I recently received my 48 holter monitor results online. I have not heard anything from the doctor yet(therefore I'm assuming everything appears normal), but have a follow up appointment in a couple weeks.
Can anyone read this report and give insight as to what it means?
R on T: 0 Single PAC's: 10
Single/Late VE's: 8/0 Bi/Trigeminy: 0/0 Beats
Bi/Trigeminy: 3/0 Beats
ASDNN 5 SDANN 5
Min ST Level - holt_st_min_ch2 -
Max ST Level - holt_st_max_ch2 -
ST Episodes Ch1 holt_st_episodes2 Ch3
The quality of the recording was fair due to artifact.
The patient was in normal sinus rhythm with episodes of sinus arrhythmia,
sinus bradycardia and sinus tachycardia. The patient''s rhythm included 1
min 45 sec of bradycardia. The slowest single episode of bradycardia
at 9:01:56 AM D1, lasting 26 sec, with minimum heart rate of 44 BPM. The
patient''s rhythm included 42 min 46 sec of sinus tachycardia. The fastest
episode of sinus tachycardia occurred at 3:01:35 PM D1, lasting 1 min 10
with maximum heart rate of 162 BPM. Monitoring started at 3:05 PM and
continued for 47 hr 59 min. The average heart rate was 75 BPM. The minimum
heart rate was 43 BPM, occurring at 9:01:59 AM. The maximum heart rate
162 BPM, occurring at 3:01:37 PM.
Supraventricular ectopic activity consisted of 19 beats, of which, 6 were in
atrial couplets, 3 were late beats, 10 were single PACs. The longest R-R
was 1.5 seconds occurring at 7:02:39 AM D1.
Ventricular ectopic activity consisted of 50 beats, of which, 39 were in
PVCs, 8 were single VEs, 3 were in bigeminy.
No ST segment changes were noted. Sinus arrhythmia, PVC''s and PAC''s
noted with some reported symptoms or activities.
I am not a doctor so do follow up with yours to get a proper evaluation of the results but from what I can see it sounds like you have had a small amount of ectopic beats both pacs and pvcs but nothing alarming. You did have some bradycardia/slow heart rate of 43bpm. Were you sleeping at 9am? This can be common during sleep or in people with sleep apnea. As well you had some sinus tachycardia/fast heart rate of 162bpm at 3pm? Were you exerting yourself at that time? Going up a flight of stairs or something? Depending on what you were doing none of it sounds too alarming but again I am not a doctor. Do you have any symptoms when you experience these rhythm issues? What prompted you to get monitored? Has your heart health been previously evaluated? In any event from what I can tell though not necessarily 'normal' there doesn't appear to be anything too alarming going on. Do you have a follow up with your doctor scheduled? If not you may want to make an appointment just to make sure you can go over the results with the doctor and discuss any concerns or questions you have. Take care.
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