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Holter Monitor Results
Hello, Doctor...
I am a 44 year old woman who had a holter monitor test for heart palpatations, which I have had for a couple of years but have increased in frequency in the last 6 months. Here are my results:
General
109769 QRS complexes
0 paced beats (<1%)
2823 Ventricular beats (3%)
4 Supraventricular beats (<%)
0 BB beats (<1%)
0 Junctional beats (<1%)
0 Aberrant beats
0 % of total time in AF/AFL
100 bpm), 12% total
13251 beats in bradycardia (<60 bpm), 20% total
1.36 seconds Max R-R at 05:33:14
Supraventriculars (S.J.A)
4 Isolated
0 couplets
0 bigeminal cycles
0 runs totaling 0 beats
Recommendation from reading cardiologist, "This appears to show recurrent episodes of nonsustained ventricular tachycardia which are symptomatic. She will require a referral to an arrhythmia specialist and need an echocardiogram to determine her left ventricular function. In the interim if there is no contraindication to beta blockers, you should consider starting her on 25 mg PO BID"
I am now taking Metroprolol as prescribed, and I must say when I remain calm, it really seems to help, but some days now I am worring myself sick. I tend to breathe shallow and I do get short of breath with the palpatations. Seems when I can keep myself calm none of this is an issue - but when it happens I worry which makes it worse - a vicious cycle. I am an active, busy mother of two and now I seem to stress about this constantly. I have an appointment for the arrhythmia specialist for June 10th. Please, can you tell me if I should be this worried? I am very worried - it's some days all I think about.
Thank you.
~Karen
I am a 44 year old woman who had a holter monitor test for heart palpatations, which I have had for a couple of years but have increased in frequency in the last 6 months. Here are my results:
General
109769 QRS complexes
0 paced beats (<1%)
2823 Ventricular beats (3%)
4 Supraventricular beats (<%)
0 BB beats (<1%)
0 Junctional beats (<1%)
0 Aberrant beats
0 % of total time in AF/AFL
100 bpm), 12% total
13251 beats in bradycardia (<60 bpm), 20% total
1.36 seconds Max R-R at 05:33:14
Supraventriculars (S.J.A)
4 Isolated
0 couplets
0 bigeminal cycles
0 runs totaling 0 beats
Recommendation from reading cardiologist, "This appears to show recurrent episodes of nonsustained ventricular tachycardia which are symptomatic. She will require a referral to an arrhythmia specialist and need an echocardiogram to determine her left ventricular function. In the interim if there is no contraindication to beta blockers, you should consider starting her on 25 mg PO BID"
I am now taking Metroprolol as prescribed, and I must say when I remain calm, it really seems to help, but some days now I am worring myself sick. I tend to breathe shallow and I do get short of breath with the palpatations. Seems when I can keep myself calm none of this is an issue - but when it happens I worry which makes it worse - a vicious cycle. I am an active, busy mother of two and now I seem to stress about this constantly. I have an appointment for the arrhythmia specialist for June 10th. Please, can you tell me if I should be this worried? I am very worried - it's some days all I think about.
Thank you.
~Karen
Hello! I am in Canada, and I have to wait for "next available" to get the echocardiogram. I would love to be able to get that done before I see the specialist.
I had a EKG stress test (treadmill test) about 3 years ago for palps and they disappeared with exercise, re-appeared upon recovery, and that cardiologist told me "you are fine, you will live to 100" - I was SO relieved when he said that, I've never forgotten how I felt when he said that (that cardiologist retired, I'm with a new cardiologist I've never met), and I pray I hear the same thing again after this round of testing...I've never had an echocardiogram before.
Thanks for your reply!
I had a EKG stress test (treadmill test) about 3 years ago for palps and they disappeared with exercise, re-appeared upon recovery, and that cardiologist told me "you are fine, you will live to 100" - I was SO relieved when he said that, I've never forgotten how I felt when he said that (that cardiologist retired, I'm with a new cardiologist I've never met), and I pray I hear the same thing again after this round of testing...I've never had an echocardiogram before.
Thanks for your reply!
Could you not ask the doctor who had you do the holter monitor for the echocardiogram in advance of your appointment with the specialist?
That would answer a lot of questions for you and may help to put your mind at ease until you see the specialist. As the doctor here suggested the most important point is to discover if you have a "structurally normal" heart, in that case the extra beats are considered benign (to them at least lol).
Are you outside the U.S or on a managed health care plan where you have to wait or follow certain referral quidelines to get that echocardiogram?
That would answer a lot of questions for you and may help to put your mind at ease until you see the specialist. As the doctor here suggested the most important point is to discover if you have a "structurally normal" heart, in that case the extra beats are considered benign (to them at least lol).
Are you outside the U.S or on a managed health care plan where you have to wait or follow certain referral quidelines to get that echocardiogram?
Thank you for your replies. As I'm sure you understand, Dr. McWilliams, it's hard being the patient and not understanding what the cardiologist sees when he reads the results - and yet carrying the heart in question.
~K
~K
it is cutting off your typing because there is a character limit to what you are typing. all of your spaces are counting in that count. you are wasting alot of your typing space with all of that blank space. if you have to post again, try posting more like sentences and less columns! Good Luck! Check out the community forum also!
To: correction
...okay I am not sure why this is cutting of my typing...
13251 beats in tachycardia (>100 bpm), 12% total
22099 beats in bradycardia (<60 bpm), 20% total
1.36 seconds maximum R-R at 05:33:14
(now you should have it all... )
...okay I am not sure why this is cutting of my typing...
13251 beats in tachycardia (>100 bpm), 12% total
22099 beats in bradycardia (<60 bpm), 20% total
1.36 seconds maximum R-R at 05:33:14
(now you should have it all... )
Ventriculars (V.F.E.I)
2460 Isolated
7 Couplets
4 Bigeminal cycles
66 runs totalling 349 beats
14 beats longest run 173 bpm
4 beats fastest run 196 bpm
Heart rates
44 minimum at 01:47:59
76 average
141 maximum at 14:12
13251 beats in tachycardia
22099 beats in bradycardia (<60 bpm)
1.36 seconds max R-R at 05:33:14
2460 Isolated
7 Couplets
4 Bigeminal cycles
66 runs totalling 349 beats
14 beats longest run 173 bpm
4 beats fastest run 196 bpm
Heart rates
44 minimum at 01:47:59
76 average
141 maximum at 14:12
13251 beats in tachycardia
22099 beats in bradycardia (<60 bpm)
1.36 seconds max R-R at 05:33:14
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