Has this happen to anyone else

Has this happen to anyone else. I went for my normal pacemarker check up. Being s.o.b lite headed, and feeling pvc. My ekg came back with no problems. my pacemarker was fine, my echo gram was fine my stress test was fine. The dr check me and could not find anything wrong. So they sent me home with a 48 holter test. this what came back on this test.



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Transcription IMPRESSIONS AND FINDINGS:

Final Report
Sinus Rhythm with intermittent Sinus Tachycardia.
Maximum heart rate 155 bpm. Minimum heart rate 58 bpm.
Frequent ventricular ectopic beats in singles, couplets, triplets,
bigeminal, trigeminal and quadrigeminal cycles and non-sustained
ventricular tachcardia. Rates from 104-132 bpm.
Rare supraventricular ectopic beats in singles, couplets, triplets,
quadrigeminal cycles and non-sustained supraventricular tachycardia.
Rate from 133-135 bpm.
Symptoms(palpitations, short of breath, headache and lightheaded)
were noted on diary and strips showed sinus rhythm with pvcs'.

T.SMITH scanned 10.10.13.

Hookup Date: 20131001
Hookup Time: 151700
Recording Duration: 172740 S

Minimum Heart Rate: 58 BPM
Minimum Heart Rate Date/Time: 20131002 000933
Maximum Heart Rate: 155 BPM
Maximum Heart Rate Date/Time: 20131001 205524
Average Heart Rate: 72 BPM
Longest RR: 1.264 S
Longest RR DATE/TIME: 20131002 215850
QRS complexes: 215869

Ventricular Ectopics: 22480
Ventricular Isolated Beats: 21755
Ventricular Bigeminal Cycles: 3144
Ventricular Couplets: 237
Ventricular Runs: 83
Ventricular Beats in Runs: 251
Longest Ventricular Run, Beats: 4
Longest Ventricular Run Rate: 104 BPM
Longest Ventricular Run, Date/Time: 20131001 204304
Fastest Ventricular Run, Beats: 3
Fastest Ventricular Run Rate: 132 BPM
Fastest Ventricular Run, Date/Time: 20131002 123251

Supraventricular Ectopics: 483
Supraventricular Isolated Beats: 442
Supraventricular Couplets: 15
Supraventricular Runs: 3
Supraventricular Beats in Runs: 11
Longest Supraventricular Run Date/Time: 20131002 044643
Fastest Supraventricular Run, Date/Time: 20131003 041536
Maximum S-T Levels Channel 1: -12.800 mm
Maximum S-T Levels Channel 1 Date/Time: 20131001 151700
Minimum S-T Levels Channel 1: -12.800 mm
Minimum S-T Levels Channel 1 Date/Time: 20131001 151700
Maximum S-T Levels Channel 2: -12.800 mm
Minimum S-T Levels Channel 2: -12.800 mm
Minimum S-T Levels Channel 2 Date/Time: 20131001 151700

6 Comments

So, What is your question?

by donr - 2013-12-24 04:12:39

Doll: That's a lot of data to explain. Do you have a specific question other than "What does it all mean?"?

Don

Has this happen to anyone else

by Lady.Chyna.Dolll - 2013-12-24 06:12:14

Don,
I know what all it means in the forty-eight holster. What I was asking if anyone went for all of the test listed before the forty eight test and have them come out normal.
Then have a forty eight test look like mine
Debbie

Good Answer!

by donr - 2013-12-24 09:12:54

Debbie: I'm glad I asked - I can just see someone sitting down & running through the list for naught!

So here's the answer you asked for, but may not be what you wanted to hear:

It is NOT unusual - that's why they gave you the Holter. Look at it from this standpoint. All medical tests are a sample of what your body is doing. The more you body does it, the greater the probability that a test will find it. This is especially true of heart arrrhythmias.

Let's start out w/ your description of the exam BEFORE the Holter was attached to you.

"1) My ekg came back with no problems. 2) my pacemarker was fine, 3) my echo gram was fine 4) my stress test was fine. 5) The dr check me and could not find anything wrong."

