Different beats: How can you tell what... - Atrial Fibrillati...

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Different beats

Electricblue1 profile image
16 Replies

How can you tell what’s an eptopic, or atrial flutter, or any of the other different symptoms that is mentioned. Had ablation 10 wks ago, so many abriviations and not sure what they all mean or what I’m experiencing. Sorry if this sounds dumb. 😊

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Electricblue1 profile image
Electricblue1
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16 Replies
CDreamer profile image
CDreamer

It’s really difficult to tell as ectopics can feel very like AF. Only way to know for certain is ECG which is why so many of us have a Kardia.

I would say that I would now expect ectopics after ablation & they made me feel rotten and MANY posts about them after ablation. 10 weeks is VERY early days - mine went on for months after both ablations.

Unless you are very symptomatic in which case see your doctor or better still your arrhythmia nurse - they are so good post ablation - stop focusing on them.

What abbreviations are you struggling with? There is a pinned post with a list of the most common ones & if not you there - ask - only way you learn so in my book you’re only dumb when you don’t ask because then you don’t learn.

Hope they ease soon - try slow, deep breathing for at least 5 minutes- reduce breaths to less than 6 per minute and stop worrying- only makes things worse.

Hope that helps.

Electricblue1 profile image
Electricblue1 in reply toCDreamer

Thanks , it seems like I’ve had a lot of raised heart beats and af since ablation, I try slow breathing and straining and blowing out on a syringe then legs in the air but nothing seems to work. It started again today , high heart rate and af , been going on now since 10 am , I’m doing a reading of Pfizer the app fibricheck to send to arythmia nurse.

Buffafly profile image
Buffafly in reply toElectricblue1

The more you concentrate on what your heart is doing the worse your symptoms will be. Difficult to do, but treat it reassuringly as it is protesting about what has been done to it and needs you to stay calm ❤️‍🩹 Even experts disagree on arrhythmias so you can’t be expected to diagnose them yourself. What is important is how you feel, as long as you feel well it doesn’t matter what the flip flops are called although of course it can be interesting to know ☺️

Electricblue1 profile image
Electricblue1 in reply toBuffafly

Thank you, I feel well in myself until my heart plays up then I feel dizzy, and overall feel unwell with it until it passes. I did drink coconut water which my episode yesterday and by the time I went to bed it was back to normal so not sure if that played a part.

Buffafly profile image
Buffafly in reply toElectricblue1

I meant during episodes, much harder to ignore if you feel dizzy etc. I hope things calm down soon 💜

Adalaide2020 profile image
Adalaide2020

No, you do not sound dumb. These are perfectly good questions. I dont have the answers other than to say try Google but I'm sure you will get a wealth of support and answers from here. What I want to reiterate is there is no such thing as a dumb question. Actually I woke this morning with my chest feeling tight and HR up and wondered what's going on. So I came on here to check it out and there you are asking a question that probably relates to so many people. So thank you 😊 and I hope you get what you need from these wonderful people.

Shiney1959 profile image
Shiney1959

I had my ablation 5 weeks ago and having the same strange bumps and beats as you. I try to ignore it as it has been emphasised that it is part of it, but it still makes you feel grotty. I need lessons on how to read the ECG on my Kardio as I just rely on the end resultHappy New Year to you & hopefully we will both see an improvment in the next few months

Ppiman profile image
Ppiman

I was told that atrial flutter (AFl) will be stopped permanently by ablation with no later healing issues, whereas AF takes time to heal and arrhythmias can break through up to 3 or more months after the procedure.

AFl gives a rapid atrial beat of 300bpm which then is down regulated into a stepwise pulse in a fixed ratio of 1:2, 1:3, etc.

Ectopic beats or palpitations can be singular, pairs, threes or frequent and feel just like AF.

Steve

Elli86 profile image
Elli86 in reply toPpiman

“AFl gives a rapid atrial beat of 300bpm which then is down regulated into a stepwise pulse in a fixed ratio of 1:2, 1:3, etc.”

Can you explain exactly what you mean by that please steve 👍

Ppiman profile image
Ppiman in reply toElli86

Hi there, sorry not to be clear. Atrial flutter (which I had an ablation for in 2019) is a regular but overly fast beating of the right atrium at the top of the heart.

Whilst the atrium is beating at ~300bpm, the signal that reaches the ventricles at the bottom of the heart is (almost always…) modified en route by the sino-atrial node to form a slower heartbeat or pulse - but only in a fixed ratio. This is often 1:2 to give a pulse of 150bpm, but mine was (1:6) 105 with bisoprolol and then, with added digoxin, 1:5 (60 bpm), for which I was truly grateful as I obviously coped badly with tachycardia.

Steve

Elli86 profile image
Elli86 in reply toPpiman

My heart seems to be changing between 2 separate heart rates again but the actual beating is continual with no “skipped” beats like it used to be when in af. It seems to be fine when I lay down with a heart rate of around 70-75 but when I get up, especially suddenly it’ll switch between 2 rates if that makes sense. I cannot work it out.

It could be too do with this bloody bug coming back again (or omnicron still waiting for results 🙄) It could be that I did too much walking yesterday, could be my heart still working itself into rhythm from coming off all meds 3 weeks ago or it could be another dreaded arrythmia as a consequence of my ablation 5 months ago? Such as atrial flutter 🤷‍♂️

I’m out of ideas to be honest! 🤦‍♂️

Ppiman profile image
Ppiman in reply toElli86

Well, you have my sympathies as my successful AFl ablation has left me with more ectopy than I ever had before, far more tachycardia, even if much milder, and occasional AF. I feel convinced that my hiatus hernia is partly responsible but there seems no chance of any doctor except my GP taking that into account. I cynically wonder if the reason is that such a possibility isn't in the protocols that even specialists seem to use when they work out what is wrong.

Steve

Janith profile image
Janith

I get flutters and weird beats in the morning upon awakening … tummy growling and the feeling of needing to burp … goes on for a half hour or so … scares me … then it slowly goes away after burping a few times … gross, l know. This feels like an irregular heartbeat. It isn’t afib but perhaps afib related??

minchern profile image
minchern in reply toJanith

Yes I seem to get ectopic if I have any digestive grumblings or get a bit worked up. When I calm down seems to go away. If I focus to much on the heart beat never good for my mental health

Ppiman profile image
Ppiman in reply toJanith

This is the same as I get most mornings. I think it’s my hiatus hernia, small but very troublesome.

Steve

Janith profile image
Janith

Yes. I agree.

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