Hi - I'd Like To Have An ECG Readout. I've

Posted on Tue, 22 Sep 2020

Question: Hi - I'd like to have an ECG readout. I've been having some pain & premature beats so I wore a holter for 24 hours and I have the data available now

Follow up: Dr. Bhanu Partap (20 minutes later)

Please see data and analysis software here https://www.dropbox.com/sh/dziyspdrwqcljad/AAC27F5QG-_EGxQYuWgEKcMIa?dl=0. Launch "flash" and select "open old case"

Answered by Dr. Bhanu Partap (1 hour later)

Brief Answer:
Please refer to the detailed answer below

Detailed Answer:
Hello

I can understand your concern about your health and will surely try to help you out to the best of my knowledge.

The Dropbox link which you have provided, I am not able to access that due to some unknown reasons. You can share your report via email at YYYY@YYYY and addressed in my name Dr Bhanu Partap. That way I’ll be able to review the report and guide you accordingly.

Kind Regards

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Bhanu Partap (1 hour later)

It's a really big file so it will not fit. Can you detail me a bit what happened with the dropbox linke? Can you try this zip file https://www.dropbox.com/s/z66kahq94acu4h2/ECG-2020.zip?dl=0 and unzip it to a directory of your choice?

Follow up: Dr. Bhanu Partap (3 minutes later)

I've also tried to send it by email with a link, using a service named "wetransfer"

Answered by Dr. Bhanu Partap (9 hours later)

Brief Answer:
Hello again

Detailed Answer:
Thanks! I got the link of your file via email. I have reviewed your full holter report and i would like to tell you that there is no significant transient arrhythmia that happened during this holter examination. However there are frequent ectopics throughout the test.

If these premature beats are hampering your daily activity these low dose beta blocker need to be started after getting a written prescription from your treating doctor. Rest nothing significant is there.

Kind Regards

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Bhanu Partap (39 hours later)

Thank you for your answer. These premature beats are certainly bothering me a lot. I did not have strong episodes during this 24h recording, but some happen by group and can be really strong and scary. I can have "peace" for a couple of month and then a few weeks of daily strong sequences. Re beta-blockers, I tend to have a low heartbeat rate from time to time (~55) and these don't go very well with that, I think.

Best regards,

Answered by Dr. Bhanu Partap (3 hours later)

Brief Answer:
Hello again

Detailed Answer:
See, generally with this much ectopic activity generally beta blockers are also not used. As you are getting disturbed with these, so a low dose can be taken (After discussion with your treating physician) and it’s not gonna affect your heart rate much with low dose.

If still it persist then kindly get these blood tests done

1. Complete blood profile
2. Serum electrolytes
3. Thyroid profile

Also if you consume coffee or tea frequently or if you smoke then you need to cut that down as they are also an important factor that can cause ectopics.

Kind Regards

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Nagamani Ng