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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Before two weeks, I fainted for a prolonged period on my bed. Is it due to vasovagal syncope?

Query: Hi doctor,I am 17 years old. Before two weeks, I got fainted in bed for a prolonged period. After standing, I went to emergency and I was diagnosed with arrhythmia. The doctor told me that I need to have a pacemaker. Then I went for a second opinion and the doctor told me that it is a simple case of...  Read Full »


Dr. Ilir Sharka

Answer: Hi, Welcome to icliniq.com. It seems to be a vasovagal episode and it leads to loss of consciousness. This gets support from postural tachycardia. It is necessary to review the cause of the arrhythmia. A cardiac ultrasound can be done. A tilt test and holter monitor can be done to identify the cau...  Read Full »

Is high systolic blood pressure a concerning issue?

Query: Hi doctor, I have been getting unusual readings tracking my blood pressure on my Omron 10 series. I have been following the instructions to try and ensure accuracy. Over the past several days, I have captured readings with extreme isolated spikes in diastolic pressure that coincide with my machin...  Read Full »


Dr. Ilir Sharka

Answer: Hello, Welcome to icliniq.com. I understand your concern and would like to explain that those abnormal diastolic BP value spikes could be due to erroneous readings of automatic Omron BP equipment in the settings of episodic cardiac arrhythmia (probably extrasystolic arrhythmia, atrial fibrillation...  Read Full »

I have palpitations intermittently while working and during rest. Why?

Query: Hello doctor,I have palpitations intermittently while doing my job and during rest for the past two weeks. Also, I have neck pain and phlegm while coughing. But there is no cough always. I have severe acidity too. Sometimes I take Rantac tablets before food. But it is not reducing. I took the ECG wh...  Read Full »


Dr. Ilir Sharka

Answer: Hello, Welcome to icliniq.com. I read your echo report carefully and would explain that it shows mild changes related to arterial hypertension (attachment removed to protect patient identity) but nothing serious. I would recommend increasing the dose of antihypertensive drugs to have better control ...  Read Full »

What should be done for low blood pressure with second-degree heart block.

Query: Hello doctor, My boyfriend is 24 years old. Being a fitness trainer, he does not take any drugs. He has been getting chest pain for the past four months and sometimes lightheadedness. He went to the doctor and had done a blood test which came back normal. His blood pressure is low, and he had a 24-h...  Read Full »


Dr. Ilir Sharka

Answer: Hello, Welcome to icliniq.com. I understand your concern. I want to explain that when we are in front of a cardiac conductance abnormality in an young adult first, it is necessary to exclude an infectious and inflammatory disease, like Lyme disease, sarcoidosis, and other cardiac issues, like myoc...  Read Full »

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