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Please help me read holter monitor report!!!
I had a holter monitor last week and they uploaded the results to my patient portal. I also had an ECHO but they refuse to upload until after my follow up appt which is next week, Wednesday. This puts me in fear as I don't understand why they can upload one but not the other? Anyway. I am a 31 y/o female. Overweight (but lost 20lbs in may!) and smoke a pack of cigs a day. I have had on and off (every day nearly) heart palpitations and high heart rate which is what lead me to see the cardiologist and have these tests done. Any help on the report reading would be appreciated:

TOTAL Qrs - 153650
Ventricular Ectopics - 769
Surpaventricular Ectopics - 0
Paced Beats - 53
Minimum BPM - 69
Maximum BPM - 150
Average BPM - 109
Tachycardia Episodes - 139 Episodes 1129 mins
Bradychardia Episodes - 0

Ventricular info
Isolate - 749
In Bigeminal Cylces - 6
Couplets - 4
Total Runs - 4
Longest 3 beats 139bpm
Slowest 3 beats 95bpm

Any help is appreciated to understand what each thing means. Like what are paced beats? Thanks
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Avatar universal
1. As far as I know--and I could be wrong--'paced beats' refers only to heartbeats generated by a pacemaker.

Do you have a pacemaker?  If not, there are two possibilities:

a. 'Paced' has another meaning, which you will have to ask your doc about.

b.  Your chart has been mixed up with somebody else's.

2. You smoke a pack a day?  You know of course that nicotine causes both tachycardia and palpitations?

3. They often do not upload results before the patient sees the doctor because the patient, not being educated in medicine, will hit the internet and draw completely wrong conclusions.  It really does take a medical education to get something like the whole picture.
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