My husband is 30 years old and has hemocromatosis (high iron blood disorder) This is the results of his holter monitor that he wore for 24 hours. Can any work out what it is saying?
Heart Rates, Min was 37 bpm at 3am, Maximum was at 183bpm at 5.30am. 1323 Beats in Tachycardia, 6744 beats in bradycardia – 1.84 seconds MAX R-R at 2.50am.
Superventriculars (S,J,A) – 321 isolated, 2 Couplets, 202 Bigeminal Cycles, 19 Runs totalling 131 beats, 35 beats longest run 102 bpm at 5.25am. 7 Beats fatest run at 160bpm at 5.23am.
Venticulars – 1 isolated, 0 couplets, 0 bigeminal cycles, 0 running totaling o beats.
The tachycardia listed above was factitious as the software frequently read tall T waves adn R waves or SVE's.
Does anyone have any ideas what these numbers mean?
Thanks for you opinion!
I will do my best
slowest HR is 37 beats per minute
fastest HR was 183 beats per minute
normal HR for adults 60-100
although it may be normal for someone to have a lower or higher HR without meaning something is wrong.
HR below 60 is bradycardia
HR above 100 is tachycardic
He had 1323 beats that were above the rate of 100 beats per minute
6744 beats with a HR below 60
R-R means the tracing that the monitor produces, the highest or lowest (depending on which lead the tracing is being read in) point of the heartbeat 1.84 seconds is the time elapsed between the two R waves, thus measuring the HR
supraventricular- means originating from above the ventricals
He had 321 isolated (PAC) premature atrial contractions
2 couplets meaning a pair or two consectutive PAC's ( normal beat, fast beat, fast beat)
202 bigeminal cycles ( normal beat, fast beat, normal beat, fast beat…….)
19 runs totaling 131 beats ( a run is three or more consective not normal beats) in your husbands case out of the 19 runs the abnormal beats totaled 131 beats
35 abnormal ( fast in your husbands case) consectutive beats in a row was the longest run
During the fastest run the HR got as high as 160 beats per minute
Ventriculars- is a wider complex rhythm and originates lower in the heart that generally result in a slower HR but not always
your husband had only one premature ventricular beat
It goes on to read that the results of the tachycardia were not real due to the machine picking up the T wave reading as a R wave, as I explained the R wave is the tallest point of the EKG reading and if the T wave ( the hump that follows after the R wave) is amplified for some reason ( bad hookup, lead position, machine misreading, or body movement) it will read the HR wrong and sometimes the rhythm.
I hope this helps
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Atrial premature contractions.
References :
I will do my best
slowest HR is 37 beats per minute
fastest HR was 183 beats per minute
normal HR for adults 60-100
although it may be normal for someone to have a lower or higher HR without meaning something is wrong.
HR below 60 is bradycardia
HR above 100 is tachycardic
He had 1323 beats that were above the rate of 100 beats per minute
6744 beats with a HR below 60
R-R means the tracing that the monitor produces, the highest or lowest (depending on which lead the tracing is being read in) point of the heartbeat 1.84 seconds is the time elapsed between the two R waves, thus measuring the HR
supraventricular- means originating from above the ventricals
He had 321 isolated (PAC) premature atrial contractions
2 couplets meaning a pair or two consectutive PAC's ( normal beat, fast beat, fast beat)
202 bigeminal cycles ( normal beat, fast beat, normal beat, fast beat…….)
19 runs totaling 131 beats ( a run is three or more consective not normal beats) in your husbands case out of the 19 runs the abnormal beats totaled 131 beats
35 abnormal ( fast in your husbands case) consectutive beats in a row was the longest run
During the fastest run the HR got as high as 160 beats per minute
Ventriculars- is a wider complex rhythm and originates lower in the heart that generally result in a slower HR but not always
your husband had only one premature ventricular beat
It goes on to read that the results of the tachycardia were not real due to the machine picking up the T wave reading as a R wave, as I explained the R wave is the tallest point of the EKG reading and if the T wave ( the hump that follows after the R wave) is amplified for some reason ( bad hookup, lead position, machine misreading, or body movement) it will read the HR wrong and sometimes the rhythm.
I hope this helps
References :
Myself, job experience