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What Does This ECG Report Indicate?
Question: Hi again!
During a 24 hr ecg, they found what they said was a AV block II Two pauses during 72 hrs monitoring
The cardiologist discussed this finding with the people that put pacemakers in, and they reported back no PM needed for this, as I had no symptoms there and then at the moment it accured.
I then went with a week registration, and no pauses were found.
However. I have for some years had this strange feeling. Its like a "seizure" that is just for a half a second, and it feels like almost electric sensation in my head, or it makes my jolt/twitch my head to the left in a sudden motion. Now I wonder if this may be the pauses I feel that makes me "zone out" for a millisecond as the pauses occurs?
Its almost like an adrenalin rush in my head, I dont feel any rythm change in heart or anything but as I googled it, some say they felt a "rush" when the pauses occured.
Might this be, that these strange sensations are really the pasuses?
Its almost like when you are about to fall asleep, you "jerk" just before you fall asleep. But only in the "brain"?
As I googled and became more aware of it, I find that it almost now gives me a sign before happening with a anxious feeling in the stomach and then it comes. Its all over in aa second.
During a 24 hr ecg, they found what they said was a AV block II Two pauses during 72 hrs monitoring
The cardiologist discussed this finding with the people that put pacemakers in, and they reported back no PM needed for this, as I had no symptoms there and then at the moment it accured.
I then went with a week registration, and no pauses were found.
However. I have for some years had this strange feeling. Its like a "seizure" that is just for a half a second, and it feels like almost electric sensation in my head, or it makes my jolt/twitch my head to the left in a sudden motion. Now I wonder if this may be the pauses I feel that makes me "zone out" for a millisecond as the pauses occurs?
Its almost like an adrenalin rush in my head, I dont feel any rythm change in heart or anything but as I googled it, some say they felt a "rush" when the pauses occured.
Might this be, that these strange sensations are really the pasuses?
Its almost like when you are about to fall asleep, you "jerk" just before you fall asleep. But only in the "brain"?
As I googled and became more aware of it, I find that it almost now gives me a sign before happening with a anxious feeling in the stomach and then it comes. Its all over in aa second.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello XXXX!
Welcome back on HCM!
I passed carefully through your medical history and uploaded ECG recording and would like to explain as follows:
As your actual rhythm monitoring tests hasn't revealed any significant cardiac conductance disturbances (probably that AV block grade II may be only type I [Wenckebach] and doesn't deserve pacemaker implantation), I agree with your doctors that those transient findings are not related with your feelings.
Also, the uploaded ECG recordings seem more likely to be artifacts that a true pause (the parallel lower recording confirms this conclusion).
But, from the other side, I agree with you that your prescribed unpleasant feelings may be related to a potential cardiac conductance disturbance as well as any other rhythm disturbances.
Coming to this point, it is necessary to confirm such a hypothesis if it really is present. One rationale approach for properly investigating this matter is to incorporate a loop monitoring device, which offers a much longer monitoring period (months to years) and may be able to correlate those "zone out" periods (when they occur) with any detected cardiac impulses abnormalities.
Besides a cardiac loop monitoring, I would recommend discussing with your attending doctor on the possibility of performing an EEG (electroencephalogram) for excluding any potential brain electrical seizure which alternatively could explain those abnormal feelings.
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello XXXX!
Welcome back on HCM!
I passed carefully through your medical history and uploaded ECG recording and would like to explain as follows:
As your actual rhythm monitoring tests hasn't revealed any significant cardiac conductance disturbances (probably that AV block grade II may be only type I [Wenckebach] and doesn't deserve pacemaker implantation), I agree with your doctors that those transient findings are not related with your feelings.
Also, the uploaded ECG recordings seem more likely to be artifacts that a true pause (the parallel lower recording confirms this conclusion).
But, from the other side, I agree with you that your prescribed unpleasant feelings may be related to a potential cardiac conductance disturbance as well as any other rhythm disturbances.
