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What Does My Holter Monitor Test Report Indicate?

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Posted on Fri, 20 Feb 2015
Question: Hi I have had several tests done on my heart. Stress tests , 2 echos, 10 ecgs, 2 holter monitors. My tests all came back normal. The holter monitor showed 200 PACS and 15 isolated PVC. I am worried because my resting heart rate is 52-55 . I am not an athlete. I have lost 75 lbs over tthehe last 10 months through good diet. I am scared that I have sick sinus syndrome or heart block but my cardiologist says I'm fine. I don't feel fine I am very anxious and scared. My heart rate went down to 41 during sleep at 2:45 AM. Doctor still says this is all normal and I shouldn't worry. That is not easy for me as I suffer from extreme anxiety. Could anxiety cause a slower resting heart rate along with the high amount of weight loss? Can it be the nervous system?
doctor
Answered by Dr. Geldon Fejzo (26 minutes later)
Brief Answer:
There is no nervous system involvement

Detailed Answer:
Hello. I have been through your question and understand your concern.

Basically Central nervous system can modulate the cardiac frequency by hyperactivity of the vagus nerve, X cranial nerve. This is very uncommon and is possible only in theory. In practice there are limited cases.

But for sure anxiety is not involved with low cardiac frequency. Instead it is associated with increased cardiac frequency, though not always.

This is a matter of cardiologist. I can assure you there is no Central Nervous system involvement.

Hope this helps.

Best regards.

Geldon Fejzo MD
Above answer was peer-reviewed by : Dr. Vaishalee Punj
doctor
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Follow up: Dr. Geldon Fejzo (16 minutes later)
Hi Dr. Thank you for your response. I am so confused right now because my cardiologist is telling me that my heart is healthy and not to worry. Everywhere I look it says that a heart rate in that range is bradycardia. I'm lost right now
doctor
Answered by Dr. Geldon Fejzo (3 hours later)
Brief Answer:
bradycardia is not a disease

Detailed Answer:
Hello. You should not consider bradycardia a disease. It is just a condition and apparentely your body supports very well this frequency.

You should not worry because this is just an incidental finding with clinical significance.

Wish you the best health
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Geldon Fejzo (1 hour later)
Thank you doctor for that explanation! You have put my mind more at ease!! I appreciate it.
doctor
Answered by Dr. Geldon Fejzo (1 minute later)
Brief Answer:
You are welcome

Detailed Answer:
Please feel free using healthcaremagic again
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
Dr.
Dr. Geldon Fejzo

Neurologist, Surgical

Practicing since :2009

Answered : 337 Questions

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What Does My Holter Monitor Test Report Indicate?

Brief Answer: There is no nervous system involvement Detailed Answer: Hello. I have been through your question and understand your concern. Basically Central nervous system can modulate the cardiac frequency by hyperactivity of the vagus nerve, X cranial nerve. This is very uncommon and is possible only in theory. In practice there are limited cases. But for sure anxiety is not involved with low cardiac frequency. Instead it is associated with increased cardiac frequency, though not always. This is a matter of cardiologist. I can assure you there is no Central Nervous system involvement. Hope this helps. Best regards. Geldon Fejzo MD