24 hr. Holter Report Summary

Can you please help me to understand this?

Total Beats: 122231
Unknown Beats: 4
Avg Heart Rate: 86 BPM

Ventrucular Events                                    Supraventricular Events              

Total Beats: 1590     Couplets: 21               Total Beats: 121
Forms:            29     Triplets:   26               Couplets: 2
Bigeminy Runs:   0                                    SVTach Runs: 0
AIVR / IVR Runs: 0                                    Max SVE / Minute: 2 beats
V Tach Runs:      3                                     MAx SVE / Hour: 16 beats
Longest: 6 beats                                        Mean SVE / Hour: 4.9
Max Rate: 196 BPM                                   SVE / 1000: 1.0
Max VE / Miniute: 17 beats
Max VE / Hour: 64.9
VE / 1000: 13.0

ST Depression                                                         ST Elevation

Episodes: 23 on CH 1      Episodes: 18 on CH 2         Episodes: 8 on CH 1       Episodes: 1 on CH 2
Minutes:   115:00            Miniutes: 73:00                    Minutes: 412:00             Minutes: 2:00
Maximum :  -3.5 mm       Maximum:  - 2.5 mm            Maximum: 4.9mm          Maximum: 1.4mm


Bruce Protocol Treadmill Test Findings:  

Baseline ECG: Nonspecific ST - changes abnormalities.  (WHAT DOES THIS MEAN?)
Protocol: 7 minutes, max HR 183 / BPM
Exercise ECG: There was significant ST depression with exercise, 1mm ST depression  (WHAT DOES THIS MEAN?)
Reason for Stopping: Target heart rate was achieved.
Resting Echo Findings: Baseline echocardiogram shows an ejection fraction of 50-55% (IS THIS GOOD OR NOT?)
Rest: Walls all normal
Exercise: Walls all normal

Conclusion:
Normal Sinus Rhythem with Right Atrial Enlargement.  (SERIOUS?)
Nondiagnostic due to Baseline Abnormalities. (WHAT DOES THIS MEAN?)  
Very rare PVC's noted with exercise.
Negative Stress Echo for Ischemia.  No significant ST changes suggestive of ischemia.

[Michael J. McWilliams, M.D.]

Non specific changes means ....i hate to say it....that they are not specific for anything.  Not normal but also not necessarily bad ieiter.

St depression can mean that there are blockages in your heart -- but your stress test suggests that there are not.

Echo shows normal heart function rest and with stress.

Right atrial enlargement is rarely significant.

Non diagnostic means that they can't interpret the EKG finding because baseline changes were present and make it difficult to interpret changes to mean ischemia (blockages).

In the end you need to sit down and talk to your doctor about how to interpret the results.  It needs to taken with the whole clinical picture.  In the end, tests are just tests.  The history and physical exam combined with the tests is how clinical decisions are made.

[PikaPika88]

I know my ST depression every where.  Echo also showed infarction but angiogram showed no blockage at all.  Some heart problems will show ST abnormality likes my wpw.  Now they told me only base on blood enzyme to rule out is heart attack or not.  Ask the doctor what are the posiblity that other heart problem will show ST abnormality but not a blockage concerned.  Take care.

[Bon-Bon]

Thank you Dr. McWilliams.  I appreciate your time and expertise and I feel better.  I will do as you suggested.

[Bon-Bon]

Thank you PikaPika88 for posting and for your suggestion.  

Have a blessd day.