Posted By CCF CARDIO MD - MTR on March 02, 1999 at 11:04:03:
In Reply to:
HolterHolter monitor (24h) monitor report posted by Ben on February 28, 1999 at 15:46:53:
Hi, On my
holterHolter monitor (24h) monitor report says the following: Hours analyzed 23:56; Avg 75 BPM; Max 158 BPM; Min 54 BPM.
BradycardiaArrhythmias
Bradycardia
Sick sinus syndrome runs 174; Pauses 0.
VentricularParoxysmal supraventricular tachycardia (psvt)
Ultrasound, ventricular septal defect - heartbeat
Ventricular assist device
Ventricular fibrillation
Ventricular septal defect
Ventricular tachycardia Events: Total Beats 13; Forms 3; Couplets 0; Triplets 0; Bigeminy runs 0; V tach runs 0; mean ve/hour 0.5.
SupraventricularParoxysmal supraventricular tachycardia (psvt) Events: total beats 18; couplets 3; svtach runs 0; mean sve/hour 0.8. ST Events: ST depression ch1 0; ch2 0; ch3 0. ST Elevation ch1 0; ch2 0; ch3 0.Impressions. THe underlying rhythm is
normalNormal saline flush sinus rhythm. The minimal heart rate is 54 beats/minute and maximal heart rate is 158 beats/minutes (during periods of exercise).There are very rare premature ventricular beats as well as very rare supraventricular premature beats.There are no significant runs of atthythmia. A month before holter monitor I had blood and urinalysis tests at the hopital. All were normal except for PH in urine which was >=9.0 limits being 4.8-7.8 and potasium 4.8. 1. What do Forms = 3 under ventricular events mean and are they dangerous? 2.How serious are 3 couplets under supraventricular evets? 3.Did high PH in urine have any effect on ventricular(t.beats 13 + forms 3) and supraventricular(t.beats 18 + couplets 3)events? 4. How can PH be decreased to within normal limits?Thank you.Ben
Dear Ben, thank you for your question. I think your Holter report is fine and you have nothing to worry about. I don't know what Forms = 3 is referring to. The 3 couplets are normal findings. High urine PH is also nothing to worry about, should not affect premature beats, and does not need treatment.
I hope you find this information useful. Information provided in the heart forum is for general purposes only. Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions. Good luck.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.