holter monitor result

I am  46 y and from 2 month ago I start to feel change in my heart beat from time to time it goes faster for few seconds or minutes , I did a holter monitor 24 h and  I got a result
General Heart Rates
105988 QRS complexes 54 Minimum at 00:01 22-Mar
97 ventricular beats(<1%) 85 Average
0 supraventricular beats(100 bpm),11% total
61 beats in bradycardia(<60 bmp),<1total
1.32 Seconds Max R-R at 00:01:11 22-Mar

Ventriculars (V, F, E, I) Supraventriclars ( S, J ,A )
97 Isolated 0 Isolated
0 Couplets 0 Couplets
0Bigeminal cycles 0 Bigeminals cycles
0 Runs totaling 0 Beats 0 Runs totaling 0 Beats
Interpretation
• Underlying Sinus Rhythm with Rates from 54 to 123 BPM ( High Average Heart Beat of 85 BPM)
• Rare Isolated APBs, No SVT
• No Atrial  Ectopy
• No Important Pauses
• No Significant ST Shift
• Symptoms Noted on Diary Correlated with Isolated VPBs
IS there any need to be woried from that result and what I will be the next step ?

[erijon]

I don't personally see anything worrisome here, very few ventricular beats (PVC's) at 97, heart rate range looks good, no couplets of PVC's, no bigeminy, no supraventricular (increased ventricular based beats), no pauses and no ST segment shifts and everything else seems normal to me, but I'm sure some one with more knowledge will give input if they see something I'm missing.

Has your doctor gone over these results with you? If not, make him schedule an appointment to answer your questions, he owes you that.

Good luck,

Jon

[Mom2four85]

The only thing I would ask about how much of your 61 beats in bradycardia were at night, if so you may need to look at doing a sleep study also to see if you have sleep apnea.

[Mom2four85]

just a quick follow up since someone mentioned this in the HR forum - Sleep apnea was just a suggestion because I like to think outside the box.

I was quite shocked I had Moderate OSA  because my holter showed a minimum heart rate of 67 and Sleep study showed even in REM my HR only went down to 46, yet I woke up over 72 times in 4.5 hours and my OX was 75% but I was dx with profound bradycardia on other tests.

Dr. Steven Park a sleep specialist here says Bradycardia is a HR of 40 during sleep vs 60 during the day, and Tachycardia is 90 during sleep vs 100 during the day and sleep apnea can cause arrhythmia problems.  Either way, definitely ask your doctor and see if there's any connection.