A new experience!

[frankiec5]

Well I’m baffled!

I had my third cardioversion (alter 4 ‘failed’ ablations) a week ago today. I then enjoyed 4 days of NSR but on Sunday evening, my Kardia suddenly told me that the arrythmia had returned. Disappointment yet again!

My heart rate had gone up to 125+ bpm and I was registering Possible Afib and Tachycardia. It was Bank Holiday weekend of course so couldn’t contact my EP so I went back to taking 60mg Diltiazem as had been prescribed by my EP last time this happened.

Then last night, out of the blue, the Kardia suddenly started showing NSR and a heart rate in the 50s. This has never happened to me before. I’ve only ever flipped OUT of sinus, never INTO it. I’d love to know why this happened, especially after a cv where there is no blanking period, and what I can do to keep it that way.

Any thoughts would be much appreciated

[Rambler398]

Do you think you may be in slow atrial flutter, a problem you mention in your bio?

I have episodes of slow atrial flutter which Kardia reports as sinus rhythm.

The Kardia algorithm does not recognise atrial flutter.

[frankiec5 in reply to Rambler398]

I’m very much hoping that I’m actually in sinus rhythm. There does seem to be a p wave in my readings so I’m keeping my fingers firmly crossed.

I have absolutely no idea why this has happened and of course, I’m worried that it will be an all-too-temporary respite for my poor old heart! But at least it’s had a chance to beat at a normal rate for a while rather than at 130+ bpm!

[Buffafly]

Bit confused, were you taking diltiazem already and the 60mg was extra? I’ve done that before to up 120mg to 180 when in fast AF but my GP made me take 180 regularly instead 😕 Any way, good news for you, hope it lasts. Maybe your heart got tired of being ‘punished’ for arrhythmia ☺️

[Buffafly in reply to Buffafly]

I see we showered you with advice a few days ago so maybe there’s a clue there. No more ‘emotional films’ for a start, stick to comedy 😂

[frankiec5 in reply to Buffafly]

I’m so grateful for the advice and support from this forum, especially in this situation which I’ve never encountered before.

It helps a lot to draw on other people’s experiences

[frankiec5 in reply to Buffafly]

Good advice!

[frankiec5 in reply to Buffafly]

Sorry for the confusion 🙃

I was taking 60mg Diltiazem three times a day when I was in atrial tachycardia before I had the cardioversion.

I was told to stop it when the cv put me in NSR but I decided to start it again when my heart rate went back up to 130+bpm. And now that I’m back in NSR, I’ve stopped it again until I hear from my EP. Hope that makes sense.

I just have no idea why I’ve flipped back into sinus rhythm. It’s never happened before in the 3 and a half years since I was first diagnosed. And of course I’m praying that it won’t flip out again!

[Buffafly in reply to frankiec5]

🙏🏻 I think slowing the rate gives your Sinus Node a chance to take control, seems to work the other way too as slow HR leaves a gap for arrhythmia to jump in.