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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How do I check my pulse rate?

Query: Hello doctor, I notice whenever I am hooked up to a monitor. It reads a pulse on a pulsometer. My pulse is never steady. It bounces around each second and not gradually or one by one. It goes from 75, 82, 86, 92, 84, 101, and then back to 94 and 87. It bounces within a 15 to 30 beat range. Is thi...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. Pulse rate between 60 to 100 is called a normal range. Pulse rate remains on the lower side during rest and sleep and on the upper side during activity, fear, fever, etc. During exercise, it may go well beyond 100. Monitors are machines. These are not error-free....  Read Full »

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)

Answer: Hello, Welcome to icliniq.com. I went throught your query and your electrocardiograph (attachments removed to protect patient's identity). Before I could give 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 »

Is medication required to correct 140/90 mm Hg blood pressure checked by Holter monitor?

Query: Hi doctor, I am a 44-year-old of height 175, and my weight is 94. My blood pressure is 140/90, and the ECG was normal, but just chronic palpitations probably due to chronic anxiety. All blood tests are normal. 1) TSH - 0.163 mIU/L. 2) S-FT4 - 11.5 Pmol/L. 3) S-FT3 - 5.7 Pmol/L. 4) Triglycerid...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Your blood pressure is mildly elevated. Lifestyle modifications may help reduce it. However, if these measures do not reduce blood pressure in three to six months, then medicines may be started. Measures to control BP (blood pressure): 1) Avoid smoking and other addicti...  Read Full »

Why am I having terrible upper back pain and left shoulder pain?

Query: Hi doctor, I am a 32 year old male, and I have a terrible upper back and left shoulder pain from past two years. The pain is radiating to the left side of the chest also. Whenever I move my neck, I hear some sound. With this pain, I feel drowsy and light-headed full day. I am not able to do routine...  Read Full »

Dr. Atul Prakash

Answer: Hello, Welcome to icliniq.com. I would like the following details. Did you take any x-ray? Have you tried physiotherapy? Was the MRI with or without contrast? Do you feel missed heartbeats when you feel drowsy? Do you get sweaty or get a sinking feeling? If yes, then you need a 24- hour Holter ECG (...  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 »

Dr. Tanmai Yermal (jain)

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 a...  Read Full »

Will ectopic beats cause twitching of muscles near breast under armpit?

Query: Hi doctor, I am a 24-years-old female. I am experiencing twitching on the left side of my breast, almost under my armpit. It feels like fluttering, and it has been happening for the second day now. Three weeks ago, I had a Holter monitor, and it showed a lot of ectopic beats, but the doctor assured...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to icliniq.com. Your Holter test is normal (attachments removed to protect the patient's identity). There are ectopic beats, but the number is very low. You need not worry about that. Ectopic beats cause a feeling of extra beats or missed beats or fluttering in the neck or cough. ...  Read Full »

Is there any abnormality in my cousin's reports?

Query: Hi doctor,I am asking query for my cousin. He met with an episode of syncope and head injury a month ago. He was in ICU for a week. He had this in the early morning while he was in the bathroom. Also, he had a high fever at that time. There is no previous history as such. Only he used to take medic...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. Kindly answer my questions as I would like to know some details of the problem. What was the patient doing while he had syncope? Was he simply standing or sitting on the commode or passing urine in the standing position? Did he felt anything wrong in his body before ...  Read Full »

What is the cause for having fluttering in my chest with shortness of breath?

Query: Hi doctor, I am a 24 year old male weighing 221 lbs. I felt a fluttering in my chest yesterday for the first time, which only lasted for five seconds and I felt short of breath. I got an ECG, x-ray, CBC and HbA1c done today. I am worried about my ECG being abnormal. I am scared that there could be s...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Do not worry because the probability of any serious illness at this age is low. However, these are probably an arrhythmia like atrial fibrillation or PVC (premature ventricular contraction), which are not a serious condition. These can cause all your symptoms and ...  Read Full »

I fell twice, followed by dizziness and profuse sweating. Why?

Query: Hi doctor, I am a 41 year old female with regular periods. I am 5'4" and weighs approximately 165 pounds. I have fainted this morning and almost exactly a month ago. The first time was in the middle of the night. When I woke up to use the bathroom, and while I was in the toilet, I broke out in a cla...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hi, Welcome to icliniq.com. It looks like a cardiac issue. It is most probably occurring due to fall in blood pressure and which is mostly due to either a vagal reflex or low heart rate. These can be vasovagal syncope. During urination, one can get syncope because especially if one is straining dur...  Read Full »

What causes giddiness with generalized itching?

Query: Hi doctor, I was admitted to ICU in a hospital with below conditions at night 4 AM. BP 90/60 mmHg, temperature afebrile, PR 80/min, CVS, R and PA NAD, giddiness, started generalized itching and nausea. There is no history of headache, visual disturbance, weakness of limbs and bowel and bladder distu...  Read Full »

Dr. Hitesh Kumar

Answer: Hello, Welcome to icliniq.com. I would like to know a few more details. What did you feel in giddiness exactly? Was it feeling of everything rotating around you or feeling of head rotating or feeling of darkness in the front of the eyes or increased heartbeat? For how long these problems lasted? ...  Read Full »

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