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monitor

If something bad showed up on an event monitor would the hospital get in touch even at a weekend?
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144586_tn?1284669764
Not necessarily.

In some cases the events are downloaded into a computer which isn't evaluated until after the weekend.

Again, we have to define "something bad".

"Something bad" is not necessarily an ebent that is immediately life-threatening.
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Avatar_f_tn
That depends on the type of monitor you are wearing.  If it is a 24 hr or even a 48 hr monitor, the odds are that the monitor only records but does not send the data automatically back to the doc's office.  When you return the monitor, the data is downloaded at that time.  If you are wearing a 30 day event monitor that has a transmitter (like a cell phone) then there is that possibility.  I wore 30 day type several times.  The way that worked for me was the monitoring company (Life Watch) monitored the activity.  If something abnormal popped up, they contacted the doc; then the doc called me.  I hoped that answered your questions.
ksig
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Avatar_f_tn




It is a 30 day event monitor, do they tell u about m e type of rytham they c?? I worry about v tach
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Avatar_f_tn
Any one???
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1137980_tn?1281289046
With a 30 day holter monitor as they are mostly called as ksig says they just record the events and the doc then puts the results on his or her computer screen or they will do it via sound waves that the computer will decipher the results for them.  There are definately some "live" monitors out there...i had one where if something unusual were picked up it notified the call center automatically and the call center person read/listened to the results and then notified the doc if they felt it could be dangerous.....and yes the doc knows about the rhythm it reads and knows where to go from there...i think it may be very very important that you lose that word V Tach unless your doc has told you and confirmed that you have it.  Hopefully it isn't coming from doing research on the internet because when we have issues the internet is not our friend believe me...we tend to zoom onto the worst of the worse symtoms (symptoms) and believe it is happening to us...not good.  Did the doc tell you he or she felt you may have V Tach or just issues of tach?  We are talking apples to oranges here bexarooney.....personally i wouldn't even go there unless this was confirmed...millions of people have tach d out at one time or another and many times it is benign.....i know you are sensitive right now because you are on the event monitor but don't take this to the next level....if you were truly suffering from V Tach as you are reading this i seriously doubt you would be posting....it takes on a life of its own with its own very very specific symtoms (symptoms)....relax a little and tell yourself you are on the road to awareness in knowing what the heck is going on with you via the monitor and you will finally have your questions answered.......a monitor is just a tool to help the doc since they can't be with us 24/7 (no thank you!!!) try to make yourself relax and accept this for now but if you do have some symtoms (symptoms) that are seriously effecting you then call the doc holiday or no holiday....
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Avatar_f_tn
I am afraid it is because I have been on the internet, the dr has said that I have ist but I worry they miss stuff!! I have been on a heart ward for a wk on a constant monitor, 4 24hr ecgs, echo, tilt test, loads of resting ecg and an event monitor the only thing they see when I hav palps is sinus tachy but I just worry they missed sumthing , my palps have beemn caught on a monitor loads of times each time they just say ist am I being paranoid??I have had my results assessed by an ep to who also agrees that all is ok any reply is appreciated
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967168_tn?1343732745
It is frightening to think maybe someone missed something.  A suggestion I make often is to request a copy of all your test results and do it asap after a test is done, write down anything see you may have questions about and then make an appt to see your doctor.  DO NOT leave until they answer every question you have in a satisfactory manner - you're the patient who pays them for a service.  

I wish I had done this a year ago, I am left a year later wondering who left out what and why things were missed on test results and surgery I had.  Now I can't go back to the same doctor and ask - what is this and what does that mean? tell me in my terms.
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Avatar_f_tn
Any other thoughts?? Reassurance?? From is something wrong wud b good
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1347434_tn?1282595378
Bex,

I wore a monitor all of August and on the very last day of monitoring I had a 9 beat run of non-sustaned v-tach.  Up until that day, the techs never said anything more than "I can see some premature beats."  

The day I recorded the run the tech said, "Well, you definitely had a little run there.  I'm faxing this to your doctor right away."  Then she confirmed my phone number and told me the cardio might be calling.  She never said what the run "was" like as in SVT or VT, but I knew the second I played it back over the phone.

