Event Monitor results

  Hello.  I have posted before and recieved very helpful advice.  I will recap my status:  26yr old male with atypical chest pain(costochondritis), and an isolated episode of vasovagal syncope.  At my insistence,  I was given a 30 day event monitor in which I recorded some perceived events,  most during exercise.  The nurse in the cardiologist's office said the doctor said the results were 'normal with increased heart rate during exercise'.
  However,  I obtained the written report today and it contained the following:
  Normal Sinus Rhythm
  Sinus Tachycardia
  Isolated SVE
  SVE RUNS (up to 143 BPM)
  Prolonged SVT (up to 168 BPM)
  Isolated VE
  1)  The basic rhythm was sinus
  2)  there were occasional isolated premature supraventricular and ventriculuar complexes
  3) symptoms were reported with siuns rhythm, sinus tachycardia, and ventricular premature contractions

  My questions are the following:
  1)  is this a 'normal' report?
  2)  what are SVE and VE?
  3)  since the fast heart rate occured during exercise,  is this inappropriate?
  4)  are there any specific questions I should ask my cardiologist?
  
  Thank you very much.
  -tommy

[CCF CARDIO MD APS]

Dear Tommy,
1) All is normal except the "prolonged SVT" which is what you need to call your doctor and ask him or her about; things you need answered are what kind of SVT (supraventricular tachycardia) was it, how fast did it go, is it something to be concerned about even though you had only symptoms with the "normal: rhythms, etc?
2)SVE and VE are supraventricular ectopy and ventricular ectopy,i.e. extra beats coming from you upper and lower heart chambers respectively.  Ectopic beats are totally normal, everyone has them to some degree, however some are more aware of the extra beats (also called PACs and PVCs) than others.
3) 0ne would find it inappropriate if the  heart rate did not increase with exercise.
4) see the answer to number 1 since it is important that you discuss with your physician just how much and what kind of "SVT" was on your holter monitor, which the doctor will have to combine with your clinical situation to determine overall significance and follow up.
I hope this information is useful. Information provided in the heart forum is for
general purposes only.  Only your physician can provided specific diagnoses and therapies.
Feel free to write back with further questions. Good luck!
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