Sudden brief bouts of fast HR and ectopics

[Dangerousdriver]

Hi all,

I wanted to pick any brains as to what might be happening with regards to my heart lately. So, after my Cryo and RF ablation in May 2018 I have mostly been ok, having not had to attend hospital thus far touch wood!

However, I have been getting almost daily runs where my HR will shoot from 50 something to 140 or 90 in the blink of an eye and then settle back down soon after. It mostly seems to happen between 6-8 normally, but there is no obvious trigger I can pin it down to. I'm in SR, but albeit chaotic at times. I have noticed that my heart rate will rise to 140 odd even just walking sometimes, which it has normally done previously.

I have attached a sample of when this happened and the HR peaked at 142, but shows as an average of 102 bpm. There is a lot of artefacts in the scan because I was in a car travelling at the time of taking it, but you can see the overall behaviour of the heart in this scan.

I had an echocardiogram a couple of weeks ago and it was commented what a sound heart I had structurally and that my bi-cuspid valve looks good with no signs of calcification. This was all good news, but it is not the muscle I am worried about, it is the wiring. It is like having a German made engine with French electronics in it!

I managed to get an EKG of some of these episodes, but having emailed the arrhythmia nurses 2 weeks ago with this information I have still not had a response.

Therefore I wondered if any of you guys had experienced anything like that?

Thanks in advance...

Leon

[Padayn01]

Hello mate, sorry this is happening to you pal, but can i ask are you doing pretty much the same thing from 6-8? strange that its happening around the same time every day.

[Dangerousdriver in reply to Padayn01]

Hi mate, cheers, it's not ideal. I know I'm not going to drop dead or anything, but it's affecting me at work which is the biggest issue I have.

In answer to your question, no I am not doing the same thing at the rough time of day these things are kicking off in the chest. The one attached was where I was sitting in a car chatting away and boom! As my arrhythmia nurse said, I think with you it will happen when it will happen. I go through some weeks where I have very few obvious ectopics, and then other weeks where I get tons.

I definitely think stress does play it's part, but it happens when I'm at my most relaxed also.

I'm trying to push for a touch up ablation to just correct these little abnormalities, but the arrhythmia nurse stated that until it begins to hospitalise me or impact on my day to day more than it is then they will consider it. I personally would rather avoid that situation, butI understand their logic even if I do not agree.

Also, the ectopics are at lower HR generally 50-70bpm.

[Padayn01 in reply to Dangerousdriver]

Cheers for the reply mate, yeah be great to get a touch up on the ablation, where you based in UK or USA?

[Dangerousdriver in reply to Padayn01]

Well, I'm pushing like crazy to get it done until I make myself a nuisance and they want to see the back of me lol.

I'm based in the UK mate, good old Southerner where the air is thick and the sun shines more than twice a year ha ha.

[Padayn01 in reply to Dangerousdriver]

Yeah i thought you where based in the UK, i see you used the letters EKG and thought you were from the states

[Dangerousdriver in reply to Padayn01]

That’s the wannabe Yank in me lol! I say loads of things in Yank English.

[Padayn01 in reply to Dangerousdriver]

Lol brilliant

[Padayn01]

Also when you say ectopics is the heart skipping when its up 140bpm?

[smasherda]

I just had successful cryo-ablation on 29Jan2020. I was on the beta-blocker Sotalol HCL 80 mg 2x/daily for 17 years. I had to go off of my meds 3 days prior to the procedure and have been off them since then. I experienced tachycardia prior to the surgery (not being on my meds) and after my surgery for many days until my heart is now stabilizing. I suspect it was because my body is getting used to not being on the beta-blocker. That being said, I have not experienced the big jumps in BPM that you have. How are you measuring your ECG signal? I use the AlivCor KardiaMobile monitor on my iPhone to measure mine. For sure talk to your doctor.

[Dangerousdriver in reply to smasherda]

Hi Smash, I use Kardia AliveCor 6L and Apple Watch Series 5.

[Janelr]

Had to laugh at the comment of German made engine haha made me smile. Mines same perfectly good healthy heart with dodgy electrics!

[Dangerousdriver in reply to Janelr]

Then you I’m afraid to say have a Peugeot heart and not a Mercedes ha ha

[Lilypocket in reply to Dangerousdriver]

The dodgy electrics prize must go to Renault. My neighbours people carrier spontaneously caught fire ( he had just got it out of the garage and parked it while he went to get his children from the house to go to school). I saw it after it was a total wreck. Now that IS dodgy!