Slow irregular pulse- anyone able to interpret?

Here is a Kardia screenshoot- anyone any idea what it shows?

[BobD Volunteer]

I'm sure I can see a p wave so not AF. Lots of interference.

[Hidden in reply to BobD]

Yes the Kardia comment mentioned that interference was a possibility. I haven’t a clue how you can tell that however. I thought that it meant the trace was all over the place.

[Hidden in reply to BobD]

Unfortunately it’s now gone into AF.

[IanMK]

Looks a little like the trace I had except the ectopic beats occurred on every beat eventually. Sorry- I’m not sufficiently skilled to interpret each element of the cardiac cycle.

[Buffafly]

I have had a trace that looked exactly like that. It was during a week when I was ill and had AF off and on and then that pattern showed up. I found it happened when I stood still but went back to normal when I moved about. I didn't feel bad enough to go to A&E but I showed it to my cardiologist when I saw him - he was totally uninterested and muttered 'could be slow AF'. I don't think it is myself. There is a thing called bigeminy where you get frequent ectopics (pvcs) in a regular pattern and I think it's that but as we should always say I'm NMT - a new abbreviation I've added, can you guess it?

[Buffafly in reply to Buffafly]

Not dangerous according to Wikipedia 😊

[Hidden in reply to Buffafly]

The doctor thinks it may be stress. He doesn’t think it’s worth a referral to the cardio yet.

[Hidden in reply to Buffafly]

Bigeminy came up on a previous Kardia report. Not entirely sure what it is-I’m guessing it’s not good.

[Angie06 in reply to Buffafly]

I give in, what is it?

[Buffafly in reply to Angie06]

Not medically trained, possibly should be NMQ? We are not supposed to express a medical opinion 😊

[Hidden in reply to Buffafly]

It went into AF as soon as I went to bed last night and has shown AF even since on Kardia. My worry is that it may have gone permanent or persistent. It’s a fairly slow AF (at 70bpm) but hasn’t terminated as most of my episodes do.

[Finvola]

That looks like sinus rhythm with frequent atrial ectopics - I would find that very uncomfortable, so sympathies. There is a lot of interference - dampening your fingers might help the signal and keeping away from electronics.

[Hidden in reply to Finvola]

It feels like frequent arrial ectopics. I’m hoping they will calm down. They stop for a bit then start up again every so often.

[Finvola]

Aw, poor you - I’ve just read your post about an attempted burglary at your home. How horrible for you and how stressful for your heart. Ectopics can be caused by anxiety and stress, so it is important to take care of yourself and try to breathe deeply and relax as much as you can.

Take care and best wishes.

[Hidden in reply to Finvola]

Thanks.

[Rocky-athlete]

You can turn “Enhance off” and it will look a lot cleaner. You can do so by going to “more” at the bottom of the screen.

I keep electronics away, noise low, insulate legs from phone with pillow if in my lap, wet fingers, and don’t move around during recording.

I concur with BobD that there are p-waves, thus it is not A-Fib. Maybe lots of premature atrial contractions (with compensatory pauses, as they say) before the next contraction.

I can relate! Hope you feel better.

[Hidden in reply to Rocky-athlete]

It’s now gone into AF - it happened as soon as I went to bed late last night. It’s a slowish AF at about 70bpm but hasn’t terminated after a few hours as it usually does.

[Hidden in reply to Hidden]

oh b***er

[Brad43]

The closer spaced beats are Premature Atrial Contractions (PACs). If you get 2 in a row, it's called bigeminy. 3 in a row are trigeminy. I don't know if they have a name for more than 3, just a whole bunch of PACs. They're disconcerting, but not dangerous. I don't know of anything you can do about it, but don't worry as it won't hurt you.

[Hidden in reply to Brad43]

I agree, it looks like atrial bigeminy. Three is trigeminy.

I sometimes get this, especially if I am tired.

Hidden , do you take magnesium? I found that it helped reduce these attacks significantly

[Hidden in reply to Hidden]

I have tried magnesium-still have some from last purchase, but didn’t take it regularly as the ectopics came and went. Thanks for the suggestion.

[Frances123]

I had something similar start some weeks back and knew I wasn’t in AF despite it saying Possible Atrial Fibrillation. It did cause me concern and in the end I paid and sent it for analysis. Results were Normal Sinus Rhythm with Multiple Atrial Ectopics. Never had them in clusters before but it’s more than likely due to some medication I’m on.

Still getting them but mainly in the evening and seeing GP 31st May. xxx

[Polski]

I've put similar patterns down to my heart being 'all over the place' as it transfers from SNR to AF. It usually happens in the evening. I go to bed, and during the night AF takes over. It always reverts sooner or later, within a few days, or up to a week for me normally.

[Hidden in reply to Polski]

This sounds entirely credible. I have never had such a long “run up” to AF however (the AF started as soon asInwemt to bed however). Although it’s slow AF, it’s tenacious and has kept going all

Night. Usually my episodes stop after a few hours. Also, it may increase in speed when I eat something which has happened in the past.

[etheral]

Looks like sick sinus syndrome..

[fairgo45 in reply to etheral]

That's what I have sick sinus syndrome

Sometimes my slow is very slow 30bpm

[Fibfab]

Appears to be sinus rhythm with premature atrial contractions.

[Senatours]

NSR with persistent PAC’s. It could possibly morph into AF as was the case with me many years ago. The R to R intervals on the normal beats appear to be regular.

[AIW58]

Bigeminy is one normal to one ectopic Tri is two normal to one ectopic. On the Kardia they look like atrial ectopics (premature beats). Ventricular ectopics are different shape (morphology). My AF was often triggered by ectopics.

I hope yours has resolved now.

[Hidden]

When I started with PAF, I was a nervous wreck. In retrospect I’m pretty sure my cortisol levels must have been sky high, and my episodes were much longer as a result, one of the first lasting 3 days.

DrDave01 who invented the Kardia and Fibfab who is a very experienced cardiac physiologist have reported your trace (see above). Atrial ectopics are very easy to recognise. Why not invest some time learning how to interpret the rhythms your single lead Kardia shows for yourself? This might help reassure you.

[Hidden]

Many thanks for this reply. Will discuss with GP.