Your Holter Monitor Report: Key Insights on Heart Rhythm - Cardiology

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Electrocardiogram Consultation


Holter Report: Code No.: LHA109-2384
Clinical diagnosis: Cardiac arrhythmia
Test date: 2020/12/03
Analysis date: 2020/12/04
Hoopup time: 09:49
Recording Time: 23 hr 32 min
Analysis Time: 23 hr 32 min
Analysis result:
Technical quality of record: Good
Dominant rhythm: Sinus
Total Beats: 102,513
Min HR: 47 BPM at 03:05:33
Avg HR: 73 BPM
Max HR: 154 BPM at 12:35:54
Heart Rate Variability
ASDNN 5: 74.8 msec
SDANN 5: 153.6 msec
SDNN: 171.3 msec
AFib Beats: 0 (0.0%)
AFib Duration: 0.0 min
PVCs/couplets/Triplets/VT: 0/0/0
PACs/couplets/AT: 5/0/0
Fastest: 0 BPM
Drop (delay > 2.0 sec)/Late: 0/2
Longest N-N: 1.8 sec at 04:42:00
Others:
Comments:
- Sinus rhythm with a rate ranging from 47 to 154 bpm and a mean of 73 bpm.

- Only 5 isolated PACs with rare couplets.

- Few isolated PVCs with rare couplets.

- Mobitz type I second-degree AV block.

- No significant long pauses.

- Heart rate variability is intact.

Kait, 20~29 year old female. Ask Date: 2022/12/28

Dr. He Dongjin reply Cardiology


Hello, a slight occurrence of atrial premature contractions with atrioventricular block? It is advisable to return for a follow-up and discuss this with your attending physician.
Changhua Hospital cares about you.

Reply Date: 2022/12/28

More Info


Understanding your Holter monitor report is crucial for assessing your heart's rhythm and overall health. Based on the report you provided, let's break down the key findings and their implications.


Key Findings from the Holter Report:
1. Dominant Rhythm: The report indicates a dominant sinus rhythm, which is the normal rhythm of the heart, generated by the sinoatrial (SA) node. This is a positive sign as it suggests that your heart is functioning normally in terms of its basic rhythm.

2. Heart Rate:
- Minimum Heart Rate: 47 BPM, recorded at 03:05:33. This is considered bradycardia (a slower than normal heart rate), which can be benign in some individuals, especially if they are physically fit.

- Average Heart Rate: 73 BPM, which falls within the normal range for adults.

- Maximum Heart Rate: 154 BPM, recorded at 12:35:54. This indicates that your heart rate can increase significantly, which is expected during physical activity or stress.

3. Heart Rate Variability (HRV):
- The report shows intact heart rate variability, which is a good sign. HRV reflects the heart's ability to respond to stress and is an indicator of autonomic nervous system function. Higher variability is generally associated with better cardiovascular health.

4. Atrial Fibrillation (AFib): The report indicates 0 AFib beats and 0 minutes of AFib duration, which means there were no episodes of this potentially serious arrhythmia during the monitoring period.

5. Premature Atrial Contractions (PACs):
- The report shows 5 isolated PACs with no couplets. PACs are early heartbeats originating in the atria and are common in the general population. A small number of PACs, especially isolated ones, are usually not a cause for concern.

6. Premature Ventricular Contractions (PVCs):
- There were few isolated PVCs with rare couplets. PVCs are early heartbeats originating in the ventricles. Similar to PACs, a small number of PVCs can be benign, particularly if they are not associated with symptoms.

7. Mobitz I Second-Degree AV Block: This finding indicates a type of heart block where some electrical signals from the atria do not reach the ventricles. Mobitz I is generally considered less serious than Mobitz II and often does not require treatment unless symptomatic.

8. Long Pauses: The report indicates no significant long pauses, which is reassuring as prolonged pauses can lead to symptoms like dizziness or fainting.


Conclusion and Recommendations:
Overall, your Holter monitor report does not indicate any alarming issues. The presence of a normal sinus rhythm, intact heart rate variability, and the absence of significant arrhythmias like AFib suggest that your heart is functioning well. The isolated PACs and PVCs, along with the Mobitz I block, are typically benign, especially in the absence of symptoms.

However, it is essential to discuss these findings with your healthcare provider, especially if you experience symptoms such as palpitations, dizziness, or chest pain. They may recommend lifestyle modifications, such as reducing caffeine intake, managing stress, and maintaining a healthy diet and exercise routine, to support heart health.

In summary, while your report shows some minor irregularities, they are not uncommon and often do not require intervention. Regular follow-ups with your healthcare provider and monitoring your symptoms will help ensure that any potential issues are addressed promptly.

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