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Help reading Holter Monitor Results?

June 28th, 2008 · 2 Comments

I am a 25 year old female and over the last few months my bp and pulse have been low. My normal BP was around 120/78 and resting pulse was always around the 70's. Lately my bp has been 92/49with a pulse of 50. The Dr. sent me for a ECHO and Holter monitor. I'm not overweight or very active. Had back surgery a year ago and still inactive for now. Any help would be appreciated.

Minimal heart rate is 36 beats per minute, consistent with sinus bradycardia. Average heart rate is 57 beats per minute. Maximun heart rate was 135 beats per minute, consistent with sinus tachycardia. Nine percent of the time, the patient was tachycardia; 61% of the time the patient was bradycardic with a heart rate of less than 60 beats per minute. 1.76 seconds was the longest R-R interval, indicating no significant pauses. There were no ventricular ectopy noted. There was 17 isolated premature atrial contractions noted, no ventricular tachycardia or supraventricular tachycardia noted. Thank you for replies.

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    Tags: Monitoring Software


    2 responses so far ↓

    • 1 Cardiac Physiologist // Jun 28, 2008

      This is completely normal in a fit young 25 year old. Low heart rates are not significant if you don't have dizzyness /blackouts. They are classing anything under 60 bpm as bradycardia (slow heart rate) but this will commonly occur at rest in somebody young (my resting heart rate is 50 - 60 and I'm 28). The summary is your recording is completely normal!

      ….A heart rate of 36bpm (presumably in the middle of the night) is completely normal, generally at night young heart rates will drop to 40 occasionally and on inspiration can easily drop to 36 bpm. Also these reports often aren't checked by the reporter and they will go off the analyser, which will class 2 beats as a heart rate of 36 bpm.

    • 2 proudmommy2jayden // Jun 28, 2008

      It is not normal. May not be really bad, but it's not completely normal. You shouldnt have your hr at 36BPM. I was just hospitalized for this in December! It will be hard to give you any medication because one med will lower your HR, and the next will make it higher.. so as long as theres no symptoms(fainting, dizzy, weak, lightheaded, chest pain, etc) you probably wont need meds. Jsut keep an eye on it.

      If you got the results, how come no one explained this to you?

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