Afib or PACS: My afib/flutter has been... - Atrial Fibrillati...

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Afib or PACS

37Polly profile image
7 Replies

My afib/flutter has been well controlled in recent months with Tikosyn and propranolol and my year old pacemaker but the past few evenings following dinner I have had episodes of very brief tachycardia.

I wear an apple watch so have quickly checked and can see jump to 120 and last night 150. They are brief so when I check ecg it generally reads normal or inconclusive. I will check with my doctor but wonder if it’s possible to have afib events that are just a few seconds long?

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37Polly profile image
37Polly
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7 Replies
etheral profile image
etheral

Is your pulse regular or irregular? Short regular episodes of fast heartbeat could be Vtach . A holter moniter would diagnose the arrhythmia. Call your EP today.

37Polly profile image
37Polly in reply toetheral

Thats scary. A week long holter monitor resulted in my pacemaker ist a year ago.

BobD profile image
BobDVolunteer

If you have a pacemaker they can read it to see what is happening on your next visit to clinic.

37Polly profile image
37Polly in reply toBobD

Thanks Bob. Of course. I didn’t remember that. Still learning what the pacemaker does beyond keeping heart from slowing down too much. It’s set at 60 and is pretty much where it stays while at rest. These are events happening at rest and are major jumps and drops back to 60. Think I will check with the office that monitors my pacemaker, since I am about 2000 mi from that dr. (Covid sheltering😒).

VioletG profile image
VioletG

Hello. I am also on Tikosyn for atypical AFlutter. Since September 2020 ablation when they were able to address my afib but not the flutter. So far I am tolerating the drug well. Only other drug is Eliquis. Before my 3 month follow-up appointment in December, my EP had me wear a Zio patch for two weeks.

From the report of that Zio patch, it shows that I had 28 very brief episodes of supraventricular tachycardia, some of which I was aware. During these, my heart rate range was 84-164 bpm. My EP told me that any fast bursts that were less than 30 seconds were not considered actual afib or AFlutter “episodes “. Overall he said my 28 bursts in the two weeks were considered “occasional” and he was not concerned. Of course I was though! I can occasionally see them on my Apple Watch too, but by the time I get out my Kardia device they have stopped.

Sounds similar to your experience!

37Polly profile image
37Polly in reply toVioletG

Sounds very familiar. Thanks for sharing. Feels like a battle with Tikosyn winning so far. 🤞.

cuore profile image
cuore in reply toVioletG

Glad to gear that you are doing well

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