1) The ECG is but a 36 second sample, IIRC. 6 seconds for each of the lead pairs & the bottom full length rhythm strip. If your heart didn't do its funny act in that 36 seconds, it doesn't show. That means that your heart has to be really bad to show many of the arrhythmias we are concerned with. Lemme give you an example: I run about 600 PVC's a day - sounds like a lot. BUT that only breaks down into about 25 per hour! That's roughly 1 every two minutes. Chances of seeing that on a standard ECG is pretty small. I cannot recall EVER seeing a PVC in one of my ECG printouts at my Cardio's office & I've had them 4 times a year - at least.

2) So your PM was fine - that only means it is working the way it is supposed to work. You did not give us any of the arrhythmias the PM may have reported during the period it ran since the last download. Unfortunately, the descriptor "FINE" for the PM functioning tells us nothing about what the Holter showed - or what the PM showed in its memorized data.

3) The echo shows nothing about heart rate - it shows plumbing problems - valves operating correctly & not leaking & your ejection fraction when the ventricles contract. Also tells if you have any abnormalities in heart wall thickness & how well it pumps.

4) Stress test is another plumbing check. You did NOT say how it was administered - bicycle or chemical so I am assuming chemical. This test shows the condition of your coronary arteries & how well the blood perfuses through them - looks for clogged coronary arteries.

5) Your Dr. listened to your heart, checked your BP, examined your carotid arteries running from the heart up to the brain, listened to your lungs, probably squeezed your ankle to check for blood pooling in the lower extremities & a bunch of other things, checked your HR & blood oxygen saturation level. . All those tests give him a gross evaluation of how the old ticker tocks!

He was finished & probably didn't hear much of anything during the relatively short period he was sampling your heart functioning. No more than about 5 or 6 seconds per examination. He really did not get much data, other that the gross functioning, which he believes is pretty good.

BUT - he thought there was more to be had, so assigned you a 29 hr Holter test & got a whopping amount of data to digest. It found a LOT of things wrong at many times, but I did not see a lot of long, drawn out periods of any of them.

Your heart beats 60 times per minute; roughly 3600 times per hour; roughly 86,400 per day. Now THAT's a lot of beats in a day for a sample, so the Holter found a lot of things abnormal. But not necessarily percentage-wise.

According to the symptoms you recorded in your diary: "Symptoms(palpitations, short of breath, headache and lightheaded) were noted on diary and strips showed sinus rhythm with pvcs'." There is a pretty high correlation between things you sense (symptoms) & PVC's occurring.

That makes sense! PVC's in and alone are not a real problem - PHYSICALLY. But throw in the psychological effect they have on a person because of the feeling that your heart stops or "Skips " a beat & they can be debilitating.

Now if I read your Holter results correctly, you had a bunch of PVC's that occurred in pairs, triplets, etc. Now those can really make you feel cruddy if you have enough of them together - in a "Run."

You are going to have to get your Cardio to really interpret the detailed results & discuss the correlation w/ your symptoms & arrhythmias. The two of you can sit down w/ the printout & he(she) can tell you how each affects you.

Bottom line - you are fortunate to have a cardio who had you wear the Holter to show what was happening over the long haul. Not everyone gets that. Women, ESPECIALLY, get passed off as "...just another hysterical woman..."

Hope this helped.

Don

Don here the shocker to this

by Lady.Chyna.Dolll - 2013-12-27 08:12:33

After the 48 hour test and reading. I was placed on pills to help with the PVC. While things got worst. So my cardo dr ask if I wanted to try different pills or go for a ablation. I picked the ablation. Could thing I did because none of the test picked up the fact that my pace marker was causing 30 percent of PVC. Due to the fact the pace marker was not picking up the normal heart beat. So according to the dr they do not no why the pace marker reset itself to. The highest setting that it could go to.Yes the setting was way higher than what my pace marker had it set in October. Plus they had to go into the back of the heart and burn it twice in the same spot at a high setting. Yes I may have to
Drive two hours to see my cardio dr. But he was the only one who found my heart problem three years ago.Debbie

The shocker to this...

by donr - 2013-12-28 09:12:06

Dedbie, when did all this happen? In the last few days while we have been reading your story & commenting on it?

Don

The shocker to this

by Lady.Chyna.Dolll - 2014-01-03 05:01:54

Don,
I had already had my ablation done by the time I asked my question. I was already four days out from it. And was wondering if this had happen to anyone else.Because during that time it was a hard time to go thur. And it felt like all the dr's thought I was there little nut case.trust me I have a wonderful heart Dr and yes after my ablation he told my husband he was shocked by what they found. And felt bad that they did not do my ablation sooner

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