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I Just Recieved My 48 Holtor Report Back For Pvcs

Posted on Fri, 7 Jun 2019

Question: i just recieved my 48 holtor report back for pvcs and pacs. i have had an echocardiogram and an ekg. everything was fine the doctor interpretation said that there were a few pvc and occassional pacs. i have not heard back from the doctor for a couple of days. my concern is on the narrative summary where i had a 1:32 second run of st depression. i was not listed on the doctor%E2%80%99s interpretation. if it was a serious condition would he have listed it?

Answered by Dr. Bhanu Partap (3 hours later)

Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello

After going through the medical details provided by you I can understand your concern and I would like to tell you that few PVCS and occasional APCS are very common and wont causes any problem.

However as you are concerned about STT depression’s which could be important so before giving any opinion I would personally like to see your ECG report.

Kindly upload a clear image of your ECG so that i can review it and then advise you accordingly.

Kind Regards
Dr Bhanu Partap

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Bhanu Partap (27 minutes later)

Here%E2%80%99s a copy of the report you requested.

Follow up: Dr. Bhanu Partap (4 minutes later)

here is the interpretation of the halter monitor nothing was listed on the ST episode.

Answered by Dr. Bhanu Partap (4 minutes later)

Brief Answer:
Hello again

Detailed Answer:
Sir there is nothing because Holter Monitoring is not done for evaluation of STT changes. It’s done to rule out if any cardiac rhythm abnormality is happening transiently.

For STT changes ecg is the preferred evaluation followed by TMT.

And one more thing which I want to highlight here is that ecg machines usually give some printed interpretation on the ecg paper which sometimes are false. So don’t go with that results. I would suggest you to stick with your doctors advice and opinion.

Feel free to ask if you have any other doubts.

Kind Regards
Dr Bhanu Partap

Above answer was peer-reviewed by : Dr. Nagamani Ng

Follow up: Dr. Bhanu Partap (1 hour later)

I had an ecg prior to the halter and nothing showed up. the only reason the I am asking these questions are because I have not had a response from my cardiologist for over 2 days. He was also looking for evidence of Afib which they did not find. just one of the channels found evidence of St depresion that lasted 1:32 . I excerse 3 time on the monitor and there was no further evidence of St depression.

Answered by Dr. Bhanu Partap (4 minutes later)

Brief Answer:
Hello again

Detailed Answer:
You didn’t heard back from him because there was nothing significant to be worried for. Just relax and continue following healthy lifestyle routine.

Kind Regards
Dr Bhanu Partap

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Kampana