Strange ECG

I was reading in an armchair for an hour or so. On getting up I felt lots of ectopics and managed to take this Kardia (unfortunately, on the 1L version-my 6L wasn't to hand). The irregularity lasted for about 5 minutes. The Kardia reported wide QRS with normal sinus rhythm but the ECG looks very odd indeed. I have had this a few times, most usually when stopping walking suddenly. Does anyone have any idea what it shows?

[mjames1]

From a previous post, didn't your GP tell you that they saw a wide qrs with some heart block and that it is normal for people with afib? That's probably what is still going on here.

When my Kardia showed similar after exercise, my ep told me he wanted me on a treadmill before continuing with my current flecainide dose.

Not sure if your're on flecainide or not, but regardless, I question whether wide qrs is normal after exercise for people with afib. Maybe no concern, but maybe there should be. I'm not medically trained nor do I have your history, but I think a best person to determine that would be a cardiologist or ep and not a GP.

Jim

[Hidden in reply to mjames1]

Yes, the GP said wide QRS wasn't of concern (particularly as I take Sotalol). It's just that this pattern of increased ectopics (or whatever it is) when stopping walking or getting up from a seated position is completely new for me. I'm waiting for an angiogram which might shed some light.

[BobD Volunteer]

Inverted T waves are usually ectopic beats.

[Hidden in reply to BobD]

Yes, I have had this about 10 times over the last few months-it's definitely a new pattern. That said, I have t had any AF since early February.

[CDreamer]

As Bob says, looks like ectopics to me. I often got that sort of reading for about 2 years following ablation after exercise. Wide QRS should be checked out if sustained but mine normally goes back to normal quickly.

[Hidden in reply to CDreamer]

Yes, it does. It's not usual for me to get this after walking or getting up from a seating position however. Thanks for the reply.

[Buffafly]

Bigeminy? If you google it and look at images you’ll see it, one ectopic beat for every sinus. I had a spell of it quite frequently once but found if I walked about it stopped, stood still it started up again, very uncomfortable.

[Hidden in reply to Buffafly]

I've had it on and off for the last few weeks-often when I stop walking, or get up from a resting position. I have an angiogram pending to test for angina; it might be related. Thanks for replying.

[Palpman]

Typical single PVC with every Ventricular beat. Called Bigeminy. Normally has wide QRS.

[Hidden in reply to Palpman]

Yes, bigeminy can be caused by a build up of plaque. I am currently being investigated for angina, so unfortunately this would fit. Thanks for your reply.

[Hidden]

Thanks for your reply. I am due for an angiogram shortly. I understand that a build up of plaque can cause bigeminy, so, unfortunately this may be a pointer to angina.