User's Manual

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PRESCRIBING CARDIONET
Prescribing CardioNet monitoring for a patient is easy, once your practice has been enrolled in
our service. Simply fill out a CardioNet Patient Prescription/Order Form, (provided to your
practice when it was enrolled) sign it and fax it to the number listed on the top of the form. Also
fax one of the following:
• A copy of the front and back of the patient’s insurance cards or
• The CardioNet Patient Enrollment form or
• The patient’s fact sheet
The practice will receive a faxed confirmation that the referral has been received.
CARDIONET AMBULATORY ECG MONITOR WITH ARRHYTHMIA
DETECTOR
Indications for Use:
The CardioNet Ambulatory ECG Monitor with Arrhythmia Detection intended use is for:
1. Patients who have a demonstrated need for cardiac monitoring. These may include but
are not limited to patients who require Monitoring for: a) non-life threatening arrhythmias
such as supraventricular tachycardias (e.g. atrial fibrillation, atrial flutter, PACs, PSVT)
and ventricular ectopy; b) evaluation of bradyarrhythmias and intermittent bundle branch
block, including after cardiovascular surgery and myocardial infarction; and c)
arrhythmias associated with co-morbid conditions such as hyperthyroidism or chronic
lung disease.
2. Patients with symptoms that may be due to cardiac arrhythmias. These may include but
are not limited to symptoms such as: a) dizziness or lightheadedness; b) syncope of
unknown etiology in which arrhythmias are suspected or need to be excluded
; c)
dyspnea (shortness of breath).
3. Patients with palpitations
with or without known arrhythmias to obtain correlation of
rhythm with symptoms.
4. Patients who require outpatient monitoring of antiarrhythmic therapy: a) Monitoring of
therapeutic and potential proarrhythmic effects of membrane active drugs, b) Monitoring
of effect of drugs to control ventricular rate in various atrial arrhythmias (e.g. atrial
fibrillation).
5. Patients recovering from cardiac surgery who are indicated for outpatient arrhythmia
Monitoring
6. Patients with diagnosed sleep disordered breathing including sleep apnea (obstructive,
central) to evaluate possible nocturnal arrhythmias
7. Patients requiring arrhythmia evaluation of etiology of stroke or transient cerebral
ischemia, possibly secondary to atrial fibrillation or atrial flutter.
8. Patients requiring measurement, analysis and reporting of QT interval, excluding
patients with a documented history of sustained atrial fibrillation or atrial flutter.
9. Patients who require monitoring for potential arrhythmias based on risk factors (e.g.
atrial fibrillation).