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What Do These Holter Monitor Results Indicate?
Question: Hi
I had a 24 hr holter done to see if I had any arrhythmias. Here's a synopsis of the results:
-average HR 69
-highest HR was 112 at 2:45am
-lowest was 39 at 2:12am
-isolated rare PVCs (less than 5)
-isolated rare PACs; one couplet around 2:45am
-one XXXXXXX (three best run) around 2:45 (assume that explains the increased heart rate
-normal sinus rythm
------
Should I be worried that I had a PAT? Should I be worried Inhad some PVCs and PACs? No symptoms associated via diary to any events. Had normal echo done back in 2014. I suffer from lung Sarcoidosis (as far as I know limited to the lungs: diagnosed November 2016 via lung biopsy).
Is my heart okay? Should I ask for follow up tests or is this a good Holter result? Had prolonged QTc the EP thought was I fixed by Zoloft (SSRI) back in 2014; normal ever since. My typical EKG shows rightward axis and inverted t waves normal sinus--always told this is 'my normal'.
Thank you.
I had a 24 hr holter done to see if I had any arrhythmias. Here's a synopsis of the results:
-average HR 69
-highest HR was 112 at 2:45am
-lowest was 39 at 2:12am
-isolated rare PVCs (less than 5)
-isolated rare PACs; one couplet around 2:45am
-one XXXXXXX (three best run) around 2:45 (assume that explains the increased heart rate
-normal sinus rythm
------
Should I be worried that I had a PAT? Should I be worried Inhad some PVCs and PACs? No symptoms associated via diary to any events. Had normal echo done back in 2014. I suffer from lung Sarcoidosis (as far as I know limited to the lungs: diagnosed November 2016 via lung biopsy).
Is my heart okay? Should I ask for follow up tests or is this a good Holter result? Had prolonged QTc the EP thought was I fixed by Zoloft (SSRI) back in 2014; normal ever since. My typical EKG shows rightward axis and inverted t waves normal sinus--always told this is 'my normal'.
Thank you.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through Holter results and would explain that it indicates a normal heart rhythm.
Those rare isolated PACs and PVCs are quite normal in every healthy individual.
Regarding the XXXXXXX it can be related to your lung disease (sarcoidosis).
It is not rare, in persons with lung disorders (including sarcoidosis) to occur some degree of atrial rhythm disorders. This is also the most probable reason of your short XXXXXXX (only three beats), but it is quite irrelevant and it has no clinical significance.
So, in my opinion there is no need to perform any additional cardiac tests.
Hope you will find this answer helpful!
If you have any other uncertainties, please don't hesitate to ask me again!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
I carefully passed through Holter results and would explain that it indicates a normal heart rhythm.
Those rare isolated PACs and PVCs are quite normal in every healthy individual.
Regarding the XXXXXXX it can be related to your lung disease (sarcoidosis).
It is not rare, in persons with lung disorders (including sarcoidosis) to occur some degree of atrial rhythm disorders. This is also the most probable reason of your short XXXXXXX (only three beats), but it is quite irrelevant and it has no clinical significance.
So, in my opinion there is no need to perform any additional cardiac tests.
Hope you will find this answer helpful!
If you have any other uncertainties, please don't hesitate to ask me again!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you, Doctor--very reassuring. So my results are what you consider to be quite normal? Should I mention the XXXXXXX to my pulmonologist? I assume nothing can be done about it.
I'm afraid of heart sarc, which I understand is rare/not common. I have no indicTors from my holter if any blockage issues?
I'm afraid of heart sarc, which I understand is rare/not common. I have no indicTors from my holter if any blockage issues?
Brief Answer:
My opinon as follows:
Detailed Answer:
Hello again!
Your Holter monitoring has not revealed any signs (including the presence of block) suggestive of cardiac sarcoidosis.
So, relax and don't worry about it!
You can mention the XXXXXXX to your pulmonologist, but as I explained to you before there is nothing to be done for them, as they are clinically irrelevant.
Hope to have clarified some of your uncertainties!
I remain at your disposal whenever you have any other questions!
Wishing good health,
Dr. Iliri
My opinon as follows:
Detailed Answer:
Hello again!
Your Holter monitoring has not revealed any signs (including the presence of block) suggestive of cardiac sarcoidosis.
So, relax and don't worry about it!
You can mention the XXXXXXX to your pulmonologist, but as I explained to you before there is nothing to be done for them, as they are clinically irrelevant.
Hope to have clarified some of your uncertainties!
I remain at your disposal whenever you have any other questions!
Wishing good health,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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