
Having Rapid Heart Rate At Night. On Holter Monitor. EKG Done. Looking For Suggestion

Thank you for writing to us.
I have looked into your EKG. And along with your main query, I also noticed a few other abnormalities. I shall list them all for you.
1. QT/QTc interval is indeed prolonged (also called Torsades de Pointes), which means you would have to seek immediate medical attention for the same. (Please avoid any disturbances at night, especially the alarm clock, kindly find an alternative. Also, please avoid all forms of exercise for a while. Physical activity is fine, but no exercise please. Visit a doctor, a course of beta blockers should also help, as you are at a high risk with QTc interval of > 500 ms)
2.The 'm' shaped complexes seen in your EKG indicate a block (do not mistake this for a layman's understanding of a block in the heart, it is a condition which is named a block). Due to the presence of this feature in different parts of the EKG, the block is called an intraventricular block
3. Inverted 'T' wave: the causes for this particular finding in the EKG can be the following: the bundle branch block (we spoke about in point 2), ischemia of a part of the heart, ventricular hypertrophy, hypertrophic cardiomyopathy
These are the findings. Please consult a doctor at the earliest ma'am, I wouldn't wait for the results of the holter device, as this is time consuming. I would also like to mention that long QT syndrome is either congenital or acquired. You seem to have the acquired form, this is usually caused by medications (astemizole, terfinide, cisapride, quinine, procainamide, bretylium, ibutilide, dibutilide, amiodarone, sotalol) plus risk factors (female sex, cardiovascular disorders).
I hope this information helps. Do write back to me for any further clarifications or information. I would be glad to help. Please do take care.
Best wishes.


Prolonged QT syndrome will require immediate management as it increases the risk to a number of serious cardiovascular events. Thus, as requested earlier, do consult a doctor and be supervised by him/her at all times.
Best wishes.


Best wishes.

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