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What do my holter monitor results mean?
Hello,
I'm a 25 yo female otherwise healthy who experiences palpitations and tachycardia episodes occasionally. I have now had 3 episodes of tachycardia, two in 2013, and one that lasted over 2 hours in December. This prompted me to go to the doc to make sure things were ok. He ordered a 48 he holter and an echo. The echo came back as normal, the holter showed the following:
Normal sinus rhythm
No PVCs
1128 PACs with one 11 beat slow salvo with a heart rate in the 90s
Mean heart rate 72
Range 49-132
No sinus pauses longer than 1.3 seconds
The times I indicated I had a palpitation were apparently not abnormal.
The doctor who ordered these tests has now referred me back to cardiology for them to analyze and determine if I need more testing. He said he would not have referred me just for the 1100 isolated PACs, but it is because of the one 11 beat stretch I had of them. I am having a hard time finding out what a slow salvo means.. I understood the doctor as indicating these 11 beats were all PACs, but a few searches mention salvo and ventricular tachycardia. Can anyone determine if these 11 beats were VT or SVT? I am trying to stay relaxed about this news, but the possibility of ventricular tachycardia is much scarier than SVT from my reading.
Also, does anyone have suggestions to minimize these arrhythmias? I am not super bothered by my heart, I have always felt palpitations daily since I was a child, but nothing too outrageous. It sounds like others are aware of every time they have a PAC or PVC, but I clearly am now. I have cut my caffeine in half and think I will start taking magnesium supplements. Also will try to manage stress, but abnormal heart results don't settle well with me..
I'm a 25 yo female otherwise healthy who experiences palpitations and tachycardia episodes occasionally. I have now had 3 episodes of tachycardia, two in 2013, and one that lasted over 2 hours in December. This prompted me to go to the doc to make sure things were ok. He ordered a 48 he holter and an echo. The echo came back as normal, the holter showed the following:
Normal sinus rhythm
No PVCs
1128 PACs with one 11 beat slow salvo with a heart rate in the 90s
Mean heart rate 72
Range 49-132
No sinus pauses longer than 1.3 seconds
The times I indicated I had a palpitation were apparently not abnormal.
The doctor who ordered these tests has now referred me back to cardiology for them to analyze and determine if I need more testing. He said he would not have referred me just for the 1100 isolated PACs, but it is because of the one 11 beat stretch I had of them. I am having a hard time finding out what a slow salvo means.. I understood the doctor as indicating these 11 beats were all PACs, but a few searches mention salvo and ventricular tachycardia. Can anyone determine if these 11 beats were VT or SVT? I am trying to stay relaxed about this news, but the possibility of ventricular tachycardia is much scarier than SVT from my reading.
Also, does anyone have suggestions to minimize these arrhythmias? I am not super bothered by my heart, I have always felt palpitations daily since I was a child, but nothing too outrageous. It sounds like others are aware of every time they have a PAC or PVC, but I clearly am now. I have cut my caffeine in half and think I will start taking magnesium supplements. Also will try to manage stress, but abnormal heart results don't settle well with me..
COMMUNITY LEADER
1. Forget the word Salvo exists, that is a very high burden of PAC's with SVT. Ablation is the treatment of choice.
2. Do NOT take Magnesium!!!! I wish I could meet whoever perpetuated this practice. Your problem has nothong to do with magnesium, and magnesium could make it worse.
2. Do NOT take Magnesium!!!! I wish I could meet whoever perpetuated this practice. Your problem has nothong to do with magnesium, and magnesium could make it worse.
3 Comments
Is it a lot of PACs, ~550 per day? It sounds like a lot to me, but others report thousands per day.
It's alot yes. Over 30 per hour is alot.
That means 770 per day is a good cutoff.
That means 770 per day is a good cutoff.
Oops I gotta admit.. I made a mistake! I didn't se '48 hour' holter. I thought you had a 24.
550 per day is still high but not something to stress over. 770 is the number thats been proposed to indicate serious issues down the line.
550 per day is still high but not something to stress over. 770 is the number thats been proposed to indicate serious issues down the line.
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