Results from a holter monitor

[Darfzo]

Hi there, I am 29 years old and have just had my results back from the holter monitor.. Can anyone shred any light on the below? It means nothing to me.
In 21 hours I had :-
VE total - 494
V-pair total - 26
V-run total - 55
Longest v-run 27 beats @ 06:33
Max HR v-run 250bpm @ 07:20
Min HR v-run 125bpm @ 07:10
VE's per 1000/per hour.- 4/23
Ventricular R on T - 85

I was born with a hole in my heart but the reason for this test was because I kept fainting and felt my heart pounding.. My GP hasn't said what this means just referred me to a cardiologist in which I see him on Tuesday, I'm a little concerned as I'm seeing the consultant so quick...

[heartfluttersflyawayplz]

Glad you saw dr, try not worry, easy said huh, prayers for you plz keep us up to date

[Darfzo]

Hi thanks for all your comments... I don't drink anything with caffeine in have done for a long time now.. I saw my gp and he said he can see from my results I'm showing VT and he is very concerned as my longest V-Run is 27 beats at 250bpm.. Apparently they don't like anything over 8... Not long til I see the cardio now so I will post after I've seen him to let you all know :)

[MichelleP_3811]

One last thing.  I would question your cardiologist about possible Long QT.  I believe that R on T is sometimes associated with that condition so if that is the case then avoiding stimulants (caffeine, cold medicine) is highly recommended.  Until you see the doctor I would again suggest just avoiding those substances.

[MichelleP_3811]

I am not a doctor so please do not take this as expert interpretation.  I believe R on T is a type of pvc classified by when in the beat cycle it hits specifically meaning it hits on the T wave.  This is more of a trigger for one to fall into VT and possibly a more erratic more dangerous type of VT called Torsades de pointes.  In general R on T does not necessarily mean one will fall into VT but the fact that you have passed out may mean that yours does trigger it from time to time.  The good news is you generally convert on your own but the fact you have passed out may indicate that an ICD is called for.   The important thing is to get your heart fully evaluated to find out if there are any underlying heart conditions that need to be addressed as well as evaluate whether an ablation may help cure you or if there is a possible need for an ICD.  Though you are young try to look at the positives.  If you need this to help maintain a normal heart rhythm it is worth it.  The best advice I can give you right now is to avoid caffeine and cold/allergy medicines as they can aggravate arrythmias.  As well moving forward take some proactive steps to reduce any stress you have in your life.  Try some meditation or yoga or simple deep breathing if you start to feel yourself tense up or start to worry.  Stress is tough on the heart and will aggravate any arrythmias we have.  Best of luck getting this all sorted out.  Please do keep us posted on how you are doing.  

[heartfluttersflyawayplz]

I to have lots of pvc/pac had them for 30 years I am still here even thought they scare me and I think I am dying I have not, my dr says go home, let me take care of someone with a real heart problem lol, so I guess they are ok to have
good luck at cardio dr plz come back let us know what he saysg

[Darfzo]

Hi all, Thankyou for your responses, Bromley on the report is shows I had 2- SVT's.
I have done some reading and have read the Ventricular R on T is a worrying form of arrhythmia .?. Unfortunately it doesn't say anywhere how many R on T events are classed as normal..?
I'm hoping by what I've have seen from you guys it's nothing to worry about...?  

[Bromley]

Oh sorry. I am not a doctor, but

I am pretty sure that the VE stands for an ectopic ventricular beat, i.e. a pvc. A "v-pair" is probably going to be two back to back VE's or SVE's. And a v-run is going to be either non sustained SVT or non sustained VT. There is also  a minimum and maximum HR given for the times in the morning when you had a  little tachycardia. I dont know what the last line is. It says ventricular R on T, 85. I would guess, and this is total guess work that 85 is a width of some aberration similar to  ventricular contraction that occurred near T at some point. 85 sounds very skinny to me. I do know that in some diagnostic criteria the width of R has some value. But its probably hard for them to use when they just have one differential measurement. I dont really know.

[Bromley]

Hi. I am sorry to hear of your situation. I've been doing some online reading myself lately as I had a recent episode of near-fainting myself, a similar experience with possible non-sustained VT, some questions, and a doctors wishes that I see a specialist, soon.

I am not a doctor or a medical professional.

But from what I read online, it seems that several forms of VT, both sustained and non-sustained are treatable these days, and the longer your episodes or more susceptible you are to getting full VT, the better your chances of reproducing the problem in the ep lab, and therfore of getting a more optimal fix as a result. I do not know how your particular medical condition fits in with this, but for me it has been encouraging to know that there are solutions out there that are working, and that there are now ablation techniques available, even if a VT is difficult to reproduce in the ep lab (ask your doctor, if it happens to apply).

It is also interesting that the halter results indicate "V runs".  What the heck is a v-run? Would it be VT or SVT? Yes, both have a v in them. Is this secret doctor code so that nobody can figure out what they are talking about, or do they just not know which yet? These halters generally use a single differential measurement, and the algorithms that are used to estimate whether something is VT or SVT, it seems, really dont look to be that good either, at least from what I read. Not to say that there isn't something there, perhaps a more human interpretation, or that the algorithm didn't get lucky this time, but at this point, I think I would wait to hear what your cardiologist says about it, as well as any proposed additional testing and/or solutions....

Best of luck to you.  I will say a prayer for you and me both.

Bromley

[tom_h]

Additionally..... I believe this may be called non-sustained ventricular tachycardia, or NSVT.  Ventricular runs of this length are probably something you want to have looked at more closely as VT can be life threatening.

[tom_h]

I am far from an expert.  But until someone else comes along, I'll give it my best shot.  It appears you are experiencing Ventricular Ectopics, or extra beats in the lower chambers of our heart, commonly referred to as PVC's.  You had 494 of these in the,21 hour testing period.  This is not a lot compared to other who may have thousands in that same period.  You had 26 instances of double skips.  You also 55 instances where you experienced a chain of these skipped beats.  The longest lasted 27 beats. When these repeated skips are chained together in succession, I believe this is known as ventricular tachycardia. The fastest rate was 250 beats per minute. This is probably where the cardiologist might be most interested in.  Unfortunately, I am not qualified to provide any more info than this.

[Darfzo]

Can anyone explain this result please??