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Interventional Cardiology (Expert Forum)
Holter Monitor Report
Answered by
Truman Medical Center
MO
Questions in the Interventional Cardiology forum are answered by medical professionals affiliated with the Truman Medical Center. Topics covered include acute coronary syndrome, angina , atrial fibrillation , cardiac catheterization , cardiomyopathy , drug abuse & cardiac disease, echocardiography , heart failure , hypertension & heart disease , lipid management , minorities and heart disease, peripheral vascular disease prevention, valvular heart disease , women’s heart health, and the warning signs of a heart attack.
Holter Monitor Report
by bondieluv, May 14, 2008 01:44PM
Hello, Doctor...
I am a 44 year old woman who had a holter monitor test for heart palpatations. Here are my results:
General
109769 QRS complexes
0 paced beats (<1%)
2823 Ventricular beats (3%)
4 Supraventricular beats (<%)
0 BB beats (<1%)
0 Junctional beats (<1%)
0 Aberrant beats
0 % of total time in AF/AFL
100 bpm), 12% total
22099 beats in bradycardia (<60 bpm), 20% total
1.36 seconds max R0R at 05:33:14
Supraventriculars (S.J.A)
4 Isolated
0 couplets
0 bigeminal cycles
0 runs totaling 0 beats
Recommendation from reading cardiologist, "This appears to show recurrent episodes of nonsustained ventricular tachycardia which are symptomatic. She will require a referral to an arrhythmia specialist and need an echocardiogram to determine her left ventricular function. In the interim if there is no contraindication to beta blockers, you should consider starting her on 25 mg PO BID"
I am now taking Metroprolol as prescribed, but I am worring myself sick. I tend to breathe shallow and I do get short of breath with the palpatations. Seems when I can keep myself calm none of this is an issue - but when it happens I worry which makes it worse - a vicious cycle. I am an active, busy mother of two and now I seem to stress about this constantly. I have an appointment for the arrhythmia specialist for June 10th. Please, can you tell me if I should be this worried?
Thank you.
~Karen
I am a 44 year old woman who had a holter monitor test for heart palpatations. Here are my results:
General
109769 QRS complexes
0 paced beats (<1%)
2823 Ventricular beats (3%)
4 Supraventricular beats (<%)
0 BB beats (<1%)
0 Junctional beats (<1%)
0 Aberrant beats
0 % of total time in AF/AFL
100 bpm), 12% total
22099 beats in bradycardia (<60 bpm), 20% total
1.36 seconds max R0R at 05:33:14
Supraventriculars (S.J.A)
4 Isolated
0 couplets
0 bigeminal cycles
0 runs totaling 0 beats
Recommendation from reading cardiologist, "This appears to show recurrent episodes of nonsustained ventricular tachycardia which are symptomatic. She will require a referral to an arrhythmia specialist and need an echocardiogram to determine her left ventricular function. In the interim if there is no contraindication to beta blockers, you should consider starting her on 25 mg PO BID"
I am now taking Metroprolol as prescribed, but I am worring myself sick. I tend to breathe shallow and I do get short of breath with the palpatations. Seems when I can keep myself calm none of this is an issue - but when it happens I worry which makes it worse - a vicious cycle. I am an active, busy mother of two and now I seem to stress about this constantly. I have an appointment for the arrhythmia specialist for June 10th. Please, can you tell me if I should be this worried?
Thank you.
~Karen
Doctor's Answer
by Douglas Bogart, MD, May 15, 2008 10:03AM
, May 15, 2008 10:03AMTo: bondieluv
These may be a benign finding but you need to be evaluated to make sure they are not a marker of underlying heart disease. Just get this evaluated--likely you will need a stress echocardiogram.
2460 Isolated
7 Couplets
4 Bigeminal cycles
66 runs totalling 349 beats
14 beats longest run 173 bpm
4 beats fastest run 196 bpm
Heart rates
44 minimum at 01:47:59
76 average
141 maximum at 14:12
13251 beats in tachycardia
22099 beats in bradycardia (<60 bpm)
1.36 seconds max R-R at 05:33:14
13251 beats in tachycardia (>100 bpm), 12% total
22099 beats in bradycardia (<60 bpm), 20% total
1.36 seconds maximum R-R at 05:33:14
(now you should have it all... )