Hi, I'm a 57 years old male physically trim BMI 23.2. Recently had 2 episodes of syncope due to extreme execrise clocking 300 calories in 25 minutes, my doctor put me through holter monitor and results are below:
70654 QRS complexes
1046 Ventricular beats (1%)
414 Supraventricular beats (<1%)
296 Junctional beats (<1%)
<1 % of total time classified as noise
32 Minimum at 19:04:09 21-Apr
98 Maximum at 08:26:36 22-Apr
0 Beats in tachycardia (>100 bpm), 0% total
47765 Beats in bradycardia (<60 bpm), 68% total
3.44 Seconds Max R-R at 16:55:17 21 Apr there are total 342 pauses over 21 hours 11 mintes with holter hooked on
Ventriculars (V, F, E, I)
34 Bigeminal cycles
20 Runs totaling 62 beats
4 Beats longest run 38 bpm 14:28:47 21 Apr
3 Beats fastest run 40 bpm 14:27:26 21 Apr
Supraventriculars (S, J, A)
24 Bigeminal cycles
8 Runs totaling 26 beats
4 Beats longest run 41 bpm 14:50:52 21-Apr
3 Beats fastest run 46 bpm 15:02:57 21-Apr
There were tests done like
Echocardiography -Rhythm: Normal Sinus
Normal LV cavity size with normal LV systolic function. No regional wall motion abnormality. Mild concentric left ventricular hypertrophy
Normal LV diastolic function. Normal LV filling pattern and pressure by Doppler.
Normal RV size with normal RV systolic function
Normal left and right atrial cavity size
Normal and intact interatrial/interventricular septum
All valves are morphologically normal. Trivial tricuspid regurgitation
Normal aortic root dimension. Normal pulmonary artery
Interior vena cava appears normal
No intracardiac thrombus or mass.
MRI cardic and contrast tests (indication: pause on tape- for MRI to exclude cardiomyopathy)
Left/Right ventricle size: normal; systolic function: normal; wall thickness:normal
Pericardium thickness: normal
Mitral valve: normal; motion: normal
Tricuspid valve: normal; motion: normal
Aorta Annulus: 2.1cm; Morphology: normal; Motion: normal
Blood test on GFR profile and Free T4 (thyriod) - Normal.
Tilt table test was negative
Stress test (treadmill) was fine using standard Bruce Protocol
Predicted HR Max: 163/min, achieved WMax: 102%
Predicted HR 85%: 139/min, max MET's achieved: 12.8
Angina Index:0 Duke Score: 12
Exercise duration: 12 mins completion of stage 4
Myocardial Ischaemia: Negative
Observation, resting ECG shows sinus rhythm with HR fluctuating between 62-111 bpm, pauses upto 1.52 secs at rest, remains in sinus rhythm throughout, isolated PVC seen at 3 mins of recovery, no ST depressions seen, patient asymptomatric for chest pain/dizziness during the study
The cardiologist recommended to have a pacemaker implant due to the pauses of my heart. I don't know if just one test can confirm that I must wear the pacemaker for life or risk dead anytime. I really don't want to wear a pacemaker if I don't need to. Can anyone enlighten me on this!
Posted 5/2/2014 10:14 AM (GMT -7)
Hello and welcome to HealingWell,
I would suggest you obtain a second opinion re the need for a permanent pacemaker.
Pacemakers are implanted under the skin so "wearing one" is not a problem. You will hardly notice it is there once all heals.
Re your tests, we do not interpret any tests; looks like your Dr. has already discussed the results with you.
and Heart/Cardiovascular Disease. "She Stood in the Storm & When the Wind Did Not Blow Her Away, She Adjusted Her Sails."
Currently it is Wednesday, January 23, 2019 8:59 PM (GMT -7)
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