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Avatar_f_tn
yikes guys was after a bit of reasurance not to be scared to death!!!
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Avatar_f_tn
also i have been extensivly investigated..... as compared to you bypeep did u only have was it 2 24 hr holtors??? sorry was after someone to maybe put my mind at ease x
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1124887_tn?1313758491
Hi,

Sorry - I'm probably not so much of any help here, we don't have those event monitors in Norway (we have Holters, we have a so-called R-test that is one channel Holter during a week, and we have implantable event recorders but I don't think they are connected to the hospital), so I don't really know how they work.

But to answer this in general:

You seem really scared of this V-tach events. You really don't have a reason to be.

Even sustained V-tach isn't deadly in healthy individuals (if healthy people get sustained V-tach, it usually originating from the pulmonal valve and less dangerous). People with thousands of PVCs daily sometimes tend to get a brief run (that tecnically is V-tach) but it's not dangerous.

Runs of rapid heart rate is almost always SV tachycardia (SVT, including sinus tachycardia) in healthy hearts.

The connection between V-tach and V-fib (sudden cardiac death) is non-existent in healthy hearts. V-fib requires several spots firing V-tach simultanously, due to a major imbalance in the repolarization time of the heart, and it happens ONLY in the setting of 1) Severe heart attacks, 2) LQTS, 3) Severe mineral / electrolyte disturbances  4) Infections in the heart muscle disabling some areas, 5) Extremely quick WPW paths combined with atrial fibrillation and 6) electrical shocks or heart muscle damage due to injuries (knives, guns, etc).

To sum this up:

1) You're not even sure you have an "arrhythmic" tachycardia.
2) If you do, it's almost certainly SVT
3) Even if it's V-tach, in a healthy heart, it won't kill you.



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1124887_tn?1313758491
By the way,

From your other post, I see you only have PACs (atrial premature beats) and the events of rapid heart rate is sinus tachycardia.

I'll say this as clear as I can: FORGET ventricular tachycardia!!

PS: It's always a little "russian roulette" to read other people's experiences, which is the reason reading up on this stuff is a bad thing (trust me..........)

I know Lisa has a scary story, but this is not you! You haven't captured a single PVC on Holter! If you captured 10k+ PVCs on Holter, this could have been an issue, but you don't!

And I know Bypeep has captured a short V-tach run on an event monitor. Again, this is not you. And the 9 beat run of VT is probably completely benign.
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1347434_tn?1282595378
Bexa,

I had a 24 hour holter monitor in June and it only showed 2 PAC's.  My GP sent me to a cardio after I continued to complain of severe runs happening more frequently.  I have a clean echo and ECG.

My EP felt safe enough sending me home for 2 weeks before my EP study with no meds so I'm feeling confident that they're not hugely concerned about the VT.  I get to have a non-sedated EP study on Thursday. Yay.

My cardio said that, like is_something_wrong noted, even if I went into sustained VT I'd probably survive it given my clean echo.  But then again, I had to beg him for an event monitor and follow up.  He assured me that all he was going to find were premature beats coming from my atria - and he was right for 29 days of the study - all I had were PAC's allllll month long (until I ovulated...).  On the 30th day I had my run.  Mine appears to be monomorphic though I do have other PVC's that are coming from different foci.  EP doc is just being cautious by ordering a cardiac MRI.

If you feel that something isn't being picked up, ask for another monitor.  If there is another rhythm that you are experiencing that they haven't caught yet (one that feels and acts totally different than your single ectopics and sinus tach) then it's worth investigating.  I have numerous arrhythmia's and they are just now realizing that after 20 years of complaining about them that they were wrong all along.  More than likely, you're just having run of the mill SVT or PACs though.  I wouldn't panic - but push for a longer evaluation period if you think there is something major they are missing.  I pushed because they kept only picking up my single events, not my big-bad ones.  I'm glad they did because now I know - and they know!  Peace of mind is the best thing on earth when it comes to your heart.



