Your 24-Hour Holter Monitor Results During Pregnancy - Cardiology

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Could you please help me review the electrocardiogram (ECG) report?


Hello, Doctor.
I would like to ask you to review the 24-hour Holter monitor report to see if there are any significant issues.
I am currently pregnant and would like to know if there are any concerns.
I apologize for bothering you.
🙏🙏
Holter monitor: [CODE NUMBER]: 2022-7-41
Date of 24-Hour recording: 2022/07/04
Date of analysis: 2022/07/05
Time of start of recording: 16:32
Analysis Time: 22 hr 50 min
=============================================================================
[DOMINANT RHYTHM]: Sinus
Total Beats: 90,367
Minimum HR: 46 BPM at 02:14:17
Average HR: 66 BPM
Maximum HR: 138 BPM at 11:42:03
Total Ventricular Ectopic Beats: 0 (0.0%)
Total Supraventricular Ectopic Beats: 27 (0.0%)
Longest R-R Interval: 1.4 sec at 22:49:03
=============================================================================
[Conclusion]
* Sinus rhythm and arrhythmia
* Rare Atrial Premature Contractions (APCs) and Ventricular Premature Contractions (VPCs) (isolated)

Xuanxuan, 20~29 year old female. Ask Date: 2023/01/17

Dr. He Dongjin reply Cardiology


Hello, the report is normal, so there's no need to worry.
Changhua Hospital cares about you.

Reply Date: 2023/01/17

More Info


When it comes to understanding your 24-hour Holter monitor results during pregnancy, it's important to first recognize what a Holter monitor is and how it functions. A Holter monitor is a portable device that continuously records the heart's rhythms for 24 hours or longer. It captures data about your heart rate, rhythm, and any irregularities, which can be crucial for diagnosing potential heart conditions, especially during pregnancy when the body undergoes significant physiological changes.

From the report you've shared, the dominant rhythm is sinus, which is a normal heart rhythm originating from the sinus node, the heart's natural pacemaker. The total beats recorded were 90,367, with a minimum heart rate of 46 beats per minute (BPM) and a maximum of 138 BPM. The average heart rate was 66 BPM, which falls within the normal range for adults. The report also indicates that there were rare occurrences of atrial premature contractions (APCs) and ventricular premature contractions (VPCs), which are types of arrhythmias. While these can sound alarming, isolated instances of APCs and VPCs are often benign, especially if they are infrequent and not associated with any symptoms.

During pregnancy, the heart works harder to supply blood to both the mother and the developing fetus. It is common for pregnant women to experience changes in heart rate and rhythm due to hormonal changes, increased blood volume, and the physical demands of carrying a baby. The presence of occasional APCs or VPCs may not necessarily indicate a serious problem, especially if you are otherwise healthy and not experiencing symptoms such as palpitations, dizziness, or shortness of breath.

However, it is essential to discuss your results with your healthcare provider, who can interpret them in the context of your overall health and pregnancy. They will consider factors such as your medical history, any symptoms you may be experiencing, and the results of any other tests you may have undergone. If your healthcare provider deems the findings to be benign, they may recommend routine monitoring without any immediate intervention.

In terms of the potential impact on your pregnancy, the Holter monitor itself does not pose any risk to your baby. It is a non-invasive test that does not involve radiation or any harmful substances. The information gathered can help your healthcare team ensure that both you and your baby remain healthy throughout your pregnancy.

If you have any concerns about your heart health or how it may affect your pregnancy, it is crucial to communicate openly with your healthcare provider. They can provide reassurance, answer your questions, and guide you on any necessary lifestyle modifications or treatments to ensure a healthy pregnancy.

In summary, your Holter monitor results show a normal sinus rhythm with some isolated arrhythmias that are not uncommon during pregnancy. While it is always wise to remain vigilant about your health, the findings do not appear to indicate a significant concern. Always consult with your healthcare provider for personalized advice and to address any specific worries you may have regarding your heart health and pregnancy.

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