What does the holter monitor test result indicate?
I had all cardiac testing done 2 months ago. Everything came back structurally normal with my heart. I have pacs and rare pvcs according to my holter monitor. I passed my stress test. My holter was always in sinus rythm. Something that worries me is the fact that my resting heart rate sometimes goes to 55 bpm. My cardiologist says there is no heart block and no SSS. He says my heart is normal and I am healthy. This scares me. Is this normal? During sleep my bpm went down to 41. My 48 hour holter said 26 % of the time in bradycardia and 13 % tachycardia. My cardiologist says this is all normal. Is this a common finding?
Also this morning when I woke up I had a lot of etopic beats for over an hour and alternating between slight bradycardia and some faster beats. My cardiologist says everything is from anxiety and some acid reflux but I woke up calm
Yes Everything looks normal
Yes in absence of symptoms and structurally normal heart your holter finding are normal. As technically any hr <60 bpm would be labeled as bradycardia and anything more than 100 will be labeled as tachycardia and during normal day out heart rate does vary above and below these limits and that's why a report. early in morning and immediately after getting up in circadian rhythm nature prepares us for day and there will be adrenargic surge which makes heart to beat little erratically and produce ectopics which will manifest as Vpcs and apcs and nothing to worry about
Also doctor is it dangerous when I wake up in the morning and have the erratic heart beats?
True Many times
it's true that people are more symptomatic with benign arrhythmia than serious sometime. most of the times its persons response than symptom of arrhythmia that's bothersome.
No, the kind of erratic heart beat that's present in your description is not dangerous. just learn to relax and you will be fine.
Yes, that is right
Yes, once everything is evaluated and found to be normal, there may not be need for your revisit. you need to see your cardiologist only if there is change in the symptoms or any abnormal findings by physician.
Generally we recommend cardiac evaluation once in two years till about 40 yr and annually thereafter.
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