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babs1234 profile image
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What the heck does this mean if I’m not in AF?

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babs1234 profile image
babs1234
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20 Replies
Buzby62 profile image
Buzby62

Hi, that looks like a poor connection, I find just dampening my finger first helps, not wet, just damp. Also make sure the strap is fitting snuggly. You have to hold your finger on consistently without moving it for the 30 seconds. You’ll get the hang of it after a few tries. Thats just the first couple of seconds, you can slide it to the left to see the rest which may be a better reading.

Best wishes

mjames1 profile image
mjames1 in reply toBuzby62

here is the entire EKG and as you can see it's normal rhythm once it's smooths out. (click on magnifying glass for entire EKG.)

Jim

X
KentAndrew profile image
KentAndrew in reply tomjames1

It’s best to ignore the first 5 or so seconds and concentrate on the remaining 25.

It’s a good trace!

mjames1 profile image
mjames1 in reply toKentAndrew

Maybe you replied to me by mistake instead of the OP ? Yes I know both of them are a good trace (NSR) that's why I posted my own for comparison.

Jim

babs1234 profile image
babs1234 in reply toBuzby62

Thanks so much. I thought I was dying 🤦‍♀️😂

Buzby62 profile image
Buzby62 in reply tobabs1234

If you click on Export PDF you will see a PDF of the whole trace like Jim’s above. You don’t actually have to export it anywhere, it gives you a view of the PDF which you can send if you wish or just close by clicking on Done.

mjames1 profile image
mjames1

It looks pretty much like a lot of my ECG's while I was in normal rhythm with Kardia. I'm guessing you're just showing the beginning of the the rhythm strip and that it's smoothed out a bit later on. Nothing to worry about based on the partial EKG you posted. Or maybe that's from the watch? But the concept is the same. Can take a few seconds for the signal to smooth out.

I will post a couple of my own examples shortly. Unfortunately, I cannot figure out how to post two pics on one reply so I will post them individually

Jim

baba profile image
baba

Movement. You need to keep still while recording.

mjames1 profile image
mjames1

Similar to what you posted

X
Omniscient1 profile image
Omniscient1

Poor connection on your sensor. The curves show a p-wave (peak before the q-wave trough) so you're not in AF at this moment, no p-wave = AF.

Gincalpe profile image
Gincalpe

Poor connection or not still enough

babs1234 profile image
babs1234 in reply toGincalpe

Thanks. It was the first time I’d used it so wasn’t sure

Speed profile image
Speed

As Omniscient says, it’s the p-wave, or lack of it the points to AF. As my HR gets faster, it’s rythem becomes regular and so my Kardia records it as Tachycardia. However, if I look carefully, I can see there is no p-wave and so I’m actually in AF

AF marked as Tachy
babs1234 profile image
babs1234 in reply toSpeed

Which is P wave. That looks normal to me

Speed profile image
Speed in reply tobabs1234

There should be a v small peak just before the large one. Sometimes difficult to spot. See attached for a good clear example. Usually I don’t get them this good.

See also the first plot posted by mjames1, difficult to spot but there if you study it.

Kardia NSR
babs1234 profile image
babs1234 in reply toSpeed

I can see a small v after the peak but not before

babs1234 profile image
babs1234 in reply tobabs1234

Sorry I was looking at the wrong graph. I can see what you mean now. Thanks

Buzby62 profile image
Buzby62 in reply tobabs1234

If you do an internet search for “pqrst” you will find lots of images like this.

PQRST
Ppiman profile image
Ppiman in reply toSpeed

That seems amazingly regular for AF despite the lack of visible P waves? Mind you, five beats are too few to make an assessment.

The Kardia, and the Apple Watch, smooth out an awful lot of noise and I think that sometimes makes the P waves nigh on invisible,

Steve

Speed profile image
Speed

Yes it’s interesting how it is so regular. My AF’s standard MO is, I go for a run, inadvertently my HR goes over 145, it then shoots up to circ 215 (Garmin watch). I slow up and go home, Resting, I test on Kardia and circ, 115, Kardia says Tachycardia. Take my PIP, after few hours my HR drops to circ 85 and Kardia says AF. Few hours later Hr drops to low 60s, Kardia says NSR. I did forward a copy to my EP and he confirmed it’s AF rather than tachycardia.

I’ve attached the full 30 secs - not a p-wave in sight!

Tachy full 30 secs

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