Coming to this point, it is necessary to confirm such a hypothesis if it really is present. One rationale approach for properly investigating this matter is to incorporate a loop monitoring device, which offers a much longer monitoring period (months to years) and may be able to correlate those "zone out" periods (when they occur) with any detected cardiac impulses abnormalities.
Besides a cardiac loop monitoring, I would recommend discussing with your attending doctor on the possibility of performing an EEG (electroencephalogram) for excluding any potential brain electrical seizure which alternatively could explain those abnormal feelings.
Hope to have been helpful to you!
In case of any further uncertainties, feel free to ask me again.
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you very much
So what you say is that this feeling i tell you is not something one feel from a potential av block?
And that the ECG May just show artefacts?
Should i worry?
So what you say is that this feeling i tell you is not something one feel from a potential av block?
And that the ECG May just show artefacts?
Should i worry?
Brief Answer:
My opinion as follows:
Detailed Answer:
Hello again, dear XXXX!
Regarding those uploaded ECG recording, I would reply YES! Those encircled findings seem very likely to be artifacts.
So, relax and don't worry about them!
Meanwhile, as I mentioned above, the medical information gathered as far, is not sufficient to blame any potential connection between those strange feelings and really confirmed episodes of high degree AV blocks.
A I said, a cardiac loop recorder monitoring is necessary to definitely elucidate this issue.
Also, an ECG is highly advisable to exclude any cerebral implications on the matter.
Regards,
Dr. Iliri
My opinion as follows:
Detailed Answer:
Hello again, dear XXXX!
Regarding those uploaded ECG recording, I would reply YES! Those encircled findings seem very likely to be artifacts.
So, relax and don't worry about them!
Meanwhile, as I mentioned above, the medical information gathered as far, is not sufficient to blame any potential connection between those strange feelings and really confirmed episodes of high degree AV blocks.
A I said, a cardiac loop recorder monitoring is necessary to definitely elucidate this issue.
Also, an ECG is highly advisable to exclude any cerebral implications on the matter.
Regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you very much dear doctor
I have just turned in the last holter and While i had that on me i had these strange sensation so i guess i will find out when i get answers from that
Thank you again. Sorry for many questions
I have just turned in the last holter and While i had that on me i had these strange sensation so i guess i will find out when i get answers from that
Thank you again. Sorry for many questions
Brief Answer:
You are welcome!
Detailed Answer:
I remain at your disposal for any further discussions, in case you have new relevant data in this regard.
Please, let me know how the results will conclude!
Best wishes,
Dr. Iliri
You are welcome!
Detailed Answer:
I remain at your disposal for any further discussions, in case you have new relevant data in this regard.
Please, let me know how the results will conclude!
Best wishes,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hello again!
Speaking with my general physiscian now, he is not a cardiologist.
He say that he thinks it might be neurologic symptom this twictch or the rush to the head I explained.
Just to be clear. A pause in AV block will not manifest itself in such way that I can twist my head or get a surge/rush feeling?
Speaking with my general physiscian now, he is not a cardiologist.
He say that he thinks it might be neurologic symptom this twictch or the rush to the head I explained.
Just to be clear. A pause in AV block will not manifest itself in such way that I can twist my head or get a surge/rush feeling?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again,
Yes, I agree with your doctor that such a short pause would not be associated with a prolonged sensation.
I recommended holding a loop monitoring device to help to help you examine better your heart for any serious conductance disorders.
Anyway, I would recommend performing an EEG to exclude possible partial seizures.
Other tests to consider would be:
- thyroid hormone levels for possible thyroid dysfunction
- blood electrolytes for possible imbalance.
Hope to have clarified some of your uncertainties!
Wishing all the best,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again,
Yes, I agree with your doctor that such a short pause would not be associated with a prolonged sensation.
I recommended holding a loop monitoring device to help to help you examine better your heart for any serious conductance disorders.
