Hi all i noticed this morning my HRV jumped beyond its normal range and stayed up for a few hours. Then an hour ago my Apple watch alerted with possible AF. I did the ECG and it says possible AF then i thought i'd try my new little Wellue,
Put 1 contact on my knee the other my thumb as instructed. Report said PVC's. Is there any harm if i take my PIP of Flecanide?
I'm waiting for doctor to get back to me. I'm not sure how to attach pdf here for another view?
I'm not sure what you're describing, Jim. Do you mean your Apple Watch, set to alert you to possible AF which it does by noticing irregular heartbeats created an alert, then you followed this up with an Apple ECG and it reported "possible AF"? I don't think my watch ever says that - only "signs of AF".
I've never used a Wellue on my knee. I use finger and palm, but if it reported PVCs then, presumably, it "saw" an atrial "P" wave before each ventricular "R" wave?
The flecainide can, if your doctor approves, be taken for ectopic beats as well as AF since it can help both . I've been given it for that, I guess the PVCs were distressing enough to warrant taking it?
The website won't accept PDF files, by the way. To post an ECG here, you need to take a screenshot of the PDF from your laptop or whatever, which will then save as a picture file (a JPG), which can be attached.
Steve
Thanks Steve you are right of the Apple description ‘signs of AF. I’ve taken my PIP and no luck…. the Wellue now says both Ectopic Rhythm and AF, I guess that means both at once. I managed to hear from Cardiologist office and he’s viewed both and suggested it’s not clear due to interference to know so I’m going in Monday for ECG and I’ll stay on 50mg of Flecanide twice daily till I see him. At least my AF seems controlled if that’s what it is with HR mostly between 60-90. A few months back I converted to sinus following some efforts on my indoor bike but didn’t seem to work yesterday I may try again today.
If I got on a bike, my AF would get too uncomfortable as my HR goes much higher. I've just had an "ectopic rhythm" and "AF" report from my handheld Wellue. I think ectopic rhythm is just another term for AF, effectively.
Steve
Ok thanks Steve my trace looks a bit different but script is the same so I’ll try do and screen shot to show you later. It also did one that said Sinus with PVC’s but then followed an hour later with the AF and ectopic reading.
My HR on indoor bike ranges from 80-140 depending on effort during interval ride. I guess that’s the drugs helping to subdue a bit. It seemed to work in November. I’m very mindful not to push too hard as back in 2022 I flipped it from AF to Flutter doing some run efforts on the beach!
Jim
And here's the graph. It's been getting on for five hours now - tiring!
Steve
just as a ‘by the way’ I found my last 2 episodes of ectopics/AF being yesterday’s and a few months back were preceded by no exercise for 5-7 days before… I love a brisk daily walk of at least 4-5km and a couple of ssions a week of reformer Pilates every week. This might be a coincidence but I feel that exercise reduces my ectopics which in turn results in less AF
I noticed your burden has increased and you’re awaiting another ablation. I guess in the meantime you’ve had a look for triggers. Have you tried Flecinade?
Yes - it’s way more frequent this last six months, but not too uncomfortable, thankfully. I was prescribed flecainide but having wide QRS caused by bundle block (LBBB) it worries me to take it. I did take one dose, and my AF stopped, but my NSR heart felt very “heavy” for the rest of the day so it stays in the cupboard.
Steve
Interesting I actually reduced my dose down to 20mg twice a day and went 10 months without issues. The actual cold weather over your way doesn’t make it conducive for a long walk to exercise but I’m sure it adds to ectopic burden. I just did an ECG on the Wellue with hands only and report says Sinus + ectopics then next paragraph says AF. Then next paragraph says PVC Here the trace…
The Wellue does give these various paragraphs in its AI report. Your trace looks very AF like. The peaks aren't as wide as mine often are, but there is what looks like a wide QRS - do you gat that? It could be some form of bundle block (I have LBBB)?
My other device, a Contec PM20 gives a mush briefer AI report, but that also often lists, "Atrial fibrillation, arrhythmia, runs of PVC..." or whatever.
My specialist tells me that the arrhythmias, whether AF or otherwise, all arise from the same faulty areas in the left atrium, whatever the ECG reports them to be (the Wellue occasionally reports VT, for example – when the cause is atrial not ventricular). I am on an NHS waiting list for a PFA ablation, and that should be offered in the next few months as I have been waiting nine months already. The wait is longer as my specialist wants me to have a GA, which I prefer. I am in two minds whether to ask if living with the arrhythmia might not be the better option as I cannot get myself to feel 100% happy with ablations. My son's colleague has had six, for goodness sake, and his AF is back once more with no more ablations being allowed owing to scarring.
Steve
I’m hoping to wait to see outcome of the new MRI guided catheters from Imracor which bring hope of more accuracy in defining targets and therefore less likely to require further ablations. Trials are being done on A/Flutter at Lausanne, John Hopkins and another which I have forgotten the results later this year. Google and you’ll find their website. In the meantime you’re debating whether to do an ablation, here’s what my son said to me today when I raised the proposition about ablations. Sorry for length as I screenshot his Whats App message. He is a Registrar in Critical Care at a major public hospital
Jim
Wellue Numbers
Apple Watch 7
Apple Watch Af reading 
Apple watch
