Confused about results...

[KATIER1015]

on my results (24 hrs) I had:

ventricular ectopics: 146
supraventricular ectopics: 624
23 pauses >2.0 seconds
longest pause: 5.0 seconds

What I'm concerned most with is the pauses...
If anyone can explain to me if these numbers are "normal"
The 5 second pause concerns me a bit and I know the ectopics are premature contractions... Are those numbers high?
Any input is appreciated.

[KATIER1015]

I should also add, I'm only 21 years old, in the military, and workout regularly.
I had the holter monitor on for 24 hours.

[itdood]

need more info I think.  What time did the holter say you had a 5 second pause?  would you have been awake at the time?  IF you would have been awake, I think you would have noticed it.  usually 3-5 seconds or 5+ will produce a dizzy sensation or >5 you will pass out.

So if you would have been awake at the time but don't recall the vent, the holter possibly read it wrong?

so anways, no I don't think a 5 second pause is normal.  It sorta crosses the line into producing symptoms.  It could be that they don't affect you at all and it's benign.  

[KATIER1015]

The 5 seccond pause was at around 5:30 in the morning right when I woke up and I did notice the pause.
There's a button you can push on the monitor to key if you're feeling symptoms which I did at that time.
I didnt pass out or anything but felt extremely out of breath, like I couldnt catch my breath. Was pretty scary.

[itdood]

Do you know if the 5s pause was followed by an escape beat?  If so, was it junctional or ectopic?

I would keep asking questions and stay on top of it with your cardiologist just to be sure.

I think what you're going to hear is that "in a structurally normal heart...."  this is normal and benign.

You are young and you are conditioned.  

The heart's electrical system is far from perfect for anyone, fortunately nature built in a lot of redundancy.  

I think for myself, I've had episodes of pauses.  I never caught it on an EKG (though I've caught all sorts of other wacky and fun stuff!).  When I would first start to fall asleep I'd suddenly wake up breathless.  On the worst nights this would happen 3 or 4 times.    The episodes would last a few nights then go away for a while, only to creep up on me many months later.  I'm still here and still in top shape.  :-)

[KATIER1015]

Thanks for all your input! I really appreciate it :)