Holter Test

[pippy164]

Can anyone tell me what SVE means and isolated narrow & wide premas mean on the results of a Holter ECG test?

[pippy164]

I  have trivial regurgitation in the pulmonary and tricuspid valve with thinned hypokinetic basal inferior wall with mild/moderate LVH and rocking motion. It showed some spells of tacycardia and bradycardia.   Can anyone tell me if this investigation would be considered normal even though I get lightheadiness upon exertion.  What is considered to be normal PA pressure? Mine was 18.00.  I do have a history of TIAs; should I insist on further investigations or be regularly monitored. Thanks. Pips  

[pippy164]

No there is more.  I had 22 isolated wide premas, 2 to 5 narrow premas 4 of, and 12 isolated narrow premas and  5 bradycardias. I had sinus tachy gradually slowing to normal sinus and another sinus tachycardia throughtout the strip. 1 short run of SVE's. max HR 147 bpm, min HR 44bpm. Does this indicate a normal test do you know, as I am told it is normal.  I also have trivial regurgitation in the pulmonary and tricuspid valve with thinned hypokinetic basal inferior wall. Trivial TR and PR what is this?

Any comments would be appreciated as I do not know if I should get a second opion as Ihave a history of TIAs.  Many thanks

[Brooke_38]

Hello...

SVE refers to Supraventricular Ectopy, palpitations occuring above the ventricles. Isolated narrow premature is in reference to an ectopic beat appearing as narrow complex(happening in the atria) on the holter  (PAC/premature atrial contraction) not occurring regularly or frequently

A wide complex would indicate activity occuring in the ventricles (PVC/premature ventricular contraction) or it could be premature atrial ectopy with aberent conduction meaning cardiac conduction through pathways not normally conducting cardiac impulses, particularly through ventricular tissue. This would cause the appearence of a wide complex.

Is that all your report indicated?