24-hour portable electrocardiogram (ECG)
I would like to ask the doctor if it is necessary to seek medical attention early based on this report, or if this is considered normal.
Thank you.
Previously, I experienced sudden sharp pains in my heart twice, and possibly due to excessive stress, I have been feeling like my heart is racing continuously.
Sometimes, I also have difficulty breathing.
1.
The basic rhythm is sinus rhythm with a ventricular rate ranging from 43 to 138 bpm, with an average rate of 71 bpm.
2.
No ventricular premature contractions (VPCs).
3.
Rare atrial premature contractions (APCs) noted (6 singles).
4.
No short-run supraventricular tachycardia (SVT).
5.
No long pauses exceeding 2.0 seconds.
6.
Three patient events recorded with sinus rhythm.
Xiong, 20~29 year old female. Ask Date: 2024/07/03
Dr. Wu Xueming reply Cardiology
The 24-hour electrocardiogram report shows no significant abnormalities, except for a few isolated atrial premature contractions.
Reply Date: 2024/07/03
More Info
When interpreting your 24-hour ECG report, it's essential to understand the significance of the findings and how they relate to your symptoms. Based on the report you've provided, here’s a detailed breakdown of the results and guidance on when to seek medical attention.
Understanding the Report
1. Basic Rhythm: The report indicates that your heart rhythm is sinus rhythm, which is the normal rhythm of the heart. The ventricular rate ranges from 43 to 138 beats per minute (bpm), with an average rate of 71 bpm. This suggests that while there are periods of bradycardia (slow heart rate) and tachycardia (fast heart rate), the average is within a normal range.
2. Ventricular Premature Contractions (VPCs): The report states that there are no VPCs detected. This is a positive finding, as VPCs can indicate underlying heart issues if they are frequent or occur in patterns.
3. Atrial Premature Contractions (APCs): There are rare APCs noted (6 singles). APCs are early heartbeats originating in the atria. While they can be benign, their presence can sometimes indicate heightened stress or anxiety, especially if they are accompanied by symptoms.
4. Supraventricular Tachycardia (SVT): The report indicates no short-run SVT, which is good news. SVT can cause episodes of rapid heart rate and may require further evaluation if present.
5. Pauses: There are no long pauses (greater than 2.0 seconds) noted in the report. Long pauses can be concerning and may require further investigation.
6. Patient Events: The report mentions three patient events with sinus rhythm. It’s essential to correlate these events with your symptoms, such as the sudden chest pain you experienced.
When to Seek Medical Attention
Given your history of sudden chest pain and feelings of rapid heartbeats, it’s crucial to be vigilant about your symptoms. Here are some guidelines on when to seek medical attention:
- Persistent Symptoms: If you continue to experience chest pain, especially if it is severe, or if you have difficulty breathing, you should seek medical attention immediately. These could be signs of a more serious condition, such as angina or even a heart attack.
- Increased Frequency of Symptoms: If you notice that your episodes of rapid heart rate or chest pain are becoming more frequent or severe, it’s advisable to consult your healthcare provider sooner rather than later.
- Associated Symptoms: Pay attention to any accompanying symptoms such as dizziness, fainting, excessive sweating, or nausea. These could indicate a more serious issue and warrant immediate evaluation.
- Stress and Anxiety: Since you mentioned that stress might be a contributing factor to your symptoms, managing stress through relaxation techniques, exercise, or counseling may also be beneficial. However, if stress is leading to significant symptoms, discussing this with a healthcare provider is important.
Conclusion
In summary, while your ECG report shows mostly normal findings, the presence of symptoms like sudden chest pain and feelings of rapid heartbeats should not be ignored. It’s essential to maintain open communication with your healthcare provider about your symptoms and any changes you experience. If you feel uncertain or anxious about your health, it’s always better to err on the side of caution and seek medical advice. Regular follow-ups and monitoring can help ensure that any potential issues are addressed promptly.
Similar Q&A
Understanding High Blood Pressure and 24-Hour ECG Results: What You Need to Know
Thank you, doctor, for taking the time to respond. I would like to ask about an incident that occurred around 3 or 4 AM one night when I was still awake. Suddenly, I felt anxious, had difficulty breathing, and my heart was racing very fast (without chest pain). Feeling very tense...
Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is recommended to adjust your lifestyle, avoid overly salty diets, and engage in regular exercise. However, if bl...[Read More] Understanding High Blood Pressure and 24-Hour ECG Results: What You Need to Know
Understanding Increased Palpitations: When to Seek Medical Attention
Hello Doctor, three months ago I sought medical attention due to palpitations (feeling of strong heartbeats). I underwent a 24-hour Holter monitor test, and the doctor mentioned that I had over 1000 episodes in a day, but they were benign. Later, an echocardiogram revealed mild m...
Dr. Wu Xueming reply Cardiology
Many factors in daily life can contribute to this situation, such as emotions, stress, irregular sleep patterns, or excessive consumption of caffeinated beverages. It is advisable to adjust your lifestyle and engage in regular exercise. However, if symptoms persist, it is recomme...[Read More] Understanding Increased Palpitations: When to Seek Medical Attention
Palpitations and Fatigue: Insights from ECG and Heart Monitoring
Hello Doctor, recently I have been experiencing a rapid and forceful heartbeat while at rest and during sleep. I often feel very fatigued at work. I have undergone an examination and a resting electrocardiogram (ECG), and the doctor indicated that everything looks "fine.&quo...
Dr. Wu Xueming reply Cardiology
The electrocardiogram shows no significant abnormalities; please wait for the 24-hour Holter monitor report.[Read More] Palpitations and Fatigue: Insights from ECG and Heart Monitoring
Understanding Heart Palpitations: When to Seek Medical Attention
Hello Doctor: My usual heart rate has been around 70. Recently, due to allergies, I have been taking Loratadine (lorapseudo sr) in the morning and evening. However, after the first dose, I suddenly experienced nocturnal awakenings with my heart racing (heart rate around 120-130)....
Dr. Wu Xueming reply Cardiology
Due to your young age and the absence of chronic diseases, your risk of developing heart disease is low. Many factors in daily life can contribute to this condition, such as emotions, stress, irregular sleep patterns, or excessive intake of caffeinated beverages. It is advisable ...[Read More] Understanding Heart Palpitations: When to Seek Medical Attention
Related FAQ
(Cardiology)
Health Check-Up Report(Cardiology)
Ecg(Internal Medicine)
Palpitations(Cardiology)
Lightheadedness(Cardiology)
Rapid Heartbeat(Cardiology)
Afib(Cardiology)
Chest Pain(Cardiology)
Pulse(Cardiology)
Ct Scan Report(Cardiology)