abnormal 24hr holter

Posted By Charlotte on December 22, 1998 at 13:08:07:







I am a 31 year old female and have felt irregular heart beats for a few years with symptoms increasing the past several months now.  They are also accompanied with extreme fatigue and lack of physical stamina.  When trying to do any physical exertion, I feel short of breath and think I feel tightness in my chest.  I was diagnosed on the 10th of December 1998 with PCOS (poly cystic ovarian syndrome).  The Dr. put me on Glucophage (due to a poor GTT) - Spiranolactone (hair growth due to high testosterone) - Levoxyl 75mcg. [due to a thyroid level of 35.88 from a test where I was first injected with something (can't remember what it's called)] - Clonazepam 1/2 of a .5mg tab at night (for adrenal anxiety) - Generic Barroce Plus - 25mg. of Zoloft - and a weight loss drug that he formulated called Metacap (contains cytomel 5mcg, tenuate 18.75mg, spiranolactone 12.5mg, and xanax .055mg.)  The sugar and the thyroid are related to the PCOS.  The Dr. I saw is an Endocronologist, Internist, and Nutritionist in Pittsburgh, PA.  When I was at the Dr.'s office he did an EKG and it showed skipped heart beats.  When I saw my family physician to fill him in on the PCOS diagnosis, I told him of the EKG.  He ordered a 24hr. holter.  It came back abnormal with frequent palpitations.  Please understand, I had been on no medication until Dec. 11th and had been experiencing these symptoms along with many others for a very long time.  
It took at least 2yrs. to find a thorough Dr. that first of all didn't assume I had depression and secondly did a thorough physical including blood work as mentioned above.  I told my family Dr. of these symptoms including the irregular heart beat on several occasions and I said I am not depressed-it is something else.  Finally saw Dr. in Pitt.  Well, I am glad that I do have a diagnosis for the PCOS but am now concerned with the heart stuff.  I really thought the holter would come back normal or maybe with rare palpitations, but realistically, I new there was something wrong with the heart. I have been of normal weight until the last year.I gained a good 30 lbs. due to insulin resistance and probably the underactive thyroid.  I am 5ft. and weighed 150 at my last Dr. appt.  I was shocked!  
I am sorry for the long involved message, but I thought you would need history to understand the situation.  My question is, what can I expect when I see the Cardiologist next Wed.?  I  would like to be prepared with a little knowledge so I will have a greater understanding of the workup he does and also, I would like to have questions ready just in case.  I promise to go assuming he will be thorough, but given my past experiences, I would also like to have some knowledge prior to my visit.  Also, does it sound like something minor to you?  Thank you for your valuable time.  Your response is greatly appreciated.