apollo
  • Female
  • 56 Years
  • 20/02/2025

I've been having these episodes where my heart rate goes all over the place, and I keep feeling chest pain and discomfort throughout the day. I have my Holter monitor report with me, and I'm not really sure what it means. Can you help me understand what's going on and what I should do next?

Doctor 1

Answered by 1 Apollo Doctors

Fluctuating heart rate and recurrent chest pain can be concerning, and reviewing your Holter monitor report with a healthcare provider is essential for proper diagnosis. The Holter monitor will provide detailed information about your heart's activity over 24-48 hours, capturing any irregularities or arrhythmias that might explain your symptoms. If the Holter report shows any abnormalities, your doctor may recommend further evaluation or treatment. If the report is normal, your symptoms might be related to other conditions such as anxiety, gastrointestinal issues, or musculoskeletal problems. Please ensure you discuss the Holter report findings with your cardiologist to develop an appropriate treatment plan based on your specific condition.

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Answered 04/07/2025

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  1. Understanding Your Holter Monitor Report: a. Look for terms like "arrhythmia," "tachycardia," or "bradycardia" which indicate irregular heart rhythms. b. Note any mention of "PVCs" (premature ventricular contractions) or "PACs" (premature atrial contractions).

  2. Next Steps: a. Consult your cardiologist to interpret specific findings and discuss symptoms. b. If experiencing chest pain or discomfort, seek immediate medical attention.

  3. General Advice: a. Keep a log of symptoms and any triggers. b. Follow up with your healthcare provider for a comprehensive evaluation.

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Answered 10/09/2025

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I've been experiencing some discomfort and I'm really concerned. I'm a 23-year-old male and since January, I've had some pain in my right and left chest, as well as below my ribs. I tried taking medication for acidity at first. I noticed my heart rate is around 65 bpm while sitting but jumps to 90-100 bpm when I stand. This got me worried so I went to the hospital where my BP was 11090. The ECG came back normal, but the doctor suggested a 2D echo test. I've attached the results. I was on esomacD 40mg and etizola beta 0.25mg until the end of February, which seemed to help reduce the chest pain and occasional racing heartbeats. Today though, while resting, I felt a brief pain for about 3 seconds in the middle of my ribs on the left bottom side. My pulse was normal then. Could this be a sign of a heart attack or is there any risk involved?

Based on the information provided, it is unlikely that the symptoms you are experiencing are indicative of a heart attack. The normal ECG results and the improvement in chest pains and heart rate with the medications you were prescribed suggest that your symptoms may be related to other factors such as acid reflux or anxiety. Since you have already undergone medical evaluation including an ECG and 2D echo test, it is important to continue following up with your healthcare provider for further assessment and management. To address the occasional racing heart rate, you can consider taking Metoprolol 25mg once daily as prescribed by your doctor. Additionally, for acid reflux symptoms, you can continue using Esomac-D 40mg once daily before breakfast. If you experience any new or worsening symptoms, especially chest pain that radiates to your arm, jaw, or back, along with shortness of breath, dizziness, or nausea, seek immediate medical attention. Regular follow-up with your healthcare provider is essential to monitor your condition and adjust your treatment plan as needed.

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I recently got an ECG and 2D Echo done and the results show acyanotic congenital heart disease with severe valvular PS, mild PR, mild infundibular stenosis, significant RV hypertrophy, mild TR, and a moderately restrictive PDA with LR shunt gradient of 50 mmHg. The report also mentions RV hypertrophy, RA MPA dilation, but normal LV systolic function. Can you explain what this condition means and whether surgery is the only option to treat it? What would be the estimated cost for surgery and is there any chance of managing this with just medication? If I don't get surgery, how long can I expect to live with this condition and are there risks of a heart attack?

Consult a cardiologist with detailed Echo report (both hard copy and cd) This is a congenital malformation in your heart The definitive treatment is surgery Risk of heart attack per say because of this disease doesn't increase many fold but a potential risk of heart failure is always there Consult a cardiologist as advised earlier

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I'm 42 and had an ECG test done today. It came back with "otherwise normal ECG" as the result. Should I be worried about this? What does it mean exactly?

NORMAL..

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