Holter monitor report

[Rujak]

My mother aged 57 has been advised to undergo holter monitor report.the report is as mentioned below
I want to know whether she need to have a pace-maker in near future or very thing is fine on the report??

DEPARTMENT OF CARDIOLOGY
REPORT OF HOLTER MONITORING (24 HOURS)


BASIC RHYTHM
:
    Sinus.

MAXIMUM HEART RATE
:
   115 /Min  
MINIMUM HEART RATE
:
   37 /Min  
AVERAGE HEART RATE
:
   61 /Min

TOTAL BEATS ANALYSED

:
    89221
SUPRAVENTRICULAR PREMATURE COMPLEXES
:
   16 (2.5 Sec) or AV block   seen.
4) No significant ST depression seen.
5) Patient did not report any symptom


Thanks,
AB

[windwah]

After two years of looking for a diagnosis for the pulsing in my ear I went to a third doctor, eye and ear specialist, who did a CT-scan. He discovered I have Superior Canal dehiscence. I suggest everyone on this look it up. I have a hole in my ear canal. I am scheduled for more testing. Living with this noise is driving me crazy. I believe the fix is surgical. I will know more in a few weeks.

[itdood]

Do you have an understanding of what pacemakers are used for?  They are used for people when their heart rate is too slow or if they have complete AV block, which this report does not indicate.  The indication for "too slow" usually should include symptoms but it seems your mom isn't reporting any symptoms.

Anyways, that decision comes from the doc.  This board is made up of anonymous patients, none of us are experts.  This isn't a good place for a second opinion.  One could make arguments both ways based on this info.  For one thing, the minimum of 37 and average of 61 is quite low, but if your mom isn't reporting symptoms from this, I think the recommendation would be not go with a pacemaker.

[Rujak]

sending the report again

BASIC RHYTHM
:
    Sinus.

MAXIMUM HEART RATE
:
   115 /Min  
MINIMUM HEART RATE
:
   37 /Min  
AVERAGE HEART RATE
:
   61 /Min

TOTAL BEATS ANALYSED

:
    89221
SUPRAVENTRICULAR PREMATURE COMPLEXES
:
   16 (<1% of total QRS complexes)
VENTRICULAR PREMATURE COMPLEXES

:
   10 (2.5 Sec) or AV block noted.
PAUSE

:
The longest R-R interval was 1.59 Sec at 9:35 PM.
ISCHAEMIC EPISODES

:
No significant ST depression seen.
ECG DURING SYMPTOMS
:
No symptoms were reported.


IMPRESSION :
1) Baseline sinus rhythm with episodes of sinus   tachycardia and sinus bradycardia.
2) Few isolated ventricular and supraventricular  ectopics seen.
3) No significant pause (>2.5 Sec) or AV block   seen.
4) No significant ST depression seen.
5) Patient did not report any symptom