Unusual AF episode

[Samazeuilh2]

I went out to post a letter this afternoon and was out for about 15 minutes. On my return I experienced what I thought were ectopics with some very mild chest discomfort. I took a 1lead Kardia to check and was surprised to see the "Atrial Fibrillation" indication with a heart rate of 93bpm. The AF seemed to stop midway through the 1 minute ECG as can be seen below. The episode cannot have lasted for more more than a few minutes. This was very unexpected: I usually have episodes at night and never lasting more less than several hours. Also the ECG trace looks rather different from usual. Does anyone have any idea what might be going on here?

[Samazeuilh2]

Here is the 2nd half of the ECG.

Kardia image

[Rubymurray25]

I look forward to hearing the outcome of what looks an amazing moment of capture on your part. My EP loves my Kardia as it really does save them time and frustrations, along with us! Good luck.

[Samazeuilh2 in reply to Rubymurray25]

I sent it off to Kardia for analysis and they advise that it shows ventricular bigeminy; I have sent the report off to my GP. I had this a few months ago but then had nothing for about two to three months. I’m still awaiting an investigation for suspected CAD, so this is a rather stressful period. Thanks for replying.

[Rubymurray25 in reply to Samazeuilh2]

Hopefully you have a good doctor who will refer it immediately to the cardiologist and not have the red tape delay as you have something as proof. I am very lucky as I have an email address for my cardiologist's secretary and they are very swift in addressing when I sent a Kardio report to them. Wishing you well.

[Ppiman]

Well - fascinating and always a but worrying when it happens, eh? I have had a few occasions when my heart goes rather crazy for maybe thirty seconds and my Apple Watch reports as "Poor Recording" even though it was accurate as I felt every bump it recorded. I've never been able to catch one on the Kardia yet.

Steve

[Samazeuilh2 in reply to Ppiman]

I’m fairly sure it wasn’t a poor recording, as what was recorded coincided with what I felt. I had some symptoms like this a few months ago but doctors never really got to the bottom of it. Thanks for the reply.

[JOY2THEWORLD49]

HiOh dear it looks as if your heart was quirming!

You know that you need to keep still, no talking after resting from any exertion.

Cheri Joy. 73. (NZ)

[momist]

Well, I've recorded both bigemini and trigemini on my old style Kardia, and it's not looked as chaotic as that. It does look like AF mixed in. I concur with the others, your cardiologist needs to interpret it, and please let us know, if you ever get an answer!

[Samazeuilh2 in reply to momist]

I certainly will if I can get to see one! I've been waiting for an angiogram.

[momist in reply to Samazeuilh2]

I've found it can work if you email the recording to the cardiologist's secretary. If you don't have the secretary's email address, try asking the hospital reception people for it. Good luck.

[SeanJax]

It is sinus rhythm with pvc. It is not Afib. Some signs of ischemia too. On one lead it is tough to say what coronary arteries are affected.

[Samazeuilh2 in reply to SeanJax]

I have a 6L too but it wasn't nearby. The ischemia is very plausible as I am being investigated for that at the moment. What-if is possible to explain-indicates ischemia? Can you tell anything more about it, like how bad it is?

[MummyLuv]

Looks like bigeminy to me, two PVCs in a row, I had that early on in my ablation healing period. I felt light headed with it so hope you are ok. Great you caught it so you can share with your GP. As someone else said it is a sinus rhythm.

[Samazeuilh2 in reply to MummyLuv]

I didn't feel lightheaded at the time, but I occasionally get some dizziness on standing up from a sitting position. Thanks for replying.