Help needed interpreting an ECG

I obtained the following Kardia ECG showing "Unclassified- AF not detected" with a rate of 130bpm. Shortly after the rate fell to 90 bpm with "Possible AF." Does anyone know what the ECG shows. I've sent it to Kardia for analysis but this will take some time.

[Paulbounce]

Hi Sam.

First off I'm not a doctor or medically qualified in any way at all.

Your reading (imo) doesn't show afib - I could be wrong of course. However there's some thing going on there - don't worry and don't panic. Ectopics (normal enough) might account for this - plus nerves when you do your ECG.

I'm sure others will read the thread and give you better advice than I.

You want to see my ECG at the moment - like a yo yo. You'll be ok Sam.

Paul

[Hidden in reply to Paulbounce]

It came back from Kardia as sinus tachycardia. It was preceded and followed by AF however. I haven't seen it before on an ECG. Not entirely sure what it's significance is.

[snak3eyes]

I'm no doctor but I can see that your RR intervals are regular. That's not AFib.

[Hidden in reply to snak3eyes]

Yes, that particular ECG was not, but before and after there was AF.

[Singwell]

I think the point is your heart was 'kicking off' at that point - I sometimes get weird readings that immediately precede AF. At least you know what it is now and can keep an eye on it for any changes of behaviour. I sometimes get tachycardia readings if in a very stressful situation but if I slow breathe and relax it calms down again

[Hidden in reply to Singwell]

Thanks for replying. The episode was a fairly short one preceded and followed by AF. I could feel the heart run much faster during that episode. It was probably atrial flutter which was mentioned before by doctors . I don't know whether this means the condition is getting worse or not.

[Hidden]

Thanks. Doctors have referred to atrial flutter on some ECGs in hospital, so that makes sense.

[splashrollandplod]

130 is high (tachycardia), is there a reason eg exercise just before?

[Hidden in reply to splashrollandplod]

No, it seems to have been a short episode in the middle of lots of AF. The AF was slower, in the 80s and 90s.

[momist]

After my ablation I quite often had long periods of similar tachycardia, associated or broken up by runs of AF. After four months, they stopped happening. I've been AF free for a while now, but I'm still not counting any chickens.

[Hidden]

Unfortunately, AF always has the capacity to pull nasty surprises!