PVCs - Holter Monitor Results - Please help! - Heart Disorders Message Board

cindylou2 · 12-28-2007, 08:23 PM

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!

sam78 · 12-28-2007, 11:06 PM

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.

cindylou2 · 12-29-2007, 07:23 AM

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!!!!!

cindylou2 · 12-29-2007, 07:29 AM

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?

sam78 · 12-30-2007, 10:25 PM

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.