confused with kardia reading.? - Atrial Fibrillati...

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confused with kardia reading.?

Jetcat profile image
30 Replies

hello you lovely people. The past 2 weeks Iv had ectopic beats every day all day apart from 1 day. 4 a minute at worst. But mainly 2 per minute. On feeling my pulse it’s been NSR but with a missed beat and a little thump so I thought must be ectopics.

Dusted my kardia off tonight did 4 traces and it says possible AFIB on 3 of them. Pulse was 68.!! If it is a-fib.? it doesn’t feel like any afib iv had before. I am actually booked into to see doctor In the morning and hoping to get a 24 hour monitor sorted out.🙏 they will catch plenty abnormalities believe me. Then I’ll definitely know for sure what my heart is doing.? I’m just wondering if anyone else has had any similar problem? And if you can have low rate AFIB.? because Iv always found my kardia very reliable.

best wishes guys and gals.

Ron

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Jetcat
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30 Replies
Speed profile image
Speed

Regularly get AF in the 80s and dropping to the 70s occasionally. In NSR I’ll generally be ticking along at low 60s. I’m on 50mg Flec BD. No beta blockers.

Jetcat profile image
Jetcat in reply toSpeed

Thankyou speed👍

Hazel1010 profile image
Hazel1010

Hi , my cardia was recording premature ventricular contractions on beats from 65 up to 80 odd last week lasting for hours , I don’t know if that helps

I’ve changed from clopidogrel to aspirin now and touch wood everything seems much more settled and I’ve got an angiogram next Wednesday.

Don’t know if any of that helps , all the best Hazel

Jalia profile image
Jalia

You most certainly can get low rate AF although it is more commonly fast. Let your GP sort it out for you tomorrow.

mjames1 profile image
mjames1

Ron,

Kardia is pretty accurate, however it can sometimes diagnose afib when in fact it's a run of ectopics.

The only way to know for sure is to have Kardia's ekg read by a good ep. A GP, or even some cardiologists, will often make mistakes looking at a single lead ekg. Alternatively, Kardia offers a service in many countries where one of their cardio's will analyze the ekg via email for a reasonable fee.

The fact that one out of the four of your ekg's is normal and that the rate is low, leads me to believe that it might not be afib, but we're all be guessing without having that ekg analyzed.

If you always have fast afib, that might be another reason to believe that it's not afib, although afib can be present at any rate. So, yes, you can have "low rate" afib.

Jim

Jetcat profile image
Jetcat in reply tomjames1

Thankyou Jim

Buffafly profile image
Buffafly

I had the same today, Kardia rated my recording ‘AF’ but I could see it was frequent ectopics instead. I had an ECG in hospital last week and the nurse pointed out that I had ‘almost bigeminy’ ie two or three normal beats then two ectopics or sometimes more in a row. So not completely random like AF. Rate was 71 bpm which is my normal heart rate. My ‘slow AF’ is usually 80 bpm - 100.

Jetcat profile image
Jetcat in reply toBuffafly

That’s interesting buttafly,thankyou

lizzily profile image
lizzily

Hi Jetcat, This sounds very like me at the moment. My usual infrequent PAF is fast but for the last 2 weeks I thought I was having different episodes of slow AF. Kardia recording sinus rhythm, possible AF or unclassified. ECG at the surgery yesterday has shown PVC ‘s so now awaiting 24 hour recording. I’m very conscious of the frequent bumps and thumps but heart rate in the 60 to 70. I take 50 mgs flecainide x 2 and 2.5 bisopralol. Good luck

Tigger_2 profile image
Tigger_2

Good luck with that.

I've been having regular ectopics for nearly 30 weeks now and that's with a pacemaker for complete heart block.

Despite two promises from cardiology to look into it, I'm still waiting.

One blackout and several falls later, no explanation why a pacemaker set to 70 BPM allows long periods overnight of 40 BPM.

Jetcat profile image
Jetcat in reply toTigger_2

Thanks tigger. Iv had a doctors app this morning and asked him for a 24 hour monitor but he sending me for ECG instead on Saturday .😳 told him Iv had 3 ablations few years ago and had ectopic beats on and off for years and years but not as constant as this. My BP was 150 / 90. Which is abit high I’d say but he said it’s fine.!!! Although I did it work later and it was lower. He manually Took my pulse for 30 seconds and all I got was one weak ectopic😡( marvellous). He sending my ECG back to EP for him to look at and told me not to worry. So I don’t want to think to be honest.? My ectopics are a lot quieter today though, so far anyway 🙏

Jetcat profile image
Jetcat in reply toTigger_2

I hope you get sorted out soon tigger.

kitenski profile image
kitenski

are you taking any medication(s)?

Jetcat profile image
Jetcat in reply tokitenski

I’m taking 10mg bisoprolol been on them years and years for palpitations.

Private111 profile image
Private111

Hi, my pulse is quite low and I get only missed beats (it has only happened one) now I have been daignosed. I am not happy to take blood thinner over only that. It seems so drastic at the moment.

Jetcat profile image
Jetcat in reply toPrivate111

What have you been diagnosed with private.?

Private111 profile image
Private111

Hi, Jetcat. I have been diagnosed with proximal AF. I had one ECG that was clear (10 minute one) and one 24 hour one. However, it was a very hot day and I built and dug a fence in. Do you think there could be doubt? That was months ago and have not had it since.

