A Holter monitor is a portable device used to measure and record the heart's activity continuously for 24 to 48 hours. It is used to pick up irregularities in the heart rhythm that an ECG missed. Arrhythmias of the heart can be diagnosed using a Holter monitor.
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I have had ectopic heartbeats, and I have had trigeminy or quadrigeminy episodes. Please help.
Query: Hello doctor,I have been having ectopic heartbeats for quite a while now. I got an echo, ECG, Holter and stress test, and all are fine. Holter showed mostly PAC but also a few PVC. But the thing is that I sometimes have trigeminy or quadrigeminy episodes. They can go for a few seconds to almost an h... Read Full »
Answer: Hi, Welcome to icliniq.com. I understand your concern. Most of the time PACs (premature atrial contractions) and PVCs (premature ventricular contractions) are normal. Your echocardiography is normal, so most likely, ectopic beats are regular. Caffeine and anxiety precipitate premature beats. Avoi... Read Full »
I sometimes wake up at night with a pounding heart. Is it AFib?
Query: Hello doctor, My friend recently told me that she found out she had AFib and had to stop drinking hard liquor as it is a trigger. Listening to her I wondered if I was having the same issue. At night I sometimes wake up with a pounding heart. I always chalked it up to scary dreams as the heart-poundi... Read Full »
Answer: Hello, Welcome to icliniq.com. Yes, it is possible to have AFib (atrial fibrillation), but truly speaking symptoms may be very similar. However, during AFib one would be having a high heart rate, with irregular heartbeats and usually associated with shortness of breath, dizziness or chest pain. It i... Read Full »
Can Food Allergies Cause Palpitations? Taking Concor 5 For Heart Palpitations.
Query: Hello doctor, I had my first heart palpitations two years ago. One doctor prescribed me Ciplar LA 20 and Ecospirin 75 for three months. The doctor also suggested Dilzem or Flecarite on SOS basis. I got palpitation even after having the above medicines. Dilzem worked on as needed basis but since it w... Read Full »
Answer: Hello, Welcome to icliniq.com. You are suffering from paroxysmal atrial fibrillation and intermittent ectopic. Food allergies will not cause this problem but if you take spicy food, have lack of sleep, mental or physical stress can aggravate the problem. Usually, these medicines have no or littl... Read Full »
No more painful bouts of AFib. Can this be due to the stopping of Bisoprolol?
Query: Hello doctor, I am a 65-year-old male who has, until recently, been playing tennis regularly. I have been on beta blockers for about 15 years, first on 50 mg of Atenolol and then on 10 mg of Bisoprolol. They lowered my pulse rate to about 60 but then, about three years ago, I started to get AFib. Th... Read Full »
Answer: Hello, Welcome to icliniq.com. Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat (arrhythmia) that can lead to blood clots, stroke, heart failure, and other heart-related complications. Normally, your heart contracts and relaxes to a regular beat. In atrial fibrill... Read Full »
Are my breathlessness and heaviness in the chest due to atrial fibrillation diagnosed in my late thirties?
Query: Hi doctor, I was born with a hole in my heart (ventricular septal defect) and a murmur. I never had it closed, and the hole is small now. In my late thirties, I was diagnosed with atrial fibrillation, as my heart kept suddenly speeding up (it took a while because it was not constant, so I had a loop... Read Full »
Answer: Hi, Welcome back to icliniq.com. I understand your concern. It seems you have episodes of paroxysmal atrial fibrillation as per your history. It will have been better if you have uploaded ECG (electrocardiogram). Tablet Flecainide is used for paroxysmal atrial fibrillation in an otherwise normal hea... Read Full »
Is narrow QRS in patients with atrial fibrillation indicative of cardiac arrest?
Query: Hi doctor, I have atrial fibrillation, and I recently had an ablation. I first had atrial fibrillation on three years ago. I was put on blood thinners and cardioverted a month later. I did not have another episode until last year and cardioverted again. I had another cardioversion after four months... Read Full »
Answer: Hello, Welcome to icliniq.com I went through your query, history, and reports (attachments removed to protect the patient's identity). Your Holter report suggests baseline sinus rhythm with VPC (ventricular premature contractions and APC (atrial premature contractions) that are ectopic beats. So act... Read Full »
My ECG showed abnormal ST and T waves along with left left atrial enlargement. Why?
Query: Hello doctor, I have recently been evaluated for palpitations. I had one ECG done that revealed I have abnormal ST and T waves. I was then asked to do a stress test. I also had a Holter monitor on for 24 hours. The stress test came back negative, and the Holter monitor came back normal. I then we... Read Full »
Answer: Hello, Welcome to icliniq.com. Your stress ECG (electrocardiogram) report attached (attachment removed to protect the patient's identity) is perfect. No, ECG is not the perfect way to diagnose left atrial enlargement. There is always some reason for left atrial enlargements, such as the reduced op... Read Full »
My heart rate increases with exertion. Should I be worried?
Query: Hi doctor, I have a severe doctor phobia. I am unable to go in for care, but I need to understand something happening better and if it is normal for my health. I had an episode of something a couple of months ago. I got extremely sick, started vomiting and sweating horribly, has chills and massivel... Read Full »
Answer: Hi, Welcome to icliniq.com. First of all, there is no need to worry and relieve your anxiety. In all probabilities, you are having obstructive sleep apnea as all your data fits into it. Do you have any symptoms like snoring, interrupted sleep, unrefreshing sleep, morning headaches, daytime sleepi... Read Full »
If any abnormality is found on Holter monitor, what treatment can be suggested by a doctor?
Query: Hi doctor, My mother has been on Holter heart monitor for the last 24 hours. If any abnormalities found on this, then what treatment can be suggested by doctors? Read Full »
Answer: Hi, Welcome to icliniq.com. Thanks for the query. Holter monitoring is done to identify rhythm problems, to diagnose the type of arrhythmia, and its relation to daily activities, to detect heart blocks and to monitor treatment. Now depending upon sign and symptoms and rhythm identified, the treatmen... Read Full »
I am suffering from sudden severe headaches, chest pain, and dizziness. Why?
Query: Hi doctor, I am an 18 year old female. I am suffering from sudden, severe headaches, chest pain, dizziness, fainting, difficulty in balance and blurring of vision often. Why? Read Full »
Answer: Hi, Welcome to icliniq.com. There are two possibilities. One is anxiety episodes, and the other one is cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Do you have any palpitations or... Read Full »