Holter Monitor

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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What does left atrial enlargement with elevated CK indicate?

Query: Hello doctor, I have been experiencing chest pain. Symptoms first started four days ago, after which I went to the local ER, and an ECG was taken, which came back as abnormal. The ECG findings were - Sinus rhythm normal, atrial premature complexes, probable left atrial enlargement, anteroseptal inf...  Read Full »


Dr. Tanmai Yermal (jain)

Internal Medicine Physician, Cardiologist, General Medicine Physician

Answer: Hello, Welcome to icliniq.com. I went throught your query and your ECG (electrocardiograph) (attachment removed to protect patient's identity). Before I could say my opinion, I would like to know some more details about your present symtoms. What is the exact location of your chest pain? Is it con...  Read Full »

Should I be concerned about my bizarre episode of palpitations?

Query: Hi doctor,Earlier at work, I experienced the most bizarre episode of palpitations I can remember. I do find them to occur fairly regularly once in every couple of days. Today, however, rather than just the one small bubbling and skipping feeling, it happened in sequences shortly one after the other ...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. There are two possibilities like heart issues and even anxiety related. It is likely to be a cardiac arrhythmia like premature complexes, PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation. We first need to find out the cause, and so yo...  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 »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

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 ...  Read Full »

Is it normal for the heart to stop for 11 seconds during vasovagal syncope?

Query: Hi doctor,I am a 21-year-old male and take no medications. Four years ago, I started having vasovagal syncope episodes that have increased in frequency over the years, and I have now passed out from it around ten times. My triggers for it are blood, needles, and damage to the wrists. My clinic recom...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Thanks for the query. 1. First thing you should know is that vasovagal syncope is not dangerous. Try to avoid circumstances that lead to syncope. 2. When you feel that you are having syncope (prodrome), escape from that area or scene. Sit down on the floor in a squatt...  Read Full »

Is precordial catch syndrome serious?

Query: Hello doctor,I am a 36-year-old female, slightly overweight, and have high triglycerides. I have sharp chest pain that happens very fast, only lasting a second but occurs randomly during the day. I had this throughout my life several times. The pain occurs in the upper center of the chest right at t...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hello, Welcome to icliniq.com. The sudden onset and offset of pain in the chest is usually due to muscular and skeletal causes, which may be due to trauma. The pain aggravates with movements and deep breathing. Other such sudden sharp pain is called precordial catch syndrome (PCS), which aggravate...  Read Full »

Why am I having heart palpitations, shortness of breath, and fatigue for four weeks?

Query: Hi doctor, I am 33 years old. For the past four weeks, I have heart palpitations, shortness of breath, and fatigue. It becomes worse after eating foods with carbohydrates. After eating, my symptoms last for an hour. I can do exercise without any issue. These symptoms never happened to me before. ...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Faster heart rate can occur due to fever. It can also occur due to vagal atrial fibrillation and it is uncommon to occur in young individuals. This is an irregular fast heartbeat that occurs in bouts after eating and during rest. Please mention in detail regarding t...  Read Full »

I have tachycardia at night time which disturbs my sleep. What to do?

Query: Hello doctor, I am a 55 year old postmenopausal woman, who is 223 pounds and 5 foot 8 inches height. I have no known heart conditions except for many PVCs and PACs. I was recently diagnosed and picked up on a 48-hour Holter with atrial flutter. My doctor did not say that I had aFib. Doctor wants me ...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Episodic tachycardia in the setting of PAC and PVC (premature atrial and ventricular contractions) is suggestive of arrhythmia, may be atrial fibrillation or flutter. We should try to find the cause for it. Do you smoke or have alcohol or any other stimulant drugs...  Read Full »

Why am I anxious and wake up with a racing heart?

Query: Hello doctor, A few months back, I felt a shock in my heart. There was chest discomfort; I was sweating and my pulse was going down. I almost felt like a heart attack, but, after a few minutes everything was normal. The next day I went to my GP to check and in ECG he found that I had irregular hea...  Read Full »


Dr. Rishu

Cardiologist

Answer: Hi, Welcome to icliniq.com. I have seen all your details. Firstly, you have not mentioned your smoking and alcohol habits. Do you ever have gastritis, GERD or heartburn as they can also mimic the same symptoms? Your palpitations are related to sinus tachycardia. Sinus tachycardia is a cond...  Read Full »

Is pacemaker surgery mandatory for high degree AV block?

Query: Hi doctor,I have been advised to have pacemaker surgery by an electrophysiologist. I asked for other cardiologist's opinions. Now, I have two interpretations of my ECG readings from these doctors. One of the doctors says that I have a high degree AV block. The other doctor says me that he can able t...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hi, Welcome to icliniq.com. I have gone through the reports (attachment removed to protect patient identity). Kindly attach the reports of holter monitoring. Please mention the reason to have a pacemaker as suggested by an electrophysiologist. Please mention whether he has done any invasive te...  Read Full »

Why are my PVC (premature ventricular contractions) getting worse?

Query: Hi doctor, There is an increase in PVCs over the past week. They happen in chunks of time for an hour or few times a day. There are no other symptoms, and it happens at rest, especially after I eat food and it goes away with movement. I bought the kardia device to catch an episode. I have attached ...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hello, Welcome to icliniq.com. There are few extrasystoles, but not sure whether these are PAC (premature atrial contractions) or PVC (premature ventricular contractions) as complexes are small. A 12-lead ECG (electrocardiogram) is recommended. If you have frequent PVCs, then Holter will tell how ...  Read Full »

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