Cardiac Services

Tolman Cardiac Services, a division of Regional Home Care, is a diagnostic cardiac services company serving New England for more than 20 years. The company provides a full range of cardiac monitoring services and equipment for adult and pediatric patients with a focus on quality.

Tolman Cardiac Services

We become part of your patient care team whether you are a large highly recognized hospital, or a small community hospital, or a cardiology practice. We know from our years of experience that the key to patient and clinician is paying attention to the details no matter how small.

Tolman Cardiac Services offers a wide range of cardiac monitoring services from Holter Monitoring to Event Monitoring to Ambulatory Blood Pressure Monitoring for adult and pediatric patients with a focus on quality patient care and excellent service.

  • On Site Technician Access – 24 Hours a day, 7 Days a week, 365 days a year.
  • Highly-trained Certified Cardiovascular Technicians.
  • In-service training of your staff at your facility.
  • Wide variety of equipment and technology.
  • Monitoring equipment at no capital expense.
  • Equipment Repairs at no cost to your facility.
  • Patient hook-up supplies provided at no charge.
  • Prompt physician notification of potential life threatening arrhythmias.
  • Customized enrollment forms.
  • Certified as an Independent Diagnostic Testing Facility.
  • Holter Reports, 30-Day Event and Ambulatory Blood pressure Reports can be saved to your EMR.
  • Secure redundant back-up technology of patient information, cardiac data and billing records.
  • Quarterly Quality Assurance Program.
  • Marketing assistance with customizing a Cardiology Newsletter for your facility.
  • Tools provided to assist in meeting requirements for The Joint Commission (JACHO) Accreditation.

Holter Monitors

State-of-the-art Holter Monitors – easy for patient use and staff application. The recorders are small and light-weight and the size of a typical pager and can be attached to the clothing via the attached clip. The recorders use four leads to record three channels of patient ECG data. Our Holter recorders have the capability to record 24 or 48 hours with no intervention required by the patient.

  • User friendly Holter Download Application
  • Encrypted Internet File Transfer of Data
  • Analysis of data utilizing superimposition technology (Methodology meets current reimbursement requirements.
  • Customized report header for your facility
  • Comprehensive report documenting arrhythmias and correlated symptoms and/or activity
  • Rapid turnaround time of analysis and report
  • STAT analysis request within 30 minutes
  • Holter Reports in a Portable Document Format (PDF) for transfer to your EMR.

30-Day Event Monitoring Service

Patients with transient arrhythmia are excellent candidates for a diagnostic 30-Day Event Monitor. These small portable recorders have been developed with solid-state technology and provide a patient friendly technique for documenting ECG changes.

A “Loop” type event monitor has the capability of continuously storing in memory a pre-programmed amount of ECG data, so that when the patient presses the event button, data will be stored pre and post patient activation of the event button. Each of our “looping” event recorders provide different programming options. We offer three types of 30-day event looping monitors:

Heartrak Smart: A standard “Looping” type of event monitor.

  • Stores pre and post ECG events with patient activation of an event button.
  • Indications for use of this type of “Looping” monitor. Suitable for patients with symptomatic event such as dizziness, palpitations and “funny extra beats”, etc.

Heartrak Smart AT (Auto-Trigger): Enhanced Auto-Trigger “Looping”

  • Can be used as a standard “looping” monitor.
  • Programmed to auto-trigger on Bradycardia and Tachycardia.
  • Perfect for the asymptomatic patient

Heartrak Smart AF (Atrial Fibrillation): Enhanced Auto-Trigger “Looping”

  • Can be used as a standard “looping” monitor
  • Programmed to auto-trigger on Bradycardia and Tachycardia.
  • Programmed to auto-trigger on Atrial Fibrillation – Utilizing sophisticated algorithm technology
  • Perfect for the asymptomatic patient

Ambulatory Blood Pressure Monitoring (ABPM) Service

Ambulatory Blood Pressure Monitoring (APBM) involves the use a non-invasive device to automatically measure blood pressure at predetermined intervals during a 24-hour period.

The most common use of ABPM is evaluation of suspected “white-coat hypertension.” White-coat hypertension is defined as an elevated office blood pressure with normal blood pressure readings outside the physician’s office.

Other indications for ABPM use are:

  • Borderline hypertension
  • Resistant hypertension
  • Hypotensive symptoms while on a anti-hypertensive
  • Efficacy of anti-hypertensive drug therapy over a 24 hour period
  • Nocturnal Hypertension
  • Changes in diet and daily routine designed to reduce hypertension

The ABPM diagnostic test begins with fitting a patient with the battery operated portable monitor and a specially designed blood pressure cuff. The patient wears the unit for 24 hours and the monitor takes measurements periodically as programmed; typically every 20 minutes during awake hours and every hour during sleep time. This device contains solid state memory that stores the measurements, which are then downloaded via a supplied modem to our receiving center.

A detailed report is generated including the individual BP readings and pulse rate. The ABPM report is then forwarded to the ordering physician or facility. The 24-Hour ABPM Reports are in a Portable Document Format (PDF) for transfer to your EMR.

For more information, please don’t hesitate to contact us at 800-229-6267 or email us at We can also provide you with hospital sites in New England that can currently accommodate setting up your patient on a 24-Hour Ambulatory Blood Pressure Monitor.

We provide a comprehensive report for each Event Monitoring Transmission and at the end of the 30-day period a 30-Day Summary Report is generated that lists all of the transmissions for the durations including symptoms and findings. Transmission and Summary Reports are available via the web utilizing an assigned username and password at 30-Day Event Reports are in a Portable Document Format (PDF) for transfer to your EMR.