holter monitor result

[bnel65]

I am  46 y and from 2 month ago I start to feel change in my heart beat from time to time it goes faster for few seconds or minutes , I did a holter monitor 24 h and  I got a result
General Heart Rates
105988 QRS complexes 54 Minimum at 00:01 22-Mar
97 ventricular beats(<1%) 85 Average
0 supraventricular beats(100 bpm),11% total
61 beats in bradycardia(<60 bmp),<1total
1.32 Seconds Max R-R at 00:01:11 22-Mar

Ventriculars (V, F, E, I) Supraventriclars ( S, J ,A )
97 Isolated 0 Isolated
0 Couplets 0 Couplets
0Bigeminal cycles 0 Bigeminals cycles
0 Runs totaling 0 Beats 0 Runs totaling 0 Beats
Interpretation
• Underlying Sinus Rhythm with Rates from 54 to 123 BPM ( High Average Heart Beat of 85 BPM)
• Rare Isolated APBs, No SVT
• No Atrial  Ectopy
• No Important Pauses
• No Significant ST Shift
• Symptoms Noted on Diary Correlated with Isolated VPBs

[Mom2four85]

opps I spelled his name wrong! so sorry http://www.medhelp.org/doctor_profiles/show/645869

[Mom2four85]

it was just a suggestion because I like to think outside the box hehehe

I was quite shocked I had Moderate OSA  because my holter showed a minimum heart rate of 67 and Sleep study showed even in REM my HR only went down to 46, yet I woke up over 72 times in 4.5 hours and my OX was 75% yet I was dx with profound bradycardia on other tests :P

Dr. Stephen Park a sleep specialist here says Bradycardia is a HR of 40 during sleep vs 60 during the day, and Tachycardia is 90 during sleep vs 100 during the day - his sleep seminars are great and you learn alot of information from them =)

[curmudgen]

excerpted from heartpoint.com web site  -  this seems to sum up the info on heartbeat rates....

"Basic concepts -- Normal heart rates
A "normal" heart rate is defined as anywhere from 60 to 100 beats per minute at rest. These numbers are pretty arbitrary, and many people have slower or faster rates than this and are still "normal". The range of normal, counting sleep and daytime activities, is around 45-95." .... "A slow rate is particularly common among active people such as athletes. Many people are "just born with" a slow heart rate. There is not necessarily anything wrong with having a rate less than 60 beats per minute. In fact, most people's heart rate goes lower than 60, and may even go as low as 30-40 beats per minute, when they sleep. Physical activities or emotional excitement, typically cause rates greater than 100."

[is_something_wrong]

Of course, Holter monitorings are worthless unless you have symptoms. But in the post you wrote "symtoms in diary" so I thought you had symptoms.

Lisa: Don't we all have bradycardia during sleep? A minimum heart rate of 54 is in my opinion high, not low. On my Holter my lowest heart rate was 38 and this was completely normal according to my cardiologist.

[curmudgen]

Adding to tom_h comment regarding 30 day Holter.  An event monitor will allow you to record the episodes when you get them and send them back to the lab.  Usually they issue them for a month but since you determine when to record you can shorten that time period.  I captured significant PVC's on day four and didn't need to wear it any more.  Good luck.

[tom_h]

So, I'm wondering if you felt any of the odd heart beats during the Holter monitoring?  After numerous 24hr. Holter tests, and equally numerous results of "you look good", I got a 30 day, 2 lead monitor.  Then it wasn't "you're fine" anymore.  I'm a firm believer that a Holter isn't good for paroxysmal events like SVT.  If you think you're still feeling them, but the Holter says you're fine, push for a long term monitor.  Your chances of catching what you're feeling go up 30X.

[Mom2four85]

I posted on your other thread also...the only thing I would ask about is how many of your 61 beats in bradycardia is night time...if most at night it could be sleep apnea and you need to get a sleep test done to rule that out.

[is_something_wrong]

Seems like a very normal Holter result (of course, your doctor needs to verify this).

Your average HR is a little high, still within really normal limits, but how is your exercise condition?

The amout of PVCs and PACs is well within normal limits. The report said "No Atrial Ectopy" but still "Rare Isolated APBs" (PACs) is a bit confusing but doesn't matter at all. I guess you have some of both.

I think most people on this community would envy your results.

You have no pauses in the heart rhythm, you have a normal sinus rhythm with no arrhythmias, no sign of lack of oxygen in the heart muscle, no slow heart rate, and no rapid heart rate.

Congratulations!