Help with holter monitor, please....

[Mommyplus6]

Hello,I am 28 w/f with history of panic
I have had very stressful life and am the mom of 5 great children.I have never smoked, and have not drank in  10 years except for a few times.I consume no soda chocolate and never coffee. I have been experiencing skipped beats regurlay now for 10 days& the worse episode was last week while in DC I guess I did not eat or drink properly& excerted  myself it was hot. I am 5ft4 235 and am down from 280 since Novenmber by walking and limiting intake and consuming water. weight gain came from depression, loss of mother, norplant then a preganancy and the weight has stuck with me after the birth of my last child 6 years ago&I finbally am losing. ekg and blood work all fine, thyroid fine.blood pressure good.
holter monitor results-fluctuated heart rate 47@ 11:27p.m to 186@12:31pm bpm-average beats 88bpm
time of min. and max heart mechanism was sinus, at time patient experienced palps she was demonstrating tachy withy rates fluctuating bewteen 140-180 total beats 112414 ASDNN 5-64.4 SDANN 5-153.3 SDNN-165.5 msec Ventricular ectopy-total VE BEATS-12-singleVE'S12-MAX VE'S/hour 6.0 ending 1:18pm-Supraventricular ectopy
total SVE beats 49-atriral runs 1-beats-1-longest-5-fastest215bpm@1:05-atrial pairs 4events-drop/late-/13-longest1.41 sec @3:20am-single pvc's 36-max SVE'S/HOUR 10.0 ENDING 12:18AM -HOOKED UP AT 4:18, RECORDED FOR 21HRS20MINS,13 mins manually scanned due to artifacts..also says remaining 8 were in atrial couplets longest R-R 1:41SECS
I would great appreciate your thoughts on this reading, your time most appreciated.
Thank you

[Philip1815]

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[Mommyplus6]

My doctor told me that everything was fine, but I sure do not feel fine and I have no understanding what so ever of what all this means..I am told I am healthy and to stop worrying..it really upsets me too since I have so much trouble sleeping..I get sleep starts almsot everynight..it feel like my heart just pauses and boom I am awake and heart will race sometimes...these just came from no where..I was looking at the strips and I also had a bunch of unknown beats...what is one supposed to think....
its all just too scary anymore...
I wiah I knew..
I am in the midst on an insuranse change and have branded with panic and anxiety on my forehead...this is a real small town with very little docctors to choose from...
I sympathize with you.

[BillyboyAA]

I have the same question. What are late beats and dropped beats.  I cannot find anything on this either.  I had 144 late beats and 4 dropped beats in 24 hours.  My pulse usually runs between 45-50 and when I sleep it goes down in the 30's.  The longest R-R interval was 2.10 seconds.  I do get pauses and they scare the hell out of me and this is why I went for a holte.  My doctor says they are nothing and cannot cause symptoms.  I read something about a sinus pause.  Is this the same thing?  I did read these, if longer than 2.5 seconds, can cause full cardiac asystole.  This concerns me.  Why would my doctor tell me they are nothing and then i see this.  Are they different things?  Please help me someone......***@****

[M]

Mommyplus,

I think the Doctor answered correctly. I had some event monitor readings that looked and were abnormal. The Doctor had to also look at the ekg strips to get a better understanding of what was really going on. You might want to think about seeing your doctor and have him go over the written report and the ekg strips with you. This should give you the answers you are looking for. If for whatever reason you don't get answers from your currant doctor, ask for a copy of the strips and take them to another Cardio. Doctor.

Hope this helps,
M

[Mommyplus6]

Whats exactly is a late beat ? how is different and why when I search for it on the net I can find nothing?

[Mommyplus6]

I know I wrote a book there but I wanted you to have the info, I have used xanax but have terrible med fears and I am real insomnia as well.  I am starting to think the xanax has ruined my heart.  I have had this thing from what I beleive to be sleep starts, it only happens as I am trying to sleep I will jerk awake, sometimes my heart rate will be slow and then it will beat fats and as long as I do not get upset it quicky returns.I also wanted to add that my 186 rate was during fast walking. sometimes my heart return to normal quickly and other times I get scared and nervous after excercise and thats whay I think it will stay high afterwards.I also thought I would include this info as well
hour  min  avg max
end   bpm  bpm  bpm
5:18pm 82 107  177 after steeo walk up hill
6:18pm 82  112  147 preparing meal
7:18   79  111  151 cleaning up
8:18   75  98  145 ceaning up
9:18   67  87  122 down time with kids
10:18  73 93  125 attemting sleep
11:18  50  77  135 attempting sleep took xanax
12:18  47  67  109 possibly sleeping
1:18am 55  70 90 sleep
2:18   53  68  93 sleep
3:18   51  66  99 sleeping
4:18  48  67   108 may have gotten up to urinate 3:46 ampossible
5:18  49  66  99  sleep
6:18  49 66  103
7:18  54  82  126 up getting kids ready cooking
8:18  68  105  137 still getting kids ready
9:18  81  97  121 working @computer
10:18  73  93  125 same
11;18 71  93  122 eating making my breakfast
12:18pm 70  102  175 started excercise 30 minutes ended @12:32
1:18    90  127  186 cooling down stressful phone conversation
1:38     80  105  120

I just thought this might help....

[CCF-M.D.-CRC]

Dear mommyplus6,

This sounds like essentially a normal recording. I would have to see the actual strips to give you more information.  You did have some PVCs and PACs as well as a episode of fast heart rate.  The fast heart rate could be sinus tachycardia or an SVT depending on what the strips looked like.  The other numbers are markers of heart rate variability which was normal in your case.  Your doctor should be able to give you more information.