IRREGULAR HEART RATE

I have just received my results from Holter Monitor
Rate 59 to 185 bpm
VE's were frequest (1090) and included 3 triplets and 12 couplets.
25 runs of ventricular tachycardia were recorded
The longest run lasting 158 beats, the fastest 120 bpm
1 'ventricular run" at 14.44 appears to be ventricular pacing at 66 bpm
AE's were rare (45) _ 4 atrial couplets
1 Atrial run consisting of 4 beats with a maximum rate of 188 bpm
2.5 hours of atrial fibriliation was recorded representing 18% of the recording
The maximum rate was 185 bpm

As I have a pacemaker because my heart rate was 28, on Warfarin, aspro and Minax (2 per day).  I still don't know what this means, cannot get into the doctor until May.

Should I be concerned???

[Jerry_NJ]

It seems you are getting specialized care, strange you can't discuss you Holter with  your doctor until May.  May we at leas assume your results have received medical review and delay for an appointment with your doctor means this review says you are not considered in immediate danger/risk?

The only number that looks worrisome to me is the 185, at may age that would be way over my recommended HR maximum.  If you are under 60, the 185 may not be considered dangerous.. then too you do not indicate the recorder detected such a high number.

Sorry, not much help, perhaps others more expert on the details of a Holter run will reply also.

[Jerry_NJ]

Sorry on my misunderstanding, I see the 185 was on the monitor..thus the doctor must be aware of it.

[1991freeway]

My appointment with my cardiologist was made in November last year for May, my doctor gave me the print out to take to him, but he didn't say whether to make an earlier appointment.  I am 60 years of age and last year my pace maker had a recording of 7 times of high racing the longest period was for 17 hours, he upped my medication.  As I am now having these nearly on a weekly basis I was wondering if I should make my appointment earlier or wait till May?

[Jerry_NJ]

It may just be me, but I'd not wait until May, especially with the ongoing symptoms.  Are you in the USA?  I understand in countries (Europe and Canada for example) long waiting times for appointments with doctors is normal.

As a counter example, in NJ USA, I went in to see my Cardiologist for my 6 month check-up last Monday.  I complained about fatigue and he prescribed a in depth check-up and ordered a Nuclear Stress test and and Echocardiogram.  I said I'd call the test center when I got home so I could look at my calendar on my computer.  When I called the test center they suggested the next day, so on Tuesday I underwent both tests, and on Thursday my Primary Doctor called (his office assistant called) to tell me the Stress Test was normal.  I expect to hear from my Cardiologist soon on both tests.  He also ordered a 30 day monitor which I choose to have mailed to me rather than have it installed in the doctor's facility the same day I was there, last Monday.

I am 73, so on USA Medicare, a government controlled payment system.  It is a 80% (not full) coverage but it set charge rates well below the "list" price, and still I get that kind of service.  The legacy USA medical system is great, but I think it is now headed to the long wait for service you describe..

[1991freeway]

Thank you for your advice, I will phone on Monday to try and get in earlier.  I live in Australia and there are only a couple of Cardiologist's in our town.