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Heart Disease  (Expert Forum)
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atrial arrhythmia
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.

atrial arrhythmia

by Karman__0, Jan 11, 1999 12:00AM

  Dear Forum,
  Could you please confirm if possible how many beats per minute a person,
  in an arrhythmia state, needs to experience (and has been captured on a
  24 hour holter monitor) to warrant an EPS Study?  
  Thank you in anticipation.
  Regards,
  Karman

by CCF CARDIO MD APS, Jan 11, 1999 12:00AM



Dear Karman,
There is no absolute answer to this question given that an EPS study is done
on an overall review of events (the history, physical exam, and the holter findings.)
However, a tachycardia in the range of 150 beats per minute (occurring at rest)
is reason for investigation, whereas any syncopal event (passing out) with an
abnormal holter or just sensation of a rapid heart rate is reason enough for
an EPS study.  In conclusion, it is never just one thing that leads the physician
to the EP lab, especially not something as simple as a fast heart beat and especially
considering that some EPS worthy rhythms are never even caught on holter!
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!
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.





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