help you rest well while wearing the monitor.

What is a 24-Hour ECG?

A 24-hour ECG involves attaching small electrodes to your chest connected to a portable monitor worn on your belt or shoulder. The device records your heart’s rhythm throughout daily activities and sleep to detect irregularities that may not show up during a brief check-up.

Since you need to wear the monitor continuously, including during sleep, it is important to adapt your sleeping habits to accommodate the equipment.

Preparing for Sleep with a 24-Hour ECG

Before going to bed, ensure the monitor and electrodes are securely attached and the device is functioning correctly. Follow your healthcare provider’s instructions carefully to avoid disruptions in recording.

Wear loose, comfortable clothing that does not press tightly on the monitor or wires. Avoid heavy or restrictive sleepwear that might cause discomfort or dislodge electrodes.

Sleeping Positions and Comfort

Most people find sleeping on their back is the easiest position when wearing a 24-hour ECG. This position minimises pressure on the electrodes and wires, reducing the risk of irritation or accidental disconnection.

Side sleeping may be possible, but you should be mindful not to press directly on the electrodes. Placing pillows around you can help maintain a comfortable position and prevent rolling onto the device.

Avoid sleeping on your stomach as this can place strain on the equipment and cause discomfort.

Protecting the Equipment During Sleep

Make sure the wires are arranged neatly to avoid tangling. You can secure loose wires with soft fabric ties or tape, but avoid placing tape on your skin.

Keep the monitor close to you, such as clipped to your waistband or lying beside you on the bed, to prevent pulling on the wires if you move.

Avoid bathing or showering during the monitoring period as the equipment is not waterproof.

Managing Sleep Disruptions

Wearing a 24-hour ECG may cause mild skin irritation or itching where electrodes are attached. Using hypoallergenic adhesive pads and following instructions on skin care can reduce discomfort.

If you feel anxious or find it hard to sleep due to the device, practising relaxation techniques such as deep breathing or listening to calming music can help.

When to Contact Your Healthcare Provider

If you notice electrodes have come loose, the monitor stops recording, or you experience significant skin irritation, contact your healthcare provider for guidance.

If you have concerns about sleeping with the device or experience unusual symptoms during the monitoring period, seek medical advice.

In Summary

Sleeping with a 24-hour ECG monitor requires some adjustments but is generally manageable. Sleeping on your back, securing wires properly, and following your healthcare provider’s instructions help protect the device and improve comfort. Good sleep during monitoring supports accurate test results and your overall health. If you experience any issues, don’t hesitate to reach out to your medical team for support.