Holter moniter results - hr 40-171bpm. blocked p waves, junctional escape beats, pacs and triplets. can you please explain what these mean?

Abnormal: This report shows that your heart beats both too slowly and too fast with significant atrial irritability and occasional conduction problems. You may require a pacemaker and also antiarryhymic medication. A cardiologist is best qualified to evaluate,advise and treat you and I recommend that you consult one as soon as possible these rhythm disturbances can cause fainting,severe palpitations,etc.