what does ekg and holter monitor detect?

i have had 3 ekgs and wore event monitor/holter monitor 2 times now i get palpitations/flutter or skipped beats at times. i do have anxiety disorder im 27 male 180 pounds.. they say everything looks fine and my heart is healthy but still get the sensation at times its not fun at all please let me know advice or experience…

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2 Responses to what does ekg and holter monitor detect?

  1. Hepo says:

    A holter monitor is a continuous heart monitor (usually 24 hours, but sometimes for a number of days) that is placed on patients who palpitate regularly for the purpose of picking up those palpitations, and see what they look like on EKG (if they appear as supraventricular tachycardias or ventricular tachycardias). Downside to this is that, sometimes the event doesn’t happen during the 24 hours that you have this monitor on. This is where the event monitor comes in. When you start feeling the palpitations, you simply press a button to activate the event monitor for it to record the electrical activity that is happening during the event. It is generally important to know what kind of EKG abnormality there is because generally, treatment varies for each.

    My guess is you probably have a re-entrant type of tachycardia. Emotions (particularly anxious ones) can predispose you to these tachycardias because of the endogenous adrenergics you produce. It won’t help, though if you drink caffeinated beverages or smoke, as these just enhance your release of these adrenergics that make your heart beat faster. My advise is to avoid these if you are taking them, and to never start using them if you aren’t using them. Sometimes, alcohol itself can induce this so-called atrial fibrillation (a type of supraventricular tachycardia, and it’s commonly termed as “holiday heart”). IMO, alcohol has once never been a beneficial substance. A lot of street substances (I’m not assuming that you use them) can give you palpitations too, as part of their side-effect profile.

    In some less common instances, you may need to have your thyroid function checked, as hyperthyroidism can sometimes induce these palpitations. On really rare occasions, functional adrenal tumors (pheochromocytomas) have been found to be causing the palpitations, as these tumors produce above-normal amounts of adrenergics. Generally, doctors look for these when all other common reasons for you to have palpitations have been ruled out.

    If the symptoms are sometimes too much that it starts bothering you, your doctor may prescribe you with a beta-blocker (propranolol and metoprolol being a few examples) to prevent these palpitations from occurring. But while they’re trying to find out what these palpitations look like on EKG, they probably will not start any on you yet.

    This is a pretty common doctor’s-office-complaint, and my sense is that you’ll be fine.

    Wikipedia has a good and understandable amount of information for any terms I used in this answer which you may find confusing.

    Hope this helps.

  2. Connor says:

    Most likely it’s due to your anxiety disorder. I know exactly where you are coming from. I get heart palps. all the time and no they don’t feel nice esspecially when you get a lot. I don’t have anxiety disorder but when I get high anxiety it makes my palps worse and more frequent. I’m getting ready to go through all the testing myself.

    EKG’s and Holter Moniters detect murmers, holes in the heart, abnormal beats etc. It’s basically just a START for diagnosing a heart condition. If nothing abnormal is coming up on those tests then very rarely do you actually have a heart condition.

    If you still think something is wrong then keep pursuing it. Ask for an ultrasound but if everything comes up clean it’s just your anxiety problems that’s making normal heart palps (that everyone gets) worse or more noticable.

    -Connor

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