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Doctor insights on: How To Read Cardiac Rhythm Strips

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How do you read holter heart monitor results?

How do you read holter heart monitor results?

Like an EKG: A holter monitor is basically a 24-hour-long ekg. It is used to monitor people for arrhythmias when a normal ekg isn't able to catch it due to its short length. The doctor will be able to read the ekg strip and look for skipped beats, irregular rhythms, or sites generating extra electrical signals. The doctor can also look at your diary to see if what you are complaining about correlate with ekg. ...Read more

Rhythm (Definition)

Rhythm "any regular recurring motion, symmetry may be generally defined as a movement marked by the regulated succession of strong and weak elements, or of opposite or different conditions, this general meaning of regular recurrence or pattern in time may be applied to a wide variety of cyclical natural phenomena having a periodicity or frequency of anything microseconds ...Read more


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How to read holter monitor results?

How to read holter monitor results?

Talk to your Doctor: Holter Monitor used to look for abnormal heartbeats or patterns of heartbeats. They are often missed on basic ecg(EKG). The causes and types of findings are numerous. Care must be individualized to you!! Ask your Doctor. Everyone skips a few to several hundred heartbeats in 24 hours, but the pattern is very important. Go over your results with the person who ordered your test. Good Luck! ...Read more

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How to read my holter monitor results?

How to read my holter monitor results?

Talk to your Doctor: Holter Monitor used to look for abnormal heartbeats or patterns of heartbeats. They are often missed on basic ecg(EKG). The causes and types of findings are numerous. Care must be individualized to you!! Ask your Doctor. Everyone skips a few to several hundred heartbeats in 24 hours, but the pattern is very important. Go over your results with the person who ordered your test. Good Luck! ...Read more

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How many times can you perform cardioversion to revert atrial fibrillation to normal sinus rhythm?

How many times can you perform cardioversion to revert atrial fibrillation to normal sinus rhythm?

There is no limit: However, there is not much point in doing it repeatedly if the patient continues to go back into fibrillation especially if on medicine to maintain normal rhythm. Patients can do quite well even if in fibrillation as long as the heart rate is controlled with medication. ...Read more

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Regarding the Holter monitor. How does the dr read the 24 hour recordings. How do they catch any irregularities in rhythms. Is it done manually?

Regarding the Holter monitor. How does the dr read the 24 hour recordings. How do they catch any irregularities in rhythms. Is it done manually?

Holter: Most types of holter monitors are scanned by a computer with a technician interacting with the computer to sharpen the data interpretation parameters. The computer provides mathematical quantitation of the events identified by the computer/technician team. A report is generated for the physician to revue which has copies of the abnormal rhythms identified. The physician produces the report or oks ...Read more

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How do you read holter monitor report (heart monitor)?

How do you read holter monitor report (heart monitor)?

Talk to your Doctor: Holter Monitor used to look for abnormal heartbeats or patterns of heartbeats. They are often missed on basic ecg(EKG). The causes and types of findings are numerous. Care must be individualized to you!! Ask your Doctor. Everyone skips a few to several hundred heartbeats in 24 hours, but the pattern is very important. Go over your results with the person who ordered your test. Good Luck! ...Read more

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How many times can cardioversion be performed on an individual to revert atrial fib to normal sinus rhythm?

How many times can cardioversion be performed on an individual to revert atrial fib to normal sinus rhythm?

There is : No specific number or limit, however, if multiple cardioversions are needed it might be time to consider ablation or a change in medical therapy. ...Read more

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How can you use an pulse oximeter to detect sleep apnea?

How can you use an pulse oximeter to detect sleep apnea?

Non-definitive test: If you have sleep apnea severe enough to significantly lower you blood oxygen level, a pulse oximeter will record how low and how long your oxygen level decreases. It will not detect early cases, which can be screened with a simple questionnaire called "stop-bang" which has a scoring system to assess the risk of true sleep apnea. ...Read more

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Holter Moniter results - HR 40-171bpm. Blocked P Waves, Junctional escape beats, PACs and triplets. Can you please explain what these mean?

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. ...Read more

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For Cardiac Patients, will you recommend a portable handheld ECG EKG monitor, And is one single channel enough or should get 3 channel Rhythm leads? Thank You.

For Cardiac Patients, will you recommend a portable handheld ECG EKG monitor, And is one single channel enough or should get 3 channel Rhythm leads? Thank You.

ECG monitor: Strictly not necessary, there is a case for the I phone capable of ECG display sold commercially I suspect a similar device may also be out for Android (methyltestosterone) phones ;see http://www.alivecor.com/why-use-it ...Read more

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How can you monitor bradycardia?

How can you monitor bradycardia?

Bradycardia: You can monitor bradycardia in multiple ways: 1. You can feel your pulse for ten seconds (in your wrist) and multiply by six to get heart rate in beats per minute (less than sixty beats per minute defined as bradycardia) 2. Ekg patches can be placed on y chest (for up to one month) that records your heart rate 3. Small device can be implanted under skin upto two years to record bradycardia. ...Read more

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How to read the ECG report?

How to read the ECG report?

Tough question.: This topic does not lend itself to the limited space or time available here. Best to get someone local - maybe the doc who ordered it. ...Read more

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Please explain how a pacemaker does/does not control atrial fib. Also, other than heart cath, how can plaque be detected? Thanks these questions are in regards to my father's health. He has a pacemaker to control low heart rate, but pacemaker output has

Please explain how a pacemaker does/does not control atrial fib. Also, other than heart cath, how can plaque be detected? Thanks these questions are in regards to my father's health.  He has a pacemaker to control low heart rate, but pacemaker output has

Yes, : Yes, there are other options for treating atrial fibrillation as well as other diagnostic tests that can be performed to detect clots int the heart. Atrial fibrillation is an arrythmia where the person is a high risk for developing clots within the heart because the heart is unable to effectively pump blood to the body, leading to pooling of blood in the heart. Atrial fibrillation can be treated with medication or ablation, which work to get the heart's primary pacemaker to resume function. Another procedure that can be done is cardioversion. In a cardioversion, an electric shock is delivered to the heart to 'shock' the heart back to the person's normal rhythm. This procedure can be done for a person with a pacemaker, however the doctor must take measures to ensure no damage to the device. There are imaging tests, such as an echocardiogram, that can help a physician to determine the presence of clots in your heart. Echocardiography uses sound waves to create pictures of your heart. This test can detect areas of the heart where blood is not flowing properly, indicating a possible clot or blockage. Also, this test is useful for identifying parts of the heart that are not contracting well. ...Read more

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Can a loop monitor pick up ventricular tachycardia? Does it look different than sinus tachycardia? If so how?

Can a loop monitor pick up ventricular tachycardia?  Does it look different than sinus tachycardia?  If so how?

Loop monitor: ventricular tachycardia looks different from sinus tachycardia. It is not usual to confuse them. A loop monitor can demonstrate either or both rhythms if they occur while the monitor is in place and working ...Read more

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Can innapropriate sinus tachycardia lead to atrial fibrillation got to go to hospital monday for ECG my heart rhythm gone from normal to abnormal?

Can innapropriate sinus tachycardia lead to atrial fibrillation got to go to hospital monday for ECG my heart rhythm gone from normal to abnormal?

Not usually: This would be a bit odd. Usually fibrillation is the result of age, drinking, and diseases which exhaust or stretch out the atria. Inappropriate sinus tach usually doesn't directly result in afib. When it went to "abnormal" are you sure that was to fib? Did they get an ekg? Could well be flutter too, which can occasionally be mistaken for fib. ...Read more

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How can I monitor heart beats at home?

How can I monitor heart beats at home?

Monitor at Home: Cardiac rhythm can be monitored at home either with holtor or an event monitor ...Read more

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How does a wireless heart rate monitor work well?

How does a wireless heart rate monitor work well?

Like your phone: Blue tooth is a wonderful thing. Electrical pulses that trigger your heart function are easy to detect and send to a wireless monitor. Units these days are accurate and reliable. ...Read more

Dr. Randy Baker
92 doctors shared insights

Cardiac (Definition)

Cardiac translates literally to "heart, " and any place the term is seen, such ...Read more


Dr. James Dukelow
5 doctors shared insights

Cardiac (Definition)

Cardiac translates literally to "heart, " and any place the term is seen, such ...Read more