Holter results interpretation

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Aaron76
New Member


Date Joined Apr 2014
Total Posts : 1
   Posted 4/30/2014 9:02 PM (GMT -6)   

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:
General

70654  QRS complexes
  1046  Ventricular beats (1%)
    414  Supraventricular beats (<1%)
    296  Junctional beats (<1%)

     <1  % of total time classified as noise 

Hear Rates
      32  Minimum at 19:04:09 21-Apr
      56  Average
      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)
    820   Isolated
      82   Couplets
      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)
    356   Isolated
      16   Couplets
      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!


stkitt
Forum Moderator


Date Joined Apr 2007
Total Posts : 32602
   Posted 5/2/2014 11:14 AM (GMT -6)   
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.
 
Good luck,
Kitt
~~Kitt~~
Moderator: Anxiety/Panic
and Heart/Cardiovascular Disease.



"She Stood in the Storm & When the Wind Did Not Blow Her Away, She Adjusted Her Sails."
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