ECG Flappy gaps?

[Dippy22]

Hi awesome people,

This is an ECG taken on my iWatch on waking this morning - still laying flat in bed. I’m currently in yet another Amiodarone-suppressed episode of PAF. Currently approx 36 hours.

At least the Amio is keeping the heart rate lower, but I seem to be getting more episodes.

My question is - should I be overly concerned about those long flappy gaps?

NB I was in A&E again late last week over concerns about the Amiodarone vs these (increasingly) frequent “break throughs” of AF and all they said was to ride it out till the ablation on the 22nd.

Your thoughts would be most welcome.

[BobD Volunteer]

Yes unless you have chest pain or fainting/dizzy spells.

[Dippy22 in reply to BobD]

Thanks Bob. Just looking for a little reassurance. xx

[Buffafly]

When they get to 4/5 seconds you’ll know to worry 😟

[Ppiman]

I should guess the bumpy bits are the Apple software trying to suppress the noise that occurs in all the home ECGs that don't use electrodes and rely on damp skin contact to work. I've been using one from a company called Wellue that has an alternative to use electrodes on the chest and that does produce a far better graph and, with their AI analysis, gives a ton of information. Hopefully, you'll soon not be needing any, of course, as AF will be something you look back on! Let's hope so.

Steve

[SeanJax]

it is junctional rhythm with long pause’s probably due to amiodarone. In a nutshell irregular rhythms possibly Afib. A pacemaker would be recommended had you not taken amiodarone. See with your ep for the next steps. Possibly amiodarone toxicity.

[Palpman in reply to SeanJax]

I see positive P waves so it cannot be Junctional rhythm. JR starts in the AV Node junction and travels down to the ventricles and may travel up as well to trigger the Atrials showing a negative P wave.

[Dippy22 in reply to Palpman]

Sorry, I don’t know a lot of the technical jargon. I assume I’m ok?

[Palpman in reply to Dippy22]

You'll be just fine Dippy.

[Dippy22 in reply to SeanJax]

Thanks for your answer. I’m only getting those long wiggly bits since I’ve been on the Amiodarone. Before that the AFib would generally just batter along with fairly regular intervals between the spikey bits.