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First off, I do know I need to see a cardiologist. However, I do not currently have one and I am relocating across country in 8 weeks, so getting into a cardiologist at this point is pretty impossible and will need to wait. Problem is, being a person who already suffers from a panic disorder, waiting 8-10 weeks could make my symptoms worse just from sheer worry. Hoping some of you can help shed some light on what is going on and the results of my 48 hour Holter Monitor I just received.
First some background. I am a 48YO female, overweight, only medical issue is high blood pressure for which I take 5mg of Amlodopine and 40 mg of Benicar. About 18 years ago I started having PVCs. At that time, I would have a few hundred in a day and they would come and go periodically throughout the year. I had a full cardiology work up and found nothing structurally wrong. I was told to avoid triggers like stress and caffeine when they flare up. This past November they came back with a VENGEANCE. They started up after 5 months of intense stress (working full time along side spending 40 hours a week renovating our home to put up for sale because my husband's job was relocating across country). This flare up was the worst I had ever had. I could experience 6-10 skips in a minute. More troubling was that I was also experiencing sudden bursts of racing heart. This lasted from November through December then calmed down for January-March. Then in March it started back up and has been getting worse so I called my doctor and requested a Holter Monitor. He refused to put me on one and sent me to the ER instead. Rather than the ER, I ended up at a walk in clinic where they did a bunch of blood work (everything PERFECT that was tested. Cholesterol 135, everything in optimum ranges; vitamin/mineral panel; thyroid panel, etc, all good). I just got the results back from the monitor and all my General Practitioner will tell me about it is I need to see a cardiologist. Can someone help with some feedback on my results?
256305 QRS complexes
1655 Ventricular ectopics which represent <1% of total QRS complexes
618 Supraventrical ectopics which represent <1% of total QRS complexes
0 Paced QRS complexes which represent <1% of total QRS complexes
Ventriculars (V, F, E, I)
0 Bigeminal Cycles
6 Beats in Runs
3 Beats Longest at 230 BPM at 16:43:16 10-MAY
3 Beats Fastest at 230 BPM at 16:43:16 10-MAY
146 Beats in Runs
16 Beats LONGEST at 131 BPM at 10:26:25 11-MAY
3 Beats FASTEST at 135 BPM at 14:42:02 12-MAY
144 Max at 20:13:00 10-MAY
1. Frequent isolated PVCs (1573), 35 couplets, and a short run of non-sustained ventricular tachycardia of 3 beats at 230/min
2. Short runs of atrial tachycardia, longest 16 beats at 131/min
3. Palpitations correlate with ventricular ectopy
4. No significant pauses or bradycardia
(personal side note)
Interestingly enough, the thing I was MOST excited that they would've caught was I had one of my events of racing heart, where my heart just skipped and then took of racing. Ironically, it happened at around 8 o'clock on the 10th and there is NOTHING mentioned about it on the report other than highest heart rate reported at 144max at around that time... confused about this one, as well.
Thanks everyone for any feedback you can offer my on this. I'm just trying to stay calm until I can see a cardiologist later this summer.
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