help decoding results

[Deltrot53]

hi I had a 48 hr holter monitor and echocardiogram in feb and have just had these results on my nhs app I’ve not had any follow ups yet so was looking for help with the results thank you holter monitor shows 3% burden of ventricular ectopics these are multi-focal and include couplets and triplets the echocardiogram results say within normal limits and my ef is 64% I’m assuming this is all ok thank you in advance for any help

[BobD Volunteer]

Very low burden. EF is super. Get on with and enjoy your life.

[Deltrot53 in reply to BobD]

Thank you for your reply that’s very reassuring I’m waiting for an appointment with cardiologist to discuss medication I think they may put me on bisoprolol thank you again

[JOY2THEWORLD49 in reply to Deltrot53]

Hi

I received 2 reports.

1 as immediate and short.

The other I asked for the complete report from my Drs Clinic.

cheri JOY. 75. (NZ)

[Deltrot53 in reply to JOY2THEWORLD49]

Thank you I hope all was well

[Ppiman]

That’s a good result.

In another sense, it really depends how you feel in yourself. That’s a low daily burden but if they come all together at a particular time, it can feel much worse than the figure suggests (although still not a worry in terms of health). Also, was the 48-hour representative of your usual level of ectopic beats?

Steve

[Deltrot53 in reply to Ppiman]

Thanks for replying yes that’s pretty much my usual level of ectopics they’re normally spaced out when I can feel them but I do sometimes get runs of them that I can feel in my throat if that makes sense

[Ppiman in reply to Deltrot53]

It does, and that can be hard work at times. I have them as I type this, in fact.

Steve

[Deltrot53 in reply to Ppiman]

I hope they settle as soon as possible for you

[AWhittaker]

Iv had the same thing, echocardiogram & 48hr monitor going doctors tomorrow but I got my results back on middle of May and I'm only just seeing my GP tomorrow about my results for them both. But reading them I have the same as you in 48hrs I had 104 Eptopic beats and these was ventricular and had a couple but not many artial ones as well. I think I had couples in there but I haven't spoken to the doctor yet. My results from my echocardiogram from what I read is all fine as well but I am finding they become less the less I worry about them which I know it's hard. Remember you've got this and though they are scary sometimes your not alone. I'd suggest checking out if you haven't already Dr Sanjay Gupta he has a YouTube page and also facebook he talks about eptopic beats this forum has guided me to this Dr so many times and he reassures you so much about everything.Best wishes and I hope you can learn to understand them and what the triggers are that's the hard part I'm learning at the moment.

[Deltrot53 in reply to AWhittaker]

Thank you for replying I’ll check out dr Gupta

[JOY2THEWORLD49]

Hi

With AF one usually has a left atrium dilation which makes your heart in an abnormal state.

I have persistent AF and my rapid ..is under control.

Therefore no cardioversion, ablation or anti-arrhymic meds.

Settled controlled on low doses of Diltiazem for rate and Bisoprolol for BP separated AM to PM.

cheri JOY. 75. (NZ)

[DrBook in reply to JOY2THEWORLD49]

Hi, cheri JOY. I also have persistent Afib and my average heart rate is 60 with Diltiazem. I'm asymptomatic and would rather not treat the arrhythmia. May I ask how you decided not to treat your arrhythmia? As you know, patients and providers alike have different opinions about this. Thank you.

Brian

[JOY2THEWORLD49 in reply to DrBook]

Hi

With AF Rapid Heart Rate under control the arrhymia is also slowed.

As I have an abnormal heart cardioversion, ablation and meds for rhymn is OUT.

I don't feel any rhymn abnormal. I don't get flutters, palpitations, or pain.

My heart rate at night has always been low and still is @ 47bpm avg.

Taking Diltiazem 120mg AM it does not affect the normal night rate. Dr thinks the Diltiazem altho slow release either it uses its energy straightaway and wear off or senses it doesn't need to exert itself.

On the Diltiazem manufactured by ACCORD my heart rate came down to 86-96. Then a year later the usual manufacturer resumed (SAFE PROVEN) and it came down to 60s.

You know that Flec..... is a risky, dangerous med!

cheri JOY.

[DrBook in reply to JOY2THEWORLD49]

Thank you for your response. I have great ambivalence about trying an antiarrhythmic medication but as I've posted previously I'm concerned about the progressive nature of Afib. Decisions, decisions!

I'll continue to wrestle with this, cheri JOY. I'm so grateful to you and others on this forum. Wishing you all the best.

Brian

[JOY2THEWORLD49 in reply to DrBook]

Hi

But you are already taing a safe one Diltiazem!

cheri JOY

[Deltrot53 in reply to JOY2THEWORLD49]

Hi thanks for replying my letter didn’t mention AF it just said pvc’s and my echo was within normal limits as far as I know I don’t have AF or at least I’ve not been diagnosed with it

[JOY2THEWORLD49 in reply to Deltrot53]

Hi

Well THIS IS A AF FORUM so we accept that al folks using this forum have AF. Often posters don't remind us.

May be it finds that you do have it.

I was diagnosed from the STROKE with AF Rapid and Persistent .. then at 4 days having a Carotid Arteries scan I had a shadow on my Thyroid. Carotids were clean but a biopsy proved I had Papillary Thyroid Cancer.

So the Thyroid in trouble caused AF and the AF caused the clot - it was an Ischaemic Stroke - Embolic type.

At least we know what caused the stroke and why I got AF. Why worry about the rhymn of your heart. In 2022 I was diagnosed with a soft systollic heart murmur which they don't worry about.

cheri JOY. 75. (NZ)

[Deltrot53 in reply to JOY2THEWORLD49]

I should have mentioned I haven’t been diagnosed with AF yet and hopefully won’t be the holter is the first one I’ve had although had a few echos in the past thank you for replying

[JOY2THEWORLD49 in reply to Deltrot53]

Hi

An ECG might catch it. Mine always reads abnormal ECG AF?

cheri JOY

[Ennasti]

I also have ventricular couplets and triplets. It can cause dizziness and breathlessness because you’re having multiple PVCs without a full normal beat. It can also progress to more serious arrhythmias. They’re not as harmless as occasional ectopics or even bigeminy and trigeminy. However, in having said that a lot of people never have any serious progression or show any evidence of serious arrhythmias. For me, the concern is I will develop sustained ventricular tachycardia so my cardiologist took note when one of my holters showed this.

[Deltrot53 in reply to Ennasti]

Are the couplets and triplets dangerous the report dosent mention how often or how many it say’s the tests ie holter and echo are reassuring I’m new to the arythmia thing I have a stent but not heart attack also the echo says normal

[Ennasti in reply to Deltrot53]

They’re not dangerous in themselves, but as I said, if you’re having triplets especially - that’s 3 part beats in a row. It also makes you more prone to other arrhythmias. Best to speak to your doctor and be advised by them. It’s not a simple black and white scenario. We’re all different and have different conditions etc.

[Deltrot53 in reply to Ennasti]

Will do thank you again for taking the time to reply

[Deltrot53]

My letter said I’ll been seen in clinic and to start on bisoprolol I’ve no appointment date as yet , I don’t get breathless is more of a feeling in my throat and now I can sometimes feel the extra beat or thud not always though hopefully this we not progress to anything else