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Question

Which clinical scenario most strongly justifies Holter monitoring rather than a routine resting ECG?

This question was previously asked in
RRB Paramedical 2025 Nursing Superintendent Question Paper PDF (12-Mar-2026) (Shift 3)
The correct answer is

Intermittent palpitations occurring unpredictably over several days

A routine resting 12-lead ECG captures only a brief sample of cardiac activity. When a patient has intermittent, unpredictable palpitations over days, a 24–48-hour (or longer) Holter monitor provides continuous ambulatory recording that can catch transient arrhythmic events that would be missed by a resting ECG.

Asymptomatic bundle branch block and stable sinus bradycardia are already visible on resting tracings, and persistent chest pain relieved by rest is better evaluated by stress testing or coronary imaging than by Holter monitoring.

Hence, Intermittent palpitations occurring unpredictably over several days.

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Similar Questions

  1. After removal of a Holter monitor, the most important next step is to:

  2. During a stress test, which of the following symptoms is a contraindication to continue exercise?

  3. Which device is used for long-term intermittent ECG recording activated by the patient?

  4. During a treadmill stress test, what action should be taken if a patient reports chest pain?

  5. What is the primary purpose of a stress test in cardiac care?

  6. After a stress test ECG, which finding would require immediate medical attention during the recovery phase?

  7. Which complication is most realistically associated with Holter monitoring?


Important Questions from Advanced Cardiovascular Investigations

  1. After removal of a Holter monitor, the most important next step is to:

  2. During a stress test, which of the following symptoms is a contraindication to continue exercise?

  3. Which device is used for long-term intermittent ECG recording activated by the patient?

  4. During a treadmill stress test, what action should be taken if a patient reports chest pain?

  5. What is the primary purpose of a stress test in cardiac care?

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