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What Does The Following Holter Monitor Result Indicate?
Question: What does it mean when holter monitor results come back stating that you have both an extremely slow and extremely fast heart rate?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that a similar fluctuating pattern of heart rate means that both brady-arrhythmia and tachy-arrhythmia may be present.
In such case, it is necessary to define exactly the proportions of fast and low heart rate, and also their relationship during a day-night cycle.
We have to do only with a very low sinus rhythm (bradycardia) or also a pathological atrio-ventricular conductance disorder, it remains to be stated by the Holter conclusion.
Coming to this point, if a pathological conductance disturbance is present, in conjunction to episodic tachyarrhythmia (atrial fibrillation, paroxysmal supraventricular tachycardia, etc.), then a Sick sinus syndrome may be the most likely diagnosis.
Nevertheless, additional medical tests such as:
- a cardiac ultrasound
- thyroid hormone levels
- blood electrolytes levels
- fasting blood glucose levels
- cardiac stress test
- complete blood count
- PCR, sedimentation rate
need to be investigated before coming to an etiological explanation (regarding the possible causes).
You should discuss with your doctor on the above issues.
When you get your Holter results you could upload it here and I would be glad to review them for a second professional opinion.
Hope to have been helpful!
Feel free to ask me again if you have any other questions.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that a similar fluctuating pattern of heart rate means that both brady-arrhythmia and tachy-arrhythmia may be present.
In such case, it is necessary to define exactly the proportions of fast and low heart rate, and also their relationship during a day-night cycle.
We have to do only with a very low sinus rhythm (bradycardia) or also a pathological atrio-ventricular conductance disorder, it remains to be stated by the Holter conclusion.
Coming to this point, if a pathological conductance disturbance is present, in conjunction to episodic tachyarrhythmia (atrial fibrillation, paroxysmal supraventricular tachycardia, etc.), then a Sick sinus syndrome may be the most likely diagnosis.
Nevertheless, additional medical tests such as:
- a cardiac ultrasound
- thyroid hormone levels
- blood electrolytes levels
- fasting blood glucose levels
- cardiac stress test
- complete blood count
- PCR, sedimentation rate
need to be investigated before coming to an etiological explanation (regarding the possible causes).
You should discuss with your doctor on the above issues.
When you get your Holter results you could upload it here and I would be glad to review them for a second professional opinion.
Hope to have been helpful!
Feel free to ask me again if you have any other questions.
Kind regards,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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