Anyway, I would recommend performing an EEG to exclude possible partial seizures.
Other tests to consider would be:
- thyroid hormone levels for possible thyroid dysfunction
- blood electrolytes for possible imbalance.
Hope to have clarified some of your uncertainties!
Wishing all the best,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Hi good doctor. As ou see I uploaded the pdf from my lat 24 hr ecg Here I know I had some of these surges/twitch we spoke of.
Now, I see they say no pauses. But they set it to detect only at 2,5 sec or more. These surges I have is not lasting that long. I would say a second. So then I am curious that there still may be pauses, just that they are shorter than 2,5 seconds.
Now, I see they say no pauses. But they set it to detect only at 2,5 sec or more. These surges I have is not lasting that long. I would say a second. So then I am curious that there still may be pauses, just that they are shorter than 2,5 seconds.
Brief Answer:
Opinion as follows:
Detailed Answer:
Dear XXXX,
I reviewed the uploaded Holter monitoring results and would explain that noting serious has been detected: no pauses, no ventricular arrhythmias, no cardiac conductance disturbances.
So, relax!
Though no pauses (>2.5 sec) are detected, I would say that periods shorter that 2.5 sec are insignificant and could not explain your disturbances.
You should know that during sleep, pauses even 2.5 sec are not considered pathological.
Nevertheless, my personal professional opinion goes in favor of a more prolonged cardiac rhythm monitoring (as I explained you before by means of cardiac loop recorder).
Don’t forget to consider discussing with your attending doctor on the possibility of performing an electroencephalography (EEG) for properly exploring possible cerebral partial seizures (which could be a potential reason of your complaints).
Best regards,
Dr. Iliri
Opinion as follows:
Detailed Answer:
Dear XXXX,
I reviewed the uploaded Holter monitoring results and would explain that noting serious has been detected: no pauses, no ventricular arrhythmias, no cardiac conductance disturbances.
So, relax!
Though no pauses (>2.5 sec) are detected, I would say that periods shorter that 2.5 sec are insignificant and could not explain your disturbances.
You should know that during sleep, pauses even 2.5 sec are not considered pathological.
Nevertheless, my personal professional opinion goes in favor of a more prolonged cardiac rhythm monitoring (as I explained you before by means of cardiac loop recorder).
Don’t forget to consider discussing with your attending doctor on the possibility of performing an electroencephalography (EEG) for properly exploring possible cerebral partial seizures (which could be a potential reason of your complaints).
Best regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thank you for that. You are great!
If you see on the last upload, theres a timeset at 1803. And at approx 1800 oclock, I marked in my notes that I had this sensation. But, I dont know what this shows?
I did as well have the sensation at 0302 and 0305 aprox at night (next date 14.01)
So the latest report i uploaded isnt shoing anything?
If you see on the last upload, theres a timeset at 1803. And at approx 1800 oclock, I marked in my notes that I had this sensation. But, I dont know what this shows?
I did as well have the sensation at 0302 and 0305 aprox at night (next date 14.01)
So the latest report i uploaded isnt shoing anything?
Brief Answer:
Everything seems normal.
Detailed Answer:
Hi again,
You last upload is quite a normal sinus rhythm; there is no any extrasystoles, no concerning bradycardia or tachycardia; no arrhythmia at all.
So noting to worry about!
Even at 03:02 and 03:05 your Holter's event summary table doesn't show any pathological findings.
It doesn't seem any obvious correlation between your strange feelings and Holter records.
Regards,
Dr. Iliri
Everything seems normal.
Detailed Answer:
Hi again,
You last upload is quite a normal sinus rhythm; there is no any extrasystoles, no concerning bradycardia or tachycardia; no arrhythmia at all.
So noting to worry about!
Even at 03:02 and 03:05 your Holter's event summary table doesn't show any pathological findings.
It doesn't seem any obvious correlation between your strange feelings and Holter records.
Regards,
Dr. Iliri
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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