Despite the large number of PVCs/PACs that I had during the last 20 years, this is my first Holter ever. I've had stress tests, 2 x echo, lots of EKGs but never a Holter. So I would expect that this thing catches lots of ectopics..
But incredibly, I had a very busy but also very "calm" day when I used the monitor, even if the day before and the day after were bad in terms of ectopics. I even tried to exercise a little more, but didn't feel anything very weird that day.
So these are the results: (I did my best to translate to English):
- Only sinus rhythm during all the record,
- Max HR 166bpm, min HR 53bpm (during sleep), average 81bpm
- Minimum HR during the day 60bpm
- Tachycardia in 14% of the record, no significant bradycardia
- 3 isolated supra-ventricular premature complexes
- 5 isolated ventricular premature complexes, monomorphic
- No pauses bigger than 2 seconds (R-R max 1,3 sec)
- No changes in AV conduction or intraventricular conduction
- No changes in ventricular repolarization
- Normal QT interval
Conclusion: Supraventricular and ventricular extrasystoles, rare
So basically they found nothing, right? I'm not sure if I'm happy or sad. If I used the Holter one day later, these numbers would be a lot different including a "run" of 10+ PVCs in 1-2 minutes
Even 3-400 in a day is not a lot. Of course, I also hate it when that happens, but up to a few thousands a day is considered normal.
Yes, we all have PACs and PVCs so we'll just have to live with them. Now you know what it is and that it's not dangerous. If you are very bothered by them, beta blockers may help.