holter interpretation

i recently had a 48 hour holter for palpitations.  i had 'minimally invasive ablation surgery' last year (three holes in the right side and a sort of pulmonary vein isolation) for atrial fibrillation.  i was in sinus rhythm briefly after the surgery, and after four months was successfully electrically cardioverted.  a few months later, i noticed palpitations upon retiring and occasionally when leaning against something while seated.  the holter was run to see what was up.  the holter results were these:

ventricular events:  total beats 437.  %beats 0.20.  forms 22.  no couplets or triplets and 1 bigeminy run.  max ve/min 6.  max ve/hr 52.  mean ve/hr 9.7.  ve/1000 2.0.

supraventricular events:  total beats 8657.  %beats 3.99.  couplets 430.  svtach runs 92.  longest 22 beats.  max rate 166 bpm.  max sve/minute 37.  max sve/hr 551.  mean sve/hr 192.4.  sve/1000 39.9.

impressions and findings:  sinus rhythm.  occasional premature ventricular complexes.  frequent premature atrial complexes, 430 atrial couplets.  brief runs of spuraventricualr tachycardian, max rate of 166 beats per minurte, longest 22 beats duration.

i've been told this is not unusual and everybody has some irregularities and not to worry about things.  either they'll get better or they won't.

what do you think?

regards,

davetee

[davetee]

i got lab results back from a routine physical and they show low tsh.  we're awaiting further tests, but it looks like the culprit is either graves' disease or amiodarone induced thyrotoxicosis.  one of the side effects of bad thyroid levels is pacs and pvcs.

goes to show not all irregularties other than diagnosed afib or flutter are benign things that 'just happen.'

regards,

davetee

[davetee]

sorry to have the 'to whom it may concern' label on my previous post.  i couldn't figure out what i had done with your name.  my apologies.

regards,

davetee