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Old 12-28-2007, 07:23 PM   #1
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cindylou2 HB User
Question PVCs - Holter Monitor Results - Please help!

I'm 47 years old, in pretty good health (good BP, etc.) and no major health issues. Just PM (peri-menopause) GERD and some overweight.

I'm facing day 11 with steady PCVs.

Today, I got my Holter Monitor Test results but dont see my Cardio until the 8th.

Can someone please help me to understand these numbers, I greatly appreciate it so much!

HOLTER REPORT SUMMARY:
total QRS complexes = 90090
Vernticular Ectopics 203 (<1%)
SupraVernticular Ectopics 2747 (3%)

HEART RATE:
min: 40 bpm at 05:06am (in a deep sleep)
max: 174 bpm 3:50pm (this sounds odd to me)
avg: 73 bpm

pause 66 pauses (>=2.0)
longest 3.6 secs at 8:19PM (this is odd too)

VENTRICULAR EVENTS:
isolated 197
bigemnal cycles 0
couplets 3
runs 0

SupraVernticular EVENTS:
isoltated: 793
couplets 543 (seems like a lot!)
runs 213 (also seems like a high number!)

Please if anyone knows what these numbers mean, please let me know, I'm going nuts worring and tring to deal with the PVCs each day, its hard and I want to be prepared with whats going on -good or bad.

Thanks again so much!

 
Old 12-28-2007, 10:06 PM   #2
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sam78 HB User
Re: PVCs - Holter Monitor Results - Please help!

There is a lot to interprut in that but here is some. You are having a combination of both PVC's and PAC's, more PAC's than PVC's. Less than 1% of the time you were having PVC's (203) which is nothing to be concerned about. You had a few couplet PVCs which means you had them two in a row. Thoses pauses are a bit concerning assuming they were true pauses. Something holters can show pauses if the leads got bumped or lost good connection with the holter machine. Supraventricular is anything that originates above the ventricles, like PAC's or SVT. It looks like you have had some single PAC's as well as some runs. Runs would be like SVT like atrial tachycardia or atrial fibrillation. 213 runs is high which is why your high heart rate is so high because it calculates your heart rate based on that so if you have multiple PAC's in a row, it would give you a high heart rate even though you might not feel it. Sometimes you get small pauses after something like a PAC or PVC but that would not create a pause over 3 seconds so that is why i would be concerned with the pauses. I would recommend you do some reading up on SVT if you can but make sure to ask about the pauses and of course treatment. I am sure meds are coming your way.

 
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Old 12-29-2007, 06:23 AM   #3
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Re: PVCs - Holter Monitor Results - Please help!

Hey Sam!

Thank you so very much for taking time to reply. Your information has been greatly helpful!!! I had no clue what the readings mean and I have been going nuts with steady PVCs for almost 2 weeks now. Something brand new to me.

I saw the cardio Doc on Wed. he wanted to place me on Toprol XL but my family doc said hold off on taking the beta blocker right now because her main concern was the 40bpm during sleep and didnt want a med that would lower my heart rate until I have a sleep apnea test. She is convinced I have sleep apena and all this is from that.

The Cardio hasnt saw the holter results yet. He didnt get them until after he was already gone on vacation and wont be back until my appt. on the 8th.

So right now, I'm waiting on him to see the holter monitor results...just taking one day at a time with these annoying PVCs bounching in my chest!

Thanks again for your helpful reply!!!!!

 
Old 12-29-2007, 06:29 AM   #4
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cindylou2 HB User
Re: PVCs - Holter Monitor Results - Please help!

REPLY TO SAM REF: PAUSES

"I would recommend you do some reading up on SVT if you can but make sure to ask about the pauses and of course treatment. I am sure meds are coming your way."

Sam, I looked at the holter monitor print out again, the 66 pauses (>=2.0) was all during sleeping hours. All from 1:am - 6:am.

Hummm, that may be why My Doc was so concerned about SLEEP APNEA, huh?

 
Old 12-30-2007, 09:25 PM   #5
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sam78 HB User
Re: PVCs - Holter Monitor Results - Please help!

I would probably bet my life on it!!! Sounds like its time for a sleep study. You know fixing sleep apnea could fix a significant amount of your problems. They are a pain to do but well worth it.

 
Old 12-31-2007, 07:03 AM   #6
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cindylou2 HB User
Re: PVCs - Holter Monitor Results - Please help!

Thanks Sam!!! My Sleep test is scheduled for the 12th...I have a cousin who has been through this. and she said it aint so bad and well worth it. Thanks again for the reply, you have been a great help. This is all new to me and I've lost contact with my Cuz and unable to pick her brain about the details.

 
Old 12-31-2007, 07:05 AM   #7
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Re: PVCs - Holter Monitor Results - Please help!

opps posted twice - deleted one of them.

Last edited by cindylou2; 12-31-2007 at 07:06 AM. Reason: double post

 
Old 01-03-2008, 07:50 PM   #8
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mel501 HB User
Re: PVCs - Holter Monitor Results - Please help!

I have been dealing with pvc's for about 17years. It looks like you might have SVTs which is supra ventricular tachycardia. There are treaments for these conditions. One of them being ablation. If it means anything to you PVCs are harmless according to every specialist I have seen. Best of luck to you.

 
Old 01-04-2008, 06:03 AM   #9
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Re: PVCs - Holter Monitor Results - Please help!

Thank you! It is helpful to know that I am not alone. I have read some info and even tho not diag. yet with the SVT, I feel that is the case too. I have an appt. with my Cardio next week, on the 9th...he was waiting to see the results of my holter test, so I'm looking forward to see what he has to say. I think he is going to do an ECHO too, is that like an untrasound for your heart? thats the only test that hasnt been done yet. Thanks again!!!!

 
Old 01-05-2008, 11:00 PM   #10
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sam78 HB User
Re: PVCs - Holter Monitor Results - Please help!

Yes an ECHO is the ultrasound to look at your heart. It doesnt tell you anything about rhythms but need to check for any structural abnormalities which can sometimes cause premature beats. Its painless but messy.

 
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