24-Hour ECG and Echocardiogram Results: PVCs, PACs, and Mitral Valve Issues

24-hour Holter monitor and echocardiogram results?

In a 24-hour Holter monitor, having 9 premature ventricular contractions (PVCs) and 6 premature atrial contractions (PACs) can generally be considered within normal limits, as occasional PVCs and PACs are common in the general population.
However, the interpretation can vary based on individual clinical context and symptoms.
There is no strict normal range, but typically, fewer than 30 PVCs per day is often considered normal.
Regarding the echocardiogram result showing "myxomatous mitral valve," this refers to a condition where the mitral valve is abnormally thickened and may be associated with mitral valve prolapse.
The presence of mitral valve prolapse may or may not lead to significant regurgitation.
As for the classification of vaccine recipients, the categorization into groups (like the ninth category) typically depends on specific guidelines set by health authorities, which may consider underlying heart conditions.
It would be best to consult with a healthcare provider for precise classification based on the latest guidelines.

Xiao Xi, 20~29 year old female. Ask Date: 2021/08/08

Dr. Wu Xueming reply Cardiology

1.
The frequency falls within the normal range.
2.
Category nine refers to patients with cardiovascular diseases.

Reply Date: 2021/08/08

More Info

Understanding the results of a 24-hour ECG (Holter monitor) and echocardiogram can be quite complex, but I will break it down for you in a way that is easier to understand.

24-Hour ECG Results
In your 24-hour ECG report, you mentioned that there were 9 PVCs (premature ventricular contractions) and 6 PACs (premature atrial contractions). PVCs and PACs are types of arrhythmias, which are irregular heartbeats.
1. PVCs (Premature Ventricular Contractions): These are extra heartbeats that begin in the ventricles and disrupt your regular heart rhythm. While having a few PVCs can be normal, the threshold for what is considered "normal" can vary. Generally, having fewer than 5 PVCs per hour is considered normal. In your case, 9 PVCs over 24 hours is relatively low and may not be clinically significant, especially if you are asymptomatic.

2. PACs (Premature Atrial Contractions): These are similar to PVCs but originate in the atria. A few PACs can also be normal, and having 6 PACs in a 24-hour period is typically not concerning, especially if they are infrequent and not associated with symptoms.

Echocardiogram Results
Regarding your echocardiogram results, you mentioned the presence of myxomatous mitral valve (MV) and mitral valve prolapse (MVP).
1. Myxomatous Mitral Valve: This term refers to a degenerative change in the mitral valve, where the valve leaflets become thickened and redundant. This condition can lead to mitral regurgitation, where blood leaks backward into the left atrium when the left ventricle contracts. Myxomatous degeneration is often benign, but it can sometimes progress to more significant valve dysfunction.

2. Mitral Valve Prolapse: This is a condition where the mitral valve leaflets bulge (prolapse) into the left atrium during heart contraction. MVP is often associated with myxomatous degeneration. Most people with MVP do not experience significant symptoms or complications, but some may develop mitral regurgitation, which can require monitoring or treatment.

Vaccine Considerations
You asked whether having a myxomatous mitral valve and mitral valve prolapse places you in a specific category for vaccine eligibility. Generally, individuals with mild mitral valve issues, such as those described, are not automatically excluded from receiving vaccines. However, specific guidelines may vary based on the type of vaccine and individual health conditions. It is always best to consult with your healthcare provider regarding vaccine eligibility, especially if you have underlying heart conditions.

Conclusion
In summary, your 24-hour ECG results showing 9 PVCs and 6 PACs are within a range that is generally considered normal, especially if you are not experiencing any symptoms. The echocardiogram findings of myxomatous mitral valve and mitral valve prolapse indicate some structural changes in the heart, but these are common and often benign. Always keep an open line of communication with your healthcare provider to discuss your results and any concerns you may have, especially regarding vaccinations and ongoing management of your heart health.

Similar Q&A

Understanding Heart Health: Echocardiogram and 24-Hour Holter Monitor Insights

Hello Doctor, I have recently been feeling that my heart rate fluctuates between fast and slow, and I often feel missed beats. I'm not sure if it's just psychological, but I also experience some pain around my heart area. I would like to ask the doctor to review the ech...

Dr. He Dongjin reply Cardiology
Hello, there are no significant issues, just some mild mitral valve prolapse. There's no need to worry. Changhua Hospital cares about you.

Understanding Your 24-Hour Holter Monitor Results: A Guide to Heart Health

Hello Doctor, since my follow-up appointment is still a long way off, I checked my 24-hour electrocardiogram on the National Health Insurance Quick Access System and would like to ask if the report results are normal. Thank you for your diagnosis and examination. Purpose of exa...

Dr. Wu Xueming reply Cardiology
The report indicates the presence of atrial and ventricular ectopic contractions.

Understanding Your 24-Hour Holter ECG and Echocardiogram Report

The Ambulatory Holter ECG report: 1. The baseline ECG showed sinus rhythm with a heart rate ranging from 38 to 157 beats per minute. The average heart rate was 70 beats per minute. 2. There was sinus bradycardia without any long pauses. 3. No paroxysmal supraventricular tac...

Dr. Huang Yinghe reply Cardiology
Hello: Below are the results of the examination report, which are generally unremarkable. The purpose of the examination is typically to determine if there is a need for disease diagnosis or treatment. Please follow up with your physician to discuss any further management. 24-h...

Understanding Holter EKG Results: Are PACs Dangerous?

Chief, I apologize for the interruption. May I ask about the 24-hour Holter ECG report? HOLTER EKG: Date of 24-hour recording: 2024/02/21 Study for: Arrhythmia Antiarrhythmic drug therapy at the time of recording: Unknown ANALYSIS RESULT 1) Quality of recording: Good 2) ...

Dr. He Dongjin reply Cardiology
Hello, it's nothing serious. Atrial premature contractions are not very dangerous, so don't worry. Changhua Hospital cares about you.