Holter monitor results - No PVC caught
Indication: Palpitations
Patient with a monitor for 7 days. Average heart rate was 81 bpm. Minimum heart rate was 56 bpm. Maximal heart rate was 179 bpm.
Rhythm throughout the study was sinus rhythm. There were no PVCs or PACs noted. No sustained arrhythmias, heart block or pauses greater than 2 seconds. There were several patient symptoms recorded throughout the study that were described as
"dizziness/lightheadedness, heart skipping or pounding, anxiety" that correlated to sinus rhythm to sinus tachycardia with heart rates ranging from 83 bpm to 149 bpm. Some of the episodes occurred while exercising.
Conclusion:
- 7-day Holter monitor with the rhythm throughout the study being sinus rhythm. There were no PACs, PVCs, sustained arrhythmias,
heart block or pauses greater than 2 seconds. - There were several patient symptoms recorded throughout the study that were described as "dizziness/lightheadedness, heart skipping or pounding, anxiety" that correlated to sinus rhythm to sinus tachycardia with heart rates ranging from 83 bpm to 149 bpm.
I felt my very first PVC 2 months ago, it was a hard thump followed by tachycardia, then I also started getting some PACs but I don’t have them frequently and it says none were captured on my monitor. However, I remember a distinct albeit much lighter “thump” sensation while I was doing a light jog on the monitor. I don’t even understand what I felt now since it says I didn’t have a pvc again. The 189 bpm was during a panic attack. Should I still do an echo? Thank you