Jetcat profile image
Jetcat in reply toPrivate111

Well I only got diagnosed properly when the hospital finally managed to catch my AFIB episode on a ECG. But When I was in sinus rhythm my ECGs were normal. Have they actually caught you in AFIB.? iff not how can they tell you you’ve got AFIB.? unless a normal rhythm ECG has clues that only a cardiologist can spot maybe.????

Private111 profile image
Private111 in reply toJetcat

They caught it on the 24 hour ECG, Jetcat.

Jetcat profile image
Jetcat in reply toPrivate111

If it’s been caught on ECG then yes I would take the anticoagulants private. Us afibbers are at higher risk of strokes unfortunately and AFIB strokes can be very damaging and we don’t want one of those mate. Even though I still get an occasional episode of afib rarely, i would jump at the chance of anticoagulants but my cardiologist says NO because my chads score is zero at the moment.

Private111 profile image
Private111

I can't just take a blood thinner based on that. It seems a very drastic decision to make. What if someone is misdiagnosed and takes blood thinners when they do not need them?

Jetcat profile image
Jetcat in reply toPrivate111

I personally wouldn’t take anticoagulants until they had told me 100% that I definitely had afib and showed me the ECG, that’s what happened to me. What’s your chads score private.? Hopefully you’ve had an isolated incident of AFIB🙏 but they may be thinking if it happens again at least you’re anticoagulted.? Hopefully you won’t get anymore episodes but there is a chance it may reappear next week next month or next year unfortunately.??

Private111 profile image
Private111 in reply toJetcat

Oh Jetcat, thanks! I am so pleased someone agrees that if in doubt, do not take the meds. I am going to ask for a copy of my ECG and send it to a cardiologist with a couple of questions first. My CHADS score was 0.6 so a 1. Let me tell you that if it reappears, I will put a post on here and tag you in. I hope it never appears, but I am really mindful of the risks it if does. How about you? Are you taking meds for it?

Jetcat profile image
Jetcat in reply toPrivate111

Yes do that. You need a cardiologist to properly look at your ECG and your history. He’s /she’s the one who will tell you to go on them or not go on them. 👍

Threecats profile image
Threecats

Hi Jetcat

My father had what they called slow-rate AFib and his pulse was often in the 60s at rest, just irregular. It never bothered him in the slightest and he never took meds for it apart from anti-coagulants. Unfortunately for me, I’ve inherited my mother’s fast form, so my ticker will take off like a rat out of trap if given the opportunity!🙄

I hope your ticker “does its thing” when you have your ecg on Saturday and they can sort out what’s going on for you.

All the best, TC

Jetcat profile image
Jetcat in reply toThreecats

Thanks TC.👍 I know exactly what’s going to happen at the ecg appointment.? Perfect Normal sinus rhythm.😡? I politely told the doctor this morning that I need a 24 hour monitor not just a ECG but he wasn’t having it.!! And it’s already happened today because as I was sat there and as soon as he did my pulse manually I just had a single weak ectopic.!! Soon as he let go it all started again with missed beats.!!😡 but weirdly enough at midday today Iv hardly had any.😳

It’s a real mystery is this arrhythmia business.??? 😡

Threecats profile image
Threecats in reply toJetcat

I know, it can be incredibly frustrating for sure! The blessed thing can be driving you crazy for months but, as soon as they slap those stickers on your chest the old ticker goes "who me?" and pumps away merrily in perfect rhythm until they take them off again - then it's back to party time! Back at the start of my AF "journey" I paid for a week long ecg monitor. As you might have guessed, you could count on one hand the number of ectopics I had in that time, plus one 15 sec burst of "AF-like" activity. Took it off to send back and the very next night had an 8 hour episode🙄 Anyway, keeping my fingers crossed for you that your ticker does its merry dance on Saturday - at least until the ecg is done!

Jetcat profile image
Jetcat in reply toThreecats

😂 who me…. Made me laugh that has. Yes fingers crossed it misbehaves.!

Tigger_2 profile image
Tigger_2

Yes, the frustrations of symptoms at home and never in front of the medic.

It would help if they could just take your word for what you know is going on. There's a world of difference between the surgery and watching TV at home.

I know my ectopics are interfering with the pacemaker but if that's in the evening and during the night, going to the surgery in the morning isn't going to show anything or you possibly end up with the wrong conclusion being made.

When I knew 18 years ago that my heartrate was wrong, it took a very long time to get the GP to realise that. The advice was rub your neck - vagus nerve - and that was that. I even suggested that if I climbed their stairs, it would bring the symptoms on. Even that was rejected.

I'm at the point of putting something together - I do electronics - so that I can record my heartrate directly onto an oscilloscope so that I can see what is happening.

What I get fed up with is the technician who checks the pacemaker saying "pacemaker is fine" when patently, I am not. I have my doubts that any of these conversations ever get to the consultants because that's how the system works.

In the news there was something about GPs being able to fast track heart problems and order up diagnostic tests bypassing the consultant bottleneck.

Waiting with bated breath.

Jetcat profile image
Jetcat in reply toTigger_2

Yes I know what you mean tigger.

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