Anyone know how to read this - British Heart Fou...

British Heart Foundation

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Anyone know how to read this

15 Replies

Just curious

15 Replies
Stumpy47 profile image
Stumpy47

Strikes me the important info is that you are in nsr most of the time with no significant problems. Many people have premature beats & are said to be pretty harmless though annoying .The best people to tell you are your cardiologists.

in reply toStumpy47

What is nsr if you dont mind me asking

in reply toStumpy47

Sorry I think I know what your talking about..thanks for the response

Stumpy47 profile image
Stumpy47 in reply to

Normal sinus rhythm, my friend .

in reply toStumpy47

👌✌thank you

Heythrop51 profile image
Heythrop51

I really know nothing about this but it looks quite positive to me. Chat with your GP or maybe the BHF nurses (they are frequently both recommended and praised).

in reply toHeythrop51

Will do

Dickyticker26 profile image
Dickyticker26

The reason for referral was "dizziness" but this is not dealt with directly in the report

in reply toDickyticker26

What would you say will be pointed at the right diagnose for dizziness

Dickyticker26 profile image
Dickyticker26 in reply to

I know from experience in the law that you often need a medic-sometimes "only a paramedic" to read and interpret scans and xrays so I really wouldn't know what to look for

However I can say that the advice on the internet is that slight dizziness is normally nothing to worry about

Kt88 profile image
Kt88

Sinus rhythm is the normal.

Your hr is within normal limits without having any episodes of tachycardia (fast heart rate).

Ventricular and super ventricular ectopic beats are basically just where the heart produces an extra beat, harmless in nearly everyone, especially if your heart is structurally ok. Ventricular and super ventricular is just the different part of the heart the extra beat comes from. Isolate means it was just the once it happened on that beat but had 5 throughout the day, coupled two together and a run a few at a time.

So basically it’s all positive, nothing on there I’d worry about.

Hope this helps

Katie

in reply toKt88

Thank you...I suffer with anxiety but also my physical symptoms prompt me to get these test done such as dizzy lightheaded faint spells and dyspnea. I have done echo and stress wich was normal so my doctor wanted to look for any arrhythmia that might also be causing the symptoms. If test are normal he said I had to work on my anxiety. But I'm not sure if anxiety alone can cause these chronic conditions

Your heart rate is normal. Your heart rhythm is normal. You had no episodes of abnormally fast or slow heart beat. You had 5 isolated ventricular ectopic beats over the 24 hours, but ectopics are extremely common and not a cause for concern in and of themselves - most people aren’t even aware of them. As explained by others, they’re just extra beats, and they would only really be of note if you were having multiple ectopics an hour or runs of them, or if they were triggering an arrhythmia.

Whilst I absolutely hate the tendency to blame everything on anxiety, and from experience know how damaging disregarding genuine symptoms as anxiety can be, I also speak from experience when I say the physical effects stress and anxiety can have on the body are extraordinary and shouldn’t be dismissed if all medical problems have been ruled out. I’m not medically qualified, and I have no knowledge of your history or circumstances etc., but whilst they could potentially be indicators of a cardiac concern, the symptoms you mentioned in another reply are classic effects of anxiety and panic attacks, and it can be quite common for people not to notice the thoughts or triggers that lead to one, thus increasing the belief that it must be a medical issue and compounding the anxiety because, from the sufferer’s perspective, no one is taking it seriously or doing something about it. One thing you haven’t mentioned is what your blood pressure is like - is it normal? If it was a bit low, that could account for some of your symptoms, particularly if the dizziness and fainting is linked to standing up or moving around. I note the report says you didn’t press the button on your monitor to indicate symptoms, but did you actually experience any symptoms at all whilst you were on the holter? Taking a balanced view for a moment, arrhythmias can be a nightmare to pick up and diagnose because you do actually have to catch one on monitoring equipment as it happens.

As someone with past mental health problems, being told our symptoms are ‘all in our heads’ can be a frustrating and worrying experience, and I would never encourage people with genuine concerns to just roll over and accept there’s nothing wrong purely because the doctors say so. They’re only human at the end of the day, and they do get things wrong or miss things more often than many people realise, in part because what we actually understand about the human body and medicine only scratches the surface. There is also a very real, dangerous assumption amongst the profession that all people with mental health issues are hypochondriacs and/or attention seeking, which can make obtaining good care very difficult even years after making a full recovery and being off medication. BUT, if the doctors have ruled out absolutely everything they can and can definitively say that with the knowledge we do have there’s no physical risk to what you’re experiencing, then I think there does eventually come a point where you either have to acknowledge that the issue is anxiety and deal with that or simply learn to live with the symptoms: I have a minor heart condition I take medication for and suffer absolutely horrendous palpitations at times, but after a raft of tests over a number of years the docs are happy that there’s nothing untoward or untreated going on. It’s not anxiety, and I no longer feel anxious about them, but there’s nothing I can do when they occur so I’ve had to learn to just accept them and go about my business. One thing to consider is that if you did start to properly deal with and treat your anxiety, if the physical issues remain exactly the same in spite of the anxiety improving you’d be in a much better position to push the medics to carry out further tests than you are right now. And anxiety can be well managed with the right treatments, if not cured completely.

in reply to

Thank you for breaking it down right...by the way my average blood pressure falls between 138/92 or lucky at times 126/84 ...

I had many test done from MRI's ct scans both head and chest' I had ultrasound of blatter, liver and kidneys, I had done endoscopy stress and echo...all normal. This is why they assumed it's all anxiety. Doctor has given me zoloft but never taken them because I'm very skeptical about taking these type of meds . Although I'm sure at this severity I probably should take then...

So I been dizzy weird head feeling and lightheaded with faint spells almost 247 for about a year but doctors cant seem to rule out anything but point more towards anxiety. I wasnt convince anxiety can cause such chronic symptoms

in reply to

It absolutely, definitely can cause these kinds of symptoms, and will continue to cause symptoms for however long your anxiety is left unmanaged, assuming that the anxiety is the root cause, which is why it can cause chronic physical symptoms.

I am not medically qualified, and any advice I give you is purely my own opinion, but as an outsider, I think you’ve had a raft of tests done and nothing is coming back even remotely off. Reading between the lines, what I’m hearing is that your condition doesn’t seem to be worsening as such over the last 12 months, but it’s not getting any better, and therefore I’d be inclined to suggest you consider focusing on the anxiety for a period to see if there is any weight to the suggestion. Just because you decide to explore if anxiety could be the primary problem, that doesn’t mean you can’t still go to the gp if things start getting worse physically. I don’t think you have anything to lose, and if it is the anxiety, that doesn’t mean there’s anything ‘wrong’ with you or that you’re a failure somehow. What is does mean, though, is that you might enjoy a better quality of life overall if your symptoms resolve as a result of being less anxious.

Anxiety medications and SSRI antidepressants can and do work well, they’re also generally not addictive and well-tolerated by the vast majority: having taken drugs very similar to Zoloft over the years, if I ever found myself struggling with my mental health again, I wouldn’t hesitate to go back on them. In your shoes, I’d be inclined to take them for a few months and see whether there are any positive changes to your physical symptoms. SSRIs do take about 6 to 8 weeks to start to become effective, so you need to give them a really good go before deciding they’re not doing anything. And if you do get side effects, I’d be inclined to suggest switching meds rather than stopping completely. If anxiety is the issue, then long term you can look at behavioural techniques for reducing and managing it, but medication will at least help confirm how much of what you’re experiencing is physical versus a manifestation of anxiety and stress.

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