question-icon

What do the following holter test result and stress test result indicate?

default
Posted on Tue, 19 May 2015
Question: + Additional Details+ Update Reports

Hi I suffer from Pacs and rare unifocal Pvcs. On my 48 hour holter I registered 400 PACS and 15 pvcs. I had a stress test done where I reached 90 percent of my XXXXXXX heart rate and doctor said it was normal. My echo showed a structurally normal heart with some trace regurgitation which he also said was normal. My cardiologist says my etopic beats are completely benign and caused by my anxiety. I do suffer from anxiety so I have begun CBT therapy for the past month. I have also had some stress in my life and have 3 small children. I do not use caffeine or alcohol and I do not smoke. I am otherwise healthy. I had blood work done 2 months ago and everything was good. These etopics scare me because sometimes they feel awful. I feel them before bed or in the morning when I wake up. my heart beat will feel like it is all over the place. Fast and slow. I have one thing that is really concerning me it's my heart rate sometimes goes into the low 50 s when I'm sitting watching television. My cardiologist says this is normal. I'm worried is that normal?
doctor
Answered by Dr. Benard Shehu (14 hours later)
Brief Answer:
Perfectly normal holter results;controlling stress is crucial.

Detailed Answer:
Hi XXXXXXX
Once again i would like to say:

1. As per your Holter results, they are perfectly normal.

2. There is nothing to get scared with your ectopics as they are within normal range too.

3. As long as you are healthy, and blood works and other check ups were fine, then, you should not be worried about.

4. Stress is possible factor for having such changes; you can try to control it.

If you cannot succeed alone, then, I advise to take some vacations with your family. Professional help is also advised (e.g. psychotherapy). You'll see that all your actual heart problems won't be notable then.

All the best!
Dr.Benard
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Benard Shehu (1 hour later)
Doctor Thank you. I am working really hard on the anxiety with psychotherapy and CBT. As far as the bradycardia is there a reason why some days it is worse than others? Is this heart rate of low 50 bpm safe? My average hr was 71 on holter
doctor
Answered by Dr. Benard Shehu (4 hours later)
Brief Answer:
Following answer to your query...

Detailed Answer:
Hi back,

Heart rate is a variable parameters and it depends on anxiety levels, adrenaline release, acid reflux etc. This is why some days it's worse than other days.

A heart rate as low as 50 is safe, as long as you have an average heart rate of 71 bpm and no pauses were observed during 48 hours holter monitoring.

Hope this will be of help!
Wish you health!
Dr. Shehu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Benard Shehu (20 hours later)
Hi doctor thank you very much for answering my questions. I know I have asked you many questions over this passed year and I hope you understand I have been very scared as this is all new to me. My Holter report said sinus arythmia and I get worried. I know I had no significant pauses or arythmia detected however the sudden changes in my heart rate that occurs in a matter of seconds even when I'm sitting scares me. Is this common for heart rate to be so variable even while sitting on the couch. Also in your expert opinion, with the test results I had is it common to get worse or better. I will be going on vacation for a week next week to clear my head and I will continue cbt therapy. Thank you kind doctor
doctor
Answered by Dr. Benard Shehu (10 hours later)
Brief Answer:
Normal heart rate variations,have a nice vacation.

Detailed Answer:
Hi back XXXXXXX

It is normal to have such oscillations in heart rates as represented during your Holter monitoring. There are no sign for heart disease but only normal variations of heart rate.

I advise to continue with cbt therapy and enjoy your vacations heart-safely.

Have a nice vacation!
Dr.Benard
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
default
Follow up: Dr. Benard Shehu (9 hours later)
Thank you for everything!
doctor
Answered by Dr. Benard Shehu (7 minutes later)
Brief Answer:
Wish you health!

Detailed Answer:
Hi back,
Wish you health!
Dr. Shehu.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

premium_optimized

The User accepted the expert's answer

Share on

Get personalised answers from verified doctor in minutes across 80+ specialties

190 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
What do the following holter test result and stress test result indicate?

Brief Answer: Perfectly normal holter results;controlling stress is crucial. Detailed Answer: Hi XXXXXXX Once again i would like to say: 1. As per your Holter results, they are perfectly normal. 2. There is nothing to get scared with your ectopics as they are within normal range too. 3. As long as you are healthy, and blood works and other check ups were fine, then, you should not be worried about. 4. Stress is possible factor for having such changes; you can try to control it. If you cannot succeed alone, then, I advise to take some vacations with your family. Professional help is also advised (e.g. psychotherapy). You'll see that all your actual heart problems won't be notable then. All the best! Dr.Benard