24-Hour Holter Monitor Results and Heart Health - Cardiology

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24-hour Holter monitor?


Hello, Doctor He: As mentioned, I was taking antiarrhythmic medication to control my heart rate before undergoing a 24-hour Holter monitor on April 29, and the subsequent reports have all been normal (including during episodes of palpitations).
Can I trust this data? I have been taking Nankuang Nengdeshuang extended-release capsules 120 mg (24-hour long-acting) for a week now, and the symptoms of chest tightness during episodes of heart stoppage have disappeared.
I wonder why this is the case.
I kindly request a detailed response.
Thank you.
🙏🙏

You-Chen, 30~39 year old female. Ask Date: 2020/05/13

Dr. He Dongjin reply Cardiology


Hello, taking antiarrhythmic medication for heart rhythm control and undergoing a 24-hour Holter monitor report shows normal data, which is promising.
The long-acting formulation should provide more stable control, and it's great that your symptoms have improved.
Please continue using it.
Changhua Hospital cares about your well-being.

Reply Date: 2020/05/13

More Info


Understanding the results of a 24-hour Holter monitor can be crucial for assessing heart health, especially for individuals experiencing symptoms like palpitations or chest discomfort. Your inquiry about the reliability of the Holter monitor results, particularly after taking medication to control your heart rate, is a valid concern.
First, let's break down what a Holter monitor does. This device continuously records the heart's electrical activity for 24 hours, allowing healthcare providers to detect any irregularities in heart rhythm that may not be captured during a standard ECG. The results you received indicate that your heart rhythm was predominantly sinus, which is the normal rhythm generated by the heart's natural pacemaker, the sinoatrial node.
In your case, you mentioned that you were on medication to control your heart rate prior to the Holter monitoring. Medications such as beta-blockers or calcium channel blockers are often prescribed to manage heart rate and rhythm. These medications can effectively reduce the frequency and severity of arrhythmias, which may explain why your Holter monitor results showed normal findings, even during episodes of palpitations.
The absence of significant arrhythmias, such as ventricular tachycardia (VT) or atrial fibrillation (AF), in your report is reassuring. It suggests that your heart is functioning well under the influence of the medication. However, it's essential to consider that while medications can control symptoms and improve heart rhythm, they do not necessarily address the underlying causes of heart issues.
You also noted that you have been taking a long-acting medication (南光 能得爽 緩釋膠囊120mg) for a week and that the symptoms of chest tightness and heart pauses have resolved. This improvement could be attributed to the medication's effectiveness in stabilizing your heart rhythm and reducing episodes of palpitations. It's important to monitor how you feel while on this medication and report any changes or concerns to your healthcare provider.

In terms of heart health maintenance, several lifestyle factors can contribute positively to your cardiovascular well-being. Regular physical activity, a balanced diet rich in fruits, vegetables, whole grains, and lean proteins, and avoiding excessive caffeine and alcohol can all support heart health. Additionally, managing stress through mindfulness practices, adequate sleep, and avoiding smoking are crucial components of a heart-healthy lifestyle.

If you experience any new or worsening symptoms, such as increased palpitations, chest pain, or shortness of breath, it is essential to seek medical attention promptly. Regular follow-ups with your healthcare provider are also important to reassess your treatment plan and make any necessary adjustments based on your ongoing symptoms and Holter monitor results.

In conclusion, the results of your Holter monitor appear to be reliable, especially considering your current medication regimen. The absence of significant arrhythmias and the resolution of your symptoms are positive indicators. However, continuous monitoring and a proactive approach to heart health through lifestyle modifications and regular medical check-ups are vital for long-term cardiovascular health. Always feel free to discuss any concerns with your healthcare provider, as they can provide personalized advice based on your specific health needs.

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