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Avatar_f_tn
i was reassured !!!! not now !! thanx again
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Avatar_f_tn
How do u no u r having pvcs from different foci if all they caught were pacs
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1347434_tn?1282595378
24 hour holter caught 2 PAC's
30 day monitor, last day caught run plus other pvc's all day long

The question is this - are you experiencing something that they haven't caught yet?  If they have recorded the things you believe are happening, then you really shouldn't worry.  Your echo is normal and this is a really good thing because it means that your heart is strong and will right itself when you get these annoying extra beats.
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Avatar_f_tn
hi bypeep sorry if i have sounded a bit off!!! i have bad anxiety over my heart.... over 5 years i have caught runs on a monitor as i said i was a week on a cardiac ward on a constant monitor and have sent a run through on my event monitor, i felt 2-3 quick skips , it beeped about 7 times on the phone!! they said it was nothing!!!  so i think i am comparing myself to you but u never had a run captured until that one on the last day of your holtor so i think i should stop worrying do you!! thanks for your advice
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1124887_tn?1313758491
It's really easy. Everything is about getting symptoms "on tape".

If you, say, go to a doctor and complain about palpitations, get a Holter done, and experience the palpitations you complain about, and the results are 10 PACs and some sinus tachycardia, you are cleared. If you complain about dizziness and rapid heart rate, and you don't have symptoms during the monitoring, you need an event monitor regardless of how many or few PACs you had. However, if you felt the dizziness and rapid heart rate, and it turned out to be sinus tachycardia, you are cleared.

It can be explained by the following "matrix":

You feel symptoms and you have an arrhythmia = Diagnosis clear (arrhythmia)
You feel symptoms and you don't have an arrhythmia = Diagnosis clear (nothing)
You don't feel similar symptoms and you don't have an arrhythmia = More testing needed.
You don't feel symptoms and you have an arrhythmia = Diagnosis (arrhythmia) but further testing is still needed.
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1347434_tn?1282595378
Bexa,

If you sent a recording through and you heard 7 quick beeps and it was definitely a run and they said it "was nothing" then I'm assuming it was a run  of PAC's.  If it had been PVC's I'm 100% certain they would have said something - not necessarily told you what it was - but confirmed your location or phone number or whatever.  They made sure they knew whether I was at home or work after I sent mine in - as a precaution no doubt.  My cardio didn't get back to me, but then again I had an appt with him the following day.  Another girl I met on here had a 6 beat run of NSVT and they had her call back with another recording in 15 minutes.  Mine they told me they were contacting my cardio immediately.  They didn't do this with you - you're going to be just fine.


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Avatar_f_tn
thankyou everyone for your help i am just going to leave it to the drs now i am driving myself crazy all this worry!  by peep i def felt a good 2 or 3 in a row so i guess thats a run??? i i heard about 7 quick beats on the transmision so it is good they said it was ok isnt it!!!! i can beleive it has taken all this time for them to catch a run for you!!! have u just always had single  palps when u have been on a monitor then???
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967168_tn?1343732745
I've never had a 30 day monitor or really anything above a 24hr holter, but it sounds like it would drive me crazy - having to push the button all the time and then waiting and worrying about what it is or if it's dangerous and even worse - when I read the tech on the other end said it picked up something - I'd be biting my nails and that's something I would never do.

relax forget about the monitor and the arrythmia's; unless they tell you to get stressed to test your heart - I even read someone say their dr said an energy drink was ok to drink during the test; which shocked me but I'm not a dr so what do I know :P

I would love to do a poll they could sticky here and see how many actually have dangerous or malignant arrythmia's that have been diagnosed so others could see how rare it is and might get some comfort from that.

I've had too numerous vtach runs to keep track of; pvc's couplets, triplets, salvo's - bigeminy/trigeminy all caught on monitors, sometimes even dr's are amazed at my weird rhythm's and will watch my monitors not believing I don't stress or freak out over them. I never went to the ER or camped the doctors office and until after my ablation I only took meds once; that was enough for me with the side effects of Toprol.

Take some comfort in knowing that even with vtach; sustained or non you can live through it - it's important to find out the where & whyfore's of it; so it can be treated.  You can live through Vfib; some of us have with the help of someone who were with us or like me with the doctors during my surgery, even if someone develops pvc induced cardiomyopathy, that too can reverse and often does after the culprit is found that causes it you can live fine and deal with it.

While I don't understand all of my case or what's wrong with me, even doctors don't understand it all - I have a way of dealing with it and moving forward that can be a good or bad thing - sometimes ignorance is bliss and sometimes blindly looking the other way doesn't work =)  you have to find what works for you and what will calm you and help you cope with things.  Track your triggers and keep a detailed journal to see if you can find what helps or makes your symptoms worse.
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