As you and I had begun to suspect, the graph form you presented is ONLY available with their premium subscription. Per my contact with Kardia support: The R-R interval plot is only available to Kardiacare subscribers along with our asdvanced determinations you will not have access to this information under a basic account and will have to upgrade in order to be able to see the information in qby IDbill - AFIBBERS FORUM
OK, I have been able to locate the Kardia App. version I have been using: it is 5.17.3-01be14300 This is called out as being the latest version (as of July 15, 2021). So, I seem to be operating with the current version. However this does NOT generate the HR graphs along with the ECG PDFs.by IDbill - AFIBBERS FORUM
QuoteGeorgeN See if you can do what they suggest here to create a pdf: That is where this graph is located. I am able to generate the standard Kardia ECG PDFs..... have been doing that all along! However they do NOT include the HR graphs you have mentioned/shown. My Kardiamobile App. (on Android) works fine, but I have not been able to locate any version information or menu for updating it.by IDbill - AFIBBERS FORUM
Unfortunately, those alivecor instructions don't resolve my puzzle. I have never had any trouble creating and downloading the ECG PDFs of any Kardia trial I perform (I keep an extensive archive of them on my PC and, when necessary, forward some to TCA). However NONE of them have a 'second page' with the HR graph you have shown me! Indeed, I may be running an older version, but cannby IDbill - AFIBBERS FORUM
Thank you, George. I definitely want to explore this 'time series' HR graphing. I have only the original (2 lead) KardiaMobile with NO Kardiacare package. Not sure, then, that I can access this graphing feature. In any case I can find no 'button' in my App screens (I am on Android) which allows for a version update (or even any readout of what version I have.... mine has beenby IDbill - AFIBBERS FORUM
Excellent ! However it makes me wonder: if Kardia now has this data reduction/algorithm feature, which according to you is a sure idicator of Afib, then why does Kardia not use such a straightforward result as their summary indication of 'possible Afib' ??by IDbill - AFIBBERS FORUM
Indeed, there are Medicare Advantage plans which cover 'out