I tried to post this all weekend. Sorry for the delay. It still didn't post on two of my browsers, but worked on a third.
Average Heart Rate was 45, which for most people would be rather slow. Some people normally have slower rates, you'd have to consult with your doctor about
Max 84 Beats Per Minute (BPM) and during sleep, 32 BPM minimum. Again, slow for most, consult your doctor.
The heart consists of a top part, the atria (two chambers), and bottom part, the ventricles (two chambers). It is also divided into a right half, one atrial and one ventricular chamber, that receive blood from the body and pump it to the lungs, and a left half, one atrial and one ventricular chamber that receives blood from the lungs and pumps it to the body.
27 Ventricular Ectopics, or skipped beats, also known as Premature Ventricular Contractions or PVCs, I had 6000 on my first Holter this year, 3900 on the second. The origin of these 27 Ectopics you had was in the Ventricles.
35 Supraventricular Ectopics. Our natural pacemaker is near the top of the heart. Supra means "above", so supraventricular is above the ventricles. Our natural pacemaker is supraventricular as well, rhythms that occur above the ventricles are often not as worrisome as rhythms that occur in the ventricles (I'm talking fast rhythms here, this does not pertain to your 27 Ventricular Ectopics, these are common, and if a doctor said they're benign, you needn't worry about
Isolated means an ectopic that occurs with at least one normal beat in between. Pair is two ectopics consecutive with no normal beat in between, and I believe a run is 3 or more consecutive without normal beats in between. Since you've listed these under supraventricular, I trust they are referring to the origins of the pair and run above the ventricles.
The longest and fastest must be a calculated rhythm based on the Heart Rate that would have occurred had the 3 beat run not stopped.
I'm not qualified, actually, to formally comment on any of these issues, but especially so the more technical aspects of the EKG results.
The following graphic shows the relationship of various aspects of the EKG and may be of some use. Although heart attack and other structural issues with the heart can cause ST Segment elevation, so can medications, electrolytes, etc. /en.m.wikipedia.org/wiki/Electrocardiography#/image/File:EKG_Complex_en.svg
Much of the remainder of your Holter Report as you listed are explained at the links following, but are beyond my comprehension at this time./en.m.wikipedia.org/wiki/Heart_rate_variabilitym.circ.ahajournals.org/content/93/5/1043.full
Please consult with your doctor on these issues and with any concerns, I'd be interested in what he/she has to say about
your slow heart rate and other information.
Post Edited (JungRulz) : 8/4/2014 6:28:10 PM (GMT-6)