AF Association

Result of Holter monitor test - know your own body!

Just had the result of a 24 hour tape that I had on 12 October(! another story). Consultant requested it as I had been in asymptomatic AF with a HR of 80-120 during a clinic appointment. I think she did not altogether believe that my pulse oximeter usually shows a HR of c.65 bpm.

The bad news was that I was in AF throughout the monitoring period which seems to confirm her belief that I have moved from paroxysmal to permanent AF. The good news is that the average HR was 62 bpm with a range of 51-90. Occasional multi focal ventricular ectopics and occasional pauses, of which I was unaware, were noted.

Cardio says this is a satisfactory rate control and has recommended continuing on Bisoprolol 10 mg but reducing Digoxin to 125 mg from 187.5 mg. I'm also on Rivaroxaban. I am satisfied with this.

For Christmas, I got a Fitbit Charge 2 which monitors HR amongst other things. It is showing a broadly similar range as the Holter did, with an average 65 bpm, just like the pulse oximeter.

For those who don't know me, I'm a 63 year old who had an aortic valve replacement to correct a congenital condition 4 years ago. I also had AF for several years before the operation and since. I swim 3x each week, use an exercise bike and can walk several miles. I could do with losing about 10lb!

Comments welcome. Thank you if you have read this long post. Wishing everyone a happy and healthy 2017.


3 Replies

Seems that things are stable and if you are happy with your situation then no worries.


You could consider cardioversion, ablation, antiarhythmic drugs, but since you seem to be functioning well and asymptomatic, I can understand why these have not been pursued


I had one cardioversion which kept me in NSR for 16 months. I believe over exercising on a rowing machine brought the AF back. Cardio said I could have another one but said it probably wouldn't last. I have not pursued seeing an EP with a view to ablation. Even if I was suitable for the procedure from a cardiology viewpoint, previous disastrous angiograms have shown problems with the blood vessels in my groin. Inserting a catheter is tricky and painful for me. I'll see how I get on with the reduced digoxin and monitoring the HR on the Fitbit.


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