Sinus Rhythm with Various other Arrhythmias

[willec49]

Since having my first Afib episode in over a year after an ablation in March, 2022, I've had a very few additional Afib episodes. What's new is an almost daily spate of readings from my Kardia of: 'Sinus Rhythm with Supraventricular Ectopics", "Sinus Rhythm with Wide QRS", "Sinus Rhythm with Premature Ventricular Contractions, and "Unclassified."

A caveat is that everywhere I research, I find that these conditions are almost always paired with Tachcardia which is not true for me as I tend more toward Brady Cardia, around the low 50's or even in the 40's.

When I asked my Cardiologist if I should be concerned or do anything, he said, "We don't treat those." I have my first appointment with a new EP on 10/19 to discuss the possibility of a second Ablation. Anyone here have experience with these readings?

[mjames1]

Yes, I've had all of those from time to time. Not unusual to present without tachycardia. And like your cardiologist inferred, ectopics are generally not treated with ablation unless symptomatic to the point where they are interfering with your life. As to Wide QRS, that may require some investigation, but it could be within acceptable limits.

With only a few afib episodes since your ablation, really a judgement call whether to ablate again or not, keeping in mind that the goal of ablation isn't necessarily to eliminate afib completely, but rather to cut down the burden to an acceptable level.

Jim

[willec49 in reply to mjames1]

Thanks, Jim. I appreciate your insights. I was focused on the success statistics of Ablations - something in the 70+ % range for the first which rises to in the 80+ % range after the second.

[Nightmare2]

~Dont rely on Kardia, my advice is the one i follow - listen and trust only your cardiologist.