heart monitor results

[NLGA]

here is my 24hour monitor results

I am on 10mg beta blocker

300mg flecainide

Views welcome

[mav7]

Do you have an appt with the doctor to discuss results and path forward ?

Seems they would want to reduce the mean heart rate ideally to <80. On your other post with echo results are good.

[NLGA in reply to mav7]

Hi mav7

Yes I finally had a appointment 4 months after the test to get the results

Looking at a Ablation for me as the next option

Thank you for your views on the echo I was hopeful but not having a great understanding of these things it’s good to get your view

[Ppiman]

I'd never seen one of these reports before so thanks for posting it. It looks like you had persistent AF during the Holter ECG test. What has your doctor said about it? An elderly friend has had this for very many years but his heart rate is only a little higher than normal and he takes nothing for it except warfarin as stroke prevention.

I bought a 24-hour ECG to carry out my own checks using AI and it produces a not dissimilar report.

Steve

[NLGA in reply to Ppiman]

Hi Steve

It looks like ablation is the best route according to the doctor

[Ppiman in reply to NLGA]

It will depend upon the symptoms you suffer, I should think. You’re on a high dose of bisoprolol and also flecainide, so I presume you struggle with them.

It’s such an odd condition. I’ve only had one truly debilitating episode and that was my first, after my ablation for atrial flutter in 2019. I truly wouldn’t want to suffer anything that again but, looking back, I suspect that anxiety was a major part of it. Since then (I have my fingers crossed as I type), I’ve coped well with each episode.

Best of luck with it all!

Steve

[NLGA in reply to Ppiman]

Thanks mate

It’s just the breathless that get me down I never have a pain with it . Each day you think I hope I’m going to have a mostly normal day to get things done and at times it is then over times walking around the supermarket is a struggle and I find I am hiding my breathing from other people due to embarrassment

Another time I can do physical work with no problems

[Ppiman in reply to NLGA]

I wonder if you are having an AF episode during the times you feel rough, or whether it's just an aspect of the condition. If you are anything like me, if anxiety plays a part, this can kick in and magnify symptoms and feelings.

Steve

[NLGA in reply to Ppiman]

Could be I have had a rotten few years out my control, I also noticed with me I had a Covid jab my 2nd early December and my records show I was in the GP the first week of February with breathing issues they thought was my asthma . I can’t help but think that’s behind it

The cardiologist did say after having various tests and a lung test that it’s down to the blood flow / electric beats being wrong and pushing to much blood into the chamber leading to a shortage of breath . On the day I had the monitor I spent 15 hours in AF and I just thought I was a bit breathless but as you see the average was too high

I am a bit confused what the beta blocker does as I thought that kept it in check ?

[Ppiman in reply to NLGA]

Nothing really does the job perfectly and people vary a lot, it seems. The beta blocker tablets help stop your heart beating too quickly (which AF can cause. A fast heart, from exercise or emotion, say, can also set off AF in some people).

Steve

[NLGA in reply to Ppiman]

I just can’t work out why my beats are high on 10mg beta blockers when others seem on such a low dose

[Ppiman in reply to NLGA]

When I first started with bisoprolol, even10mg wouldn’t work for me, but then someone here recommended I ask my doctor for digoxin and, thank goodness, it worked brilliantly.

The trouble with the heart is that it is so complex that each of us is likely to have different issues, even if we have the same “label” of atrial fibrillation. The AF is the result of other changes, I guess, and those might differ depending on so many individual things. This means that what works for one might not work for another. Most people seem to manage with either bisoprolol or something called diltiazem. For me, it was digoxin.

Steve

[NLGA in reply to Ppiman]

Thanks Steve

I will mention that to him