Heart Rhythm Community
Is it even catching the problem?
About This Community:

This patient support community is for discussions relating to heart rhythm issues, arrhythmia, irregular heartbeat, implanted defibrillators, pacemakers, and tachycardia.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Is it even catching the problem?

I just received my Cardionet 30-day dual alert a-fib monitor today and I'm a little frustrated. But maybe I misunderstood how it works.

First off, I guess I should explain my condition? I'm being checked out for premature ventricular contractions (PVC), and have episodes every few minutes, a hundred or more noticeable palpitations per day. I previously had a 24-hour Holter monitor that recorded continuously, but the cardiologist said he couldn't see anything wrong. My primary doctor wasn't satisfied with that and ordered the 30-day a-fib.

My first concern is that this monitor only holds 6 recordings at a time. If I try to record every episode I have, I will be making multiple calls throughout the day to submit them. Which isn't really a problem more than an inconvenience, except that I don't think the monitor is even catching the contractions. Episodes only last 1-2 seconds (and are unpredictable), and my heartbeat completely goes back to normal before I can start a recording.

My doctor mentioned that this monitor records continuously for 2 minutes but doesn't save unless I press the record button, so in theory it should be catching the contractions. But since I've started trying to record my episodes today, that doesn't seem to be the case. It sounds like it doesn't START recording until I press the button, which in my case is kind of useless. Is anyone familiar with these? Do you have any suggestions for another type of monitor that might work better?
9 Comments Post a Comment
Blank
1464004_tn?1384139333
I work for a cardiologist. He uses Cardiomet monitors and he considers them very reliable. First, are you being checked for a-fib or PVCs? Benign PVC in a structurally healthy heart are harmless. Even up to 20k a day ( which I average during flare ups) don't get my docs attention. Have you had a cardiac work up? EKG, Echo, stress test?  If you have and they're good then so are you. If you haven't do so even just for piece of mind. Good luck and keep us posted on how you're doing!
Blank
1464004_tn?1384139333
Just to be clear 100 or so PVCs per day is a very low number. Virtually everyone has PVCs it's just that most people don't feel them.
Blank
Avatar_m_tn
Oh, I didn't know 100 was considered so low! I did some research and knew that it wasn't particularly dangerous, just annoying. Some are strong enough to wake me up at night, and I was admitted to the emergency room a little over a month ago with chest pain and irregular heartbeat (that prompted the monitors). The ER did an EKG and took some x-rays and sent me to my primary doctor, who ordered this thing.

I really just need to know for sure that it is indeed PVC in case something comes up in the future. I'm leaving the country to teach and need to have documentation of everything just in case!
Blank
1464004_tn?1384139333
It definitely wouldn't hurt to have the work up and it will help you feel better about dealing with them I bet.
Blank
86819_tn?1378951092
Yes, PVC's that occur in the absence of heart disease are supposed to be nothing to worry about.  However, if you see an ep in follow up, they may have a couple of questions for you once you turn in the monitor. Usually, the first questions asked pertain to any risks of heart disease you might have. Big factors include unexplained chest pain, shortness of breath, difficulty exercising or sedintary lifestyle, poor diet, overweight or smoker, lipids out of control, family history of heart disease before age 65, and so on. If you have risk factors, you'll probably need some testing.  When I had this happen to me, my ep was quite concerned and suggested to me that I scale down my exercise until all testing was complete and evaluated with favorable results.

I would go to the doctor and get their input on your plans to travel.
Blank
86819_tn?1378951092
Hi. Not sure how I did it, but I manged to place my post it in the wrong thread. Really sorry, please disregard my comment.
Blank
Avatar_n_tn
By way of reassurance, I often have thousands of PVCs a day and my doctor is not concerned. I had a 24hr monitor a few years ago and didn't feel any - but it recorded 300, doctor not at all concerned. You are quite right to get these checked out though and it sounds like your Dr is being thorough and making sure they catch the palps so they know exactly what they are.
Blank
1423357_tn?1373023915
I don't think anyone has addressed your question, so I give it a shot.  The recorder is always on and recording your heart's electrical activity.  When you feel an event and press the button, the recorder jumps back a preset amount of time and commits that period along with a preset amount of future activity to a memory slot.  When all the slots are filled. the recorder demands that you phone the event in, allows a reset which clears the slots for new recordings.  So the memories slots are essentially snippet recordings of the main recording.
Blank
1423357_tn?1373023915
Thought of something else to add:
Because your recorder jumps back a period of time, when you feel an event, you can wait and see if you get any multiple events, things that might be "worthwhile" looking at.  If you get a one off skip, you can choose to not press the button if you wish.  If you feel multiple events, you can then hit the button, your recorder will jump back the predefined amount of time, and commit that segment of time to a memory slot.

You provider should have educated you more on the operation of the recorder.  I knew its basic operation, what the presets were upon leaving.  Consequently when I had an SVT event, the recorder (in my case) went into the auto-record mode, jumped back 2 minutes in time and caught the initiation of the event.  It then recorded for three minutes before stopping.  When I was able to convert it, about 10 minutes later, I hit the button after I slowed it which made the recorder again jump back two minutes and capture my heart converting.  This information proved positive proof of my SVT and without a doubt served as the basis for my eventual cure.

It's always good to confirm what you're experiencing.  Perhaps when your cardiologist said that he didn't see anything wrong in the 24hr. Holter, he dismissed the several hundred PVC's on the recording as inconsequential.
Blank
Post a Comment
To
Top Arrhythmias Answerers
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1423357_tn?1414258965
Blank
tom_h
Central, MA
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
257552_tn?1404606154
Blank
Artaud
Pittsburgh, PA
995271_tn?1408549100
Blank
itdood
PA
MedHelp Health Answers
Recent Activity
1236893_tn?1408490528
Blank
Subject: Medicare (Part A and Part ...
5 hrs ago by gymdandee
Avatar_m_tn
Blank
Paxiled commented on Important Factors Typ...
19 hrs ago
Avatar_m_tn
Blank
Valkry commented on Important Factors Typ...
Oct 23
Heart Rhythm Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
Top Arrhythmias Answerers
1807132_tn?1318747197
Blank
michellepetkus
Chicago, IL
612551_tn?1247839157
Blank
Jerry_NJ
NJ
1423357_tn?1414258965
Blank
tom_h
Central, MA
1124887_tn?1313758491
Blank
is_something_wrong
Oslo, Norway
257552_tn?1404606154
Blank
Artaud
Pittsburgh, PA
995271_tn?1408549100
Blank
itdood
PA