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 causes chest pain and blurred vision?

Query: Hello doctor, My father had PTMC twice. He had also undergone an MVR before 10 years. Unfortunately, his heart rate always seems to rise to 150 or 160. Two years back, he had a cardioversion and was fine with the drugs Renozex and Sotalex. After the MVR, he was on Warfarin and his INR was fine. Thi...  Read Full »


Dr. Rishu

Cardiologist

Answer: Hi, Welcome to icliniq.com. I have noted all your details. The Holter reports (attachment removed to protect patient identity) of your father reveal his baseline rhythm to be atrial fibrillation. The rapid heart rate associated with atrial fibrillation can result in chest pain or discomfort (angi...  Read Full »

Is pacemaker surgery mandatory for high degree AV block?

Query: Hi doctor, I have been advised of a pacemaker surgery by an electrophysiologist and asked for another cardiologist's opinion. Right now, I have two different interpretations of my Kardia mobile ECG readings from these doctors. One doctor sees a high degree AV block. The other one says he still can...  Read Full »


Dr. Sagar Ramesh Makode

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

Answer: Hello, Welcome to icliniq.com. I have gone through your reports (attachment removed to protect patient identity). Please attach the final Holter summary if you have one. What was the basis for an electrophysiologist to suggest a pacemaker? Did he perform any invasive tests? Now in y...  Read Full »

I feel like I have a bubble in my chest. Please help.

Query: Hi doctor, I am a 32 year old male, I have been to the ER twice in the past two weeks for a bubbling sensation that starts at the base of my sternum and goes up my esophagus, mostly when I am sitting or lying down. On the first visit they did a complete blood workup, EKG, and x-ray, everything was ...  Read Full »


Dr. Sagar Ramesh Makode

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

Answer: Hello, Welcome to icliniq.com. Did you have the same feeling during the ECG? Do you have any symptoms like dizziness, upper abdominal pain, nausea, vomiting, bloating and burping? The feeling that you are having may be due to acid reflux, but then you would have a burning feeling. There is a possib...  Read Full »

Do I need a pacemaker for low heart rate?

Query: Hi doctor, I am an 80-year-old woman with a little history of hypertension but without any other significant health issues. I am not on any medication at all. My blood pressure historically has been in a band of 120/80 up to 140/100 or so. My pulse is generally 80-95 bpm. I usually measure my blood ...  Read Full »


Dr. Sagar Ramesh Makode

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

Answer: Hello, Welcome to icliniq.com. Yes, it is a heart block, and it is a 2:1 AV (arteriovenous) block. Block can be intermittent, present at sometimes, and recover at other times. This certainly requires treatment as it can be life-threatening or may lead to syncope if the heart rate drops further do...  Read Full »

What causes chest trembling?

Query: Hi doctor, Occasionally, I feel the random trembling feel on the right side of the left breast nipple. It may occur once a day, but not on every day. There is no pain and it started a week ago. I do also feel pain in stomach and heartburn. I am currently on Pan 40 at night and Ecosprin once a week. ...  Read Full »


Dr. Anoop Mathew

Cardiologist

Answer: Hi, Welcome to icliniq.com. I understand that you are having palpitations. At your age, disturbances in heart rhythm are very common. About 1 out of 5 people in their 90's have this condition known as atrial fibrillation. Hence, we need to rule that out. If the condition does not resolve by ...  Read Full »

What causes heart palpitations feeling in the chest and head?

Query: Female, 25yo, 163cm, 58kg. Shift worker- nurse/midwife. Three months back, I went to GP with thumping chest that i could feel in my head and hear in my ears, headaches, tiredness. Halter monitor normal, ECG normal. Brain MRI normal. Bloods normal except low iron (13). Started on Maltofer. Symptoms...  Read Full »


Dr. Kiran Kumar Kolla Gopalkrishna

Anesthesiologist

Answer: Thanks for your query. Very interesting case reports. I think you had iron deficiency anaemia. I strongly suspect you have haemotological issue. Please do holter testing again, especially when you have palpitations. Do you do any exercises or brisk walk, does the palpitations appear? If not, not...  Read Full »

Is ECG test reliable to diagnose PVC?

Query: Hi doctor, I have had PVCs for years now. I noticed lately and I get them also while exercising. Like say today I ran for about five minutes after I stopped running, I felt one right after and one about two minutes later. Wondering if that is anything that it could be. Or if it could potentially tu...  Read Full »


Dr. Sagar Ramesh Makode

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

Answer: Hello, Welcome to icliniq.com. Did you ever undergo an echo or stress cardiac test? Now PVCs (premature ventricular contractions) in general are quite common and may occur during exercise as well. Most of the times, these are benign and will not turn into anything serious, so not worrisome. Exerci...  Read Full »

Are premature atrial contractions serious?

Query: Hello doctor, I am a 60-year-old male who just received the results of a 24-hour Holter monitor. Key findings include: Sinus rhythm with frequent supraventricular ectopy (2559) which included couplets and one seven beat SVE multiplet. No complex forms. No significant pauses or periods of hear...  Read Full »


Dr. Sagar Ramesh Makode

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

Answer: Hello, Welcome to icliniq.com. Premature atrial contractions or supraventricular ectopics are not harmful per se other than giving you symptoms. So antiarrhythmics are not usually recommended, so I do not disagree with your treating cardiologist. Beta blocker is the safest option available, althou...  Read Full »

Is low resting pulse rate a concerning issue?

Query: Hello doctor, I have been having consistently a very low resting pulse, between 50 and 58 and I do not know if this is a sign of a problem. I do not have any other issues besides nausea sometimes. I am 39 years old and overweight (BMI 32.9). Should I be worried?  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hello, Welcome to icliniq.com. This resting pulse is perfectly normal in healthy peoples. This pulse will rise once you exert. Rise in heart rate with exercise and fall during rest is a normal phenomenon that is controlled by our autonomic nervous system. In healthy persons, it even falls in 40s d...  Read Full »

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

Query: I'm a 21 year old male and take no medications. 4 years ago I started having Vasovagal Syncope episodes that have increased in frequensy over the years and I have now passed out from it around 10 times. My triggers for it are blood, needles, and damage to the wrists. My clinic reccomended that I wea...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Thanks for the query 1. First thing know that vaso vagal syncope is not dangerous. Try to avoid circumstances which lead to syncope. 2. When you feel that you are having syncope (prodrome), escape from that area/scene. Sit down on floor in squatting position, close fists tightly, drink 2 glasses ...  Read Full »

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