23 doctors weighed in:

Cardiology question regarding pauses on holter monitor scan? Are those pvcs?

23 doctors weighed in
Dr. Robert Koch
Internal Medicine - Cardiology
4 doctors agree

In brief: Pauses are not beats

Pauses noted on holter rhythm monitoring usually follow an early extra beats, which can be a PVC or a pac.
The natural pacemaker or sa node is trained to compensate for early beats by inserting a pause to reset the next beat to normal timing. Pauses themselves are not felt, but the next normal beat can be experienced as a palpitation on the chest.

In brief: Pauses are not beats

Pauses noted on holter rhythm monitoring usually follow an early extra beats, which can be a PVC or a pac.
The natural pacemaker or sa node is trained to compensate for early beats by inserting a pause to reset the next beat to normal timing. Pauses themselves are not felt, but the next normal beat can be experienced as a palpitation on the chest.
Dr. Robert Koch
Dr. Robert Koch
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Dr. Mary Callahan
Internal Medicine - Cardiology
1 doctor agrees

In brief: Pauses on Holter

On a Holter monitor, only pauses greater than or equal to 2.
5 seconds are significant. If these are present we look for anything that can cause this and is not then consider placement of a permanent pacemaker.

In brief: Pauses on Holter

On a Holter monitor, only pauses greater than or equal to 2.
5 seconds are significant. If these are present we look for anything that can cause this and is not then consider placement of a permanent pacemaker.
Dr. Mary Callahan
Dr. Mary Callahan
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Dr. Frank Amico
Internal Medicine
1 doctor agrees

In brief: Need to see

I would need to see the holder strips.
After a PVC, the sinus node resets but pauses can be different. Without seeing the strip, I cannot say for sure.

In brief: Need to see

I would need to see the holder strips.
After a PVC, the sinus node resets but pauses can be different. Without seeing the strip, I cannot say for sure.
Dr. Frank Amico
Dr. Frank Amico
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Dr. Orlando Deffer
General Practice
1 doctor agrees

In brief: Holter pause

It depends but typically when we refer to pauses we talk about sinus pauses .
However PVC s can also be described as having a compensatory pause. I think if it was PVC s on your holter then that will be the term they would refer to it and not pauses.

In brief: Holter pause

It depends but typically when we refer to pauses we talk about sinus pauses .
However PVC s can also be described as having a compensatory pause. I think if it was PVC s on your holter then that will be the term they would refer to it and not pauses.
Dr. Orlando Deffer
Dr. Orlando Deffer
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Dr. Nassir Azimi
Interventional Cardiology
1 doctor agrees

In brief: No

Pauses mean that there is a delay between a normal beat and the next beat.
This is not the same as having a premature contraction.

In brief: No

Pauses mean that there is a delay between a normal beat and the next beat.
This is not the same as having a premature contraction.
Dr. Nassir Azimi
Dr. Nassir Azimi
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Dr. Rick Koch
Internal Medicine - Cardiology
1 doctor agrees

In brief: Not necessarily

Small pauses are normal following pacs & pvcs.
Talk to physician about if that's what it is (benign) or something else.

In brief: Not necessarily

Small pauses are normal following pacs & pvcs.
Talk to physician about if that's what it is (benign) or something else.
Dr. Rick Koch
Dr. Rick Koch
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Dr. Sergio Cossu
Internal Medicine - Cardiology
1 doctor agrees

In brief: Difft types of pause

Paues on a holter could be from sinus arrest or av block.
Usually pauses greater than three seconds require evaluation. A pause after a PVC or pac is considered a compensatory pause and not worrisome unless the retrograde activity back to the atria suppresses the sinus node and causes a prolonged sinus node recovery time.

In brief: Difft types of pause

Paues on a holter could be from sinus arrest or av block.
Usually pauses greater than three seconds require evaluation. A pause after a PVC or pac is considered a compensatory pause and not worrisome unless the retrograde activity back to the atria suppresses the sinus node and causes a prolonged sinus node recovery time.
Dr. Sergio Cossu
Dr. Sergio Cossu
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Dr. James Strader
Internal Medicine - Cardiology
1 doctor agrees

In brief: PVC's

Pvc's are early, extra beats.
They can be followed by a slight pause as the heart beat "resets.". However, some pauses are caused by failure to conduct, which can be a much more serious condition. You should follow-up with your cardiologist to determine which kind of pauses you have.

In brief: PVC's

Pvc's are early, extra beats.
They can be followed by a slight pause as the heart beat "resets.". However, some pauses are caused by failure to conduct, which can be a much more serious condition. You should follow-up with your cardiologist to determine which kind of pauses you have.
Dr. James Strader
Dr. James Strader
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Dr. Michael Zevitz
Internal Medicine - Cardiology
1 doctor agrees

In brief: Don't know

Can't tell without looking at the rhythm. They might be pvc's, pac's, or pauses due to conduction abnormalities of the heart.

In brief: Don't know

Can't tell without looking at the rhythm. They might be pvc's, pac's, or pauses due to conduction abnormalities of the heart.
Dr. Michael Zevitz
Dr. Michael Zevitz
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Dr. Tony Maglione
Internal Medicine - Cardiology

In brief: No

pauses are significant on a monitor if they are of 3 or more seconds in duration.
now if you have pvc's on your monitor, there may be a small compensatory pause which usually is longer than the regular heart beat rate.
so be careful not to confuse pauses with pvcs compensatory pauses.

In brief: No

pauses are significant on a monitor if they are of 3 or more seconds in duration.
now if you have pvc's on your monitor, there may be a small compensatory pause which usually is longer than the regular heart beat rate.
so be careful not to confuse pauses with pvcs compensatory pauses.
Dr. Tony Maglione
Dr. Tony Maglione
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Dr. Christian Assad
Internal Medicine - Cardiology

In brief: PVC

A pause is not a pcv.
A pause is failure to capture or to conduct a depolarization. A PVC is a premature ventricular contraction. This means that heart depolarizes from the ventricle without the conduction coming from the atria.

In brief: PVC

A pause is not a pcv.
A pause is failure to capture or to conduct a depolarization. A PVC is a premature ventricular contraction. This means that heart depolarizes from the ventricle without the conduction coming from the atria.
Dr. Christian Assad
Dr. Christian Assad
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Dr. Carlos Orrego
Internal Medicine - Cardiology

In brief: Holter

No. PVC's are skipped beats with a compensatory pause .
When we refer to long pauses mean that the electricity of the heart takes longer to transmit the impulse.

In brief: Holter

No. PVC's are skipped beats with a compensatory pause .
When we refer to long pauses mean that the electricity of the heart takes longer to transmit the impulse.
Dr. Carlos Orrego
Dr. Carlos Orrego
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Dr. Jason Rubenstein
Internal Medicine - Cardiology

In brief: Maybe

Hard to say from your description.
Pauses can occur due to pvcs, pacs, av block, sinus arrhythmia, sinus arrest, sa exit block, af with slow response, etc. You'll have to review the holter with your doctor.

In brief: Maybe

Hard to say from your description.
Pauses can occur due to pvcs, pacs, av block, sinus arrhythmia, sinus arrest, sa exit block, af with slow response, etc. You'll have to review the holter with your doctor.
Dr. Jason Rubenstein
Dr. Jason Rubenstein
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