Posted 4/20/2012 9:35 PM (GMT -7)
Hi there...Well, I am a 28 year old, very active female. I have, for about a year now, been dealing with intermittent left calf swelling. I have had an u/s done to rule out a DVT, tons of labs, and imaging. Recently,after a nuclear med. scan, I was dx with a 3.3cm stress fracture to the left tibia and 2nd and 3rd metatarsal stress fractures as well. I saw ortho. (which I was not pleased with) and was told to take some time off of running and do low impact cardio. Well over a month had come and gone, and I continue to have the pain, and the swelling. I went back to my PCM, who then found that I have a holosystolic murmur and a "click" at the aortic valve. After going over my FMH and other symptoms I had been experiencing (swelling in calf, SOB, palpitations while resting), he ordered a 24 hour holter monitor and cardiology referral asap. I had the holter monitor taken off already and results are back. The cardiologist had me come pick up a copy to take to my PCM. Well, I don't see either for over a week, and was wondering if maybe I could find someone to decipher a bit of what the report said.
Ventricular Ectopy: 33 Total SVE Beats: 124
Single /interp PVC: 24/0 Atrial Pairs: 2 Events
Couplets: 2 events Longest R-R: 1.6 sec @ 4:43:09AM
Single/Late VE's:2/0 Single PAC's: 60
Total beats: 104957 Primary Normal: 104924 Beats 92 BPM
Min HR:42 BPM Ventricular: 33 Beats 76 BPM
Avg HR: 74 BPM
Max HR: 140 BPM
Monitoring started at 8:17 AM and continued for 23 hr 39 min. The average heart rate was 74 BPM. The minimum heart rate was 42 BPM, occurring at 2:41:02 AM. The maximum heart rate was 140 BPM, occurring at 7:22:06 AM.
Ventricular ectopic activity consisted of 33 beats, of which 4 were in couplets, 24 were in single PVC's, 2 were single VE's, 3 were in bigeminy.
The patient's rhythm included 6 hr 8 min 53 sec of bradycardia. The slowest single episode of bradycardia occurred at 5:04:58 AM , lasting 9 min. 50 sec., with a minimum heart rate of 42 bpm.
The patients rhythm included 24 min 53 sec of tachycardia. The fastst single episode of tachycardia occurred at 7:21:53 AM , lasting 52 sec, with maximum heart rate fo 140 BPM.
Supraventricular ectopic activity consisted of 124 beats, of which, 4 were in atrial couplets, 60 were late beats, 60 were single PAC's. The longest R-R interval was 1.6 seconds occurring at 4:43:09 AM. The longest N-N interval was 1.6 seconds, occurring at 4:43:09 AM.
The strip index broke down 29 strips. A lot of which quoted what I put in the "diary". But the things the provider put was; "VE, late beat, PVC, couplet ,atrial pair, late beat, Min HR, max HR, Brady, and Tachy.
I appologize for the lengthy post, I didn't want to leave anything that maybe pertinent out. Thank you in advance!