Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

198 Doctors Online
Doctor Image
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

What is meant by missing a beat after every 14 beats? Should I be worried?

Answered by
Dr. Gopi A


Practicing since :1988

Answered : 43 Questions

Posted on Tue, 8 Jan 2013 in Hypertension and Heart Disease
Question: My husband had gone for an ECG couple of days back. The doctor told him that he is missing a beat after every 14 beats. Do we need to worry?
Answered by Dr. Gopi A 20 hours later

Thanks for the query.

Missed beats are not very uncommon and are generally benign.

Since your husband is on treatment for hypertension, I recommend that you do a 24 hour holter monitoring for him. This will give us an idea of the frequency of his missed beats and number of total beats. A treadmill test will also provide addition information to plan the next steps of management. Based on these results we could decide whether he needs any treatment for his missed beats or not.

Please get back to me with the reports and I will clarify further.

With regards,
Dr. A. Gopi

Above answer was peer-reviewed by : Dr. Prasad

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions
Lab Tests ,  

Recent questions on  Holter monitor

doctor1 MD

My parents brought me to the emergency room because I was having chest pains, shortness of breath, I was getting tired very easily (after taken a couple steps), and having severe body sensitivity to touch. They made me go through the triage center and when they saw my heart rate was reaching up to 146 they admitted me. While in the ER my heart rate was maximum 186 and the doctors there could not find anything through the EKG, X-rays, and all the other tests they had administrered to help them find something to explain my rapid heart rate and tiredness. Well, I was admitted as an impatient the next day after going home and having diarrhea and vomiting all night. I stayed in the hospital a total of 3 1/2 days and they could not find anything wrong with me internally, from what they could see.

My general doctor who is also a cardiologist has already done a 2D echo-cardiogram and has put me on a holter monitor for 24 hours, hoping something would show up. the holter monitor showed that my heart rate goes up to 190 and he is so puzzled as to what it could be. He is thinking I have had this my whole life but only started noticing these symptoms now. He now wants to admit me in a hospital that specializes in cardio issues and is already consulting with anther doctor but they have not made a final decision yet as to what tests they want me to do and where they want to send me.

What could this be?

doctor1 MD

My husband is 54 yrs of age, weighs abt 72kg & height is 1.75m. He is on maintenance dose of thyrozol for hyperthyroidism & has unsustained atrial & ventricular ectopics. His Holter report shows ventricular salvos (2 couplets & one occasion of 3 hits) at 2 periods of the day when his stress level was somewhat higher than normal. He is on 1/2 tablet of Concor & 1/2 tablet of Crestor (I can't remember exact dosage but is not a high dosage). His BP is not high, systolic is around 115-125, diastolic is around 70-80. Occasionally, his BP can b slightly higher or even lower. His doctor doesn't think it's necessary to increase his Concor as his BP is alrdy quite low at times.

His echogram shows no abnormality & his CT scan done in 2007 shows a calcium score of "0" though there is some uncalcified plague. His cholesterol is 148 mg/dL, HDL 47.48mg/dL & LDL 81.06 mg/dL. Is there any reason for us to worry abt my husband's heart condition for the time being? Should i worry abt a potential heart? He feels no symptom at all during the times the salvos were recorded by the Holter. His doctor thinks the salvos are not frequent, so will see my husband only in 6 months' time.

doctor1 MD

I am Betaloc 50 X BD, S numlo 5 mg OD, Calaptin 120 mg sr and olemesartan 40mg OD since last 8 months. I am patient of hypertropic cardiomypathy non obstructive. With these medicines my BP remains 120/84. At times I feel body drag and fatigue. Could it be because of extra dosage. Echo normal, Thalium Scan normal, holter normal but have atrial fibration. pse advice

doctor1 MD

I am sixteen and one day at football practice my heart seemed to beat way harder than normal, i could feel it through my whole body and when i felt my chest i could feel my heart beat way more than ever, and i also had chest discomfort and anxiety, ever since then my heart seems to beat harder all the time, and after exercise it takes longer to calm down, i will also get random chest discomforts on certain days,my EKG, holter moniter, and event moniter results have came back normal, but months after that day at practice my heart continues to beat hard, and when i feel my friends hearts through their chests i can barely feel theirs beat,is there anything that could cause this change, because my heart never did that before.

doctor1 MD

My husband has had these symptoms for over a year: extreme fatigue , dizziness & slight headache. These symptoms have come and go all this time. he was sent to a neurologist and his meds checked. Since Oct. the symptoms have become worse and now...

doctor1 MD

Hi. I’m 20 years old, female. I have been having many problems for the past 5 months now. I didn’t have a primary care doctor at this time so when these things would happen I would go to the ER. At first, I would get really shaky, feel like I was...

doctor1 MD

im a 36 yr old female. last month i had a vertbral artery dissection that caused 5 strokes. they put me on 325 mg aspirin and lipitor . lately ive been having vertigo and a slightly strong pulsating in my lower right neck. is this something to be...