I am wearing a 24 hour holter monitor right now. what happens if i miss an episode symptom if i forget to write it down will the dr office pick it up?

Yes: The monitor actually records every heart beat during the recording time. The diary is for correlation, to see if symptoms are related to irregular heart beats.

Symptomatic or not?: It depneds on the specific symptoms, was is palpitations, racy heart, or chest pain? Holter cannot pick up all the EKG changes from these symptoms unfortunately. The way EKG signals are analyzed only covers the tip of the iceberg...most information is not detectable using this old method. It needs to be fundamentally reengineered! Check out MCG:http://en.wikipedia.org/wiki/Multifunction_cardiogra

Nothing: The Holter monitor will record and store any kind of cardiac irregularity regardless wether you are feeling anything or not. If you did not feel any irregularity and yet cardiac irregularity is recorded or you felt palpitation and yet no cardiac irregularity is recorded at the time of your symptoms are reasons why Holter monitor is useful on uncertain cases as it monitors the heart continuously.

Yes: Any rhythm disturbance will be observed if the study is carefully scanned. It is helpful to correlate symptoms to observed rhythm disturbance. Some rhythm disturbance may occur without symptoms.