Can anyone help me understand this halter monitor stuff??? 🙏

Posted by mjanaib26 @mjanaib26, 2 days ago

I wore a 24 hr holter monitor and within 2 hrs I had an event that lasted more then 5 minutes. I was sweaty dizzy desperate to lay down and just felt so unwell. Looking at the recording it shows I went into supervantricular tachycardia to ventricular taccardia back to supervantricular taccardia. My heart rate went over 210. At the time I was just getting into pjs and using the restroom and then I laid down. The report states I had
Ventricular -365 isolated longest 17 beats at 231 bpm and 4 beats for fastest at 234bpm
Supraventricular- 496 isolated longest 357 beats at 154bpm and 4 beats fastest run at 224bpm
140785 QRS complexes
408 ventricular beats
1866 supervantricular beats
0 % of the time classified as noise
55835 beats in tachycardia (40% of the time)
Arrhythmia section lists 15 N-N delay (delay greater then 140 %)
I just want to know what it all means and what should happen next.

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Goodness - that must have been awful to experience but great that it was caught on the Holter monitor. In my case I saw my GP (who had ordered the test) to get an interpretation of the results and to discuss next steps. I’d suggest it would be best if you did the same with whoever ordered your test.

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@mjanaib26
Good that your cardiologist or EP put you on heart monitor. If not explained to you is an extended ECG to help your doctors see what is happening with your heart and where the cause is coming from. Every time I have one my heart seems to know and does not act up. Take it off and then acts up. So even though felt horrible was a benefit to your doctors to see real time events.

Most of the time (per my EP) the cause of tachycardia is caused by errant electrical signals, heart irritation, heart attack damage, infections, and like me cardiomyopathy (virus entered heart and left scar preventing normal flow of electricity).

Now know that now your doctors have a good record of your events and causes many things can be done. Medications, ablations, ICD or pacemaker or a dual device. Some great medications out there these days.

Good luck and really asked as many questions as you can with your doctors. If you are not seeing a electrophysiologist I highly recommend doing so. They are experts in the electrical functions of the heart.

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If you copy then paste your holter results into an AI it can explain what the readings mean after it explains it is not a doctor. That can help you understand the results before you meet with your cardiologist. If you don't have one your PCP will probably send you to one. Best of luck. I have events that even a 2 week holder hasn't caught. The best I can do is a Kardia ECG, which misdiagnosed everything as AFIB. I'm seeing an electrophysiologist next. I'm assuming that is in the cards for you. Good luck!

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Profile picture for chuckb @chuckb

If you copy then paste your holter results into an AI it can explain what the readings mean after it explains it is not a doctor. That can help you understand the results before you meet with your cardiologist. If you don't have one your PCP will probably send you to one. Best of luck. I have events that even a 2 week holder hasn't caught. The best I can do is a Kardia ECG, which misdiagnosed everything as AFIB. I'm seeing an electrophysiologist next. I'm assuming that is in the cards for you. Good luck!

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@chuckb You wore a Holter monitor for a period, and it did its job. It recorded your electrical output on those leads attached to you. Any heart speed higher than 100 BPM is considered to be in the range called 'tachycardia'. Your Holter recorded short runs of tachycardia and much longer runs, some lasting perhaps several minutes. Those are not necessarily 'dangerous', not for that long. It's when they record tachycardia lasting for several hours that it gets into the 'Okay, we gotta do something...' category. After all, your heart can only beat like it's in a footrace for so long.

But there is also such a thing as the 'burden', which is the total number of fast beats in 24 hours, which will affect your heart in time, and which, if higher than about 3-7%, suggests a faster progression toward 'morbidity', or becoming incapacitated and ultimately dying.

The typical 24 hour heartbeat count for an adult is near 84,000 beats. You have a high number of 'fast beats'....they come much too close together, and their total is 55K. That's a heavy 'burden', and your cardiologist will want you to agree to treatment right away. I would think, anyway. Note that I am not trained in medicine, and have no expert knowledge. I'm just trying to interpret what you posted in your original post and using what little I know to try to situate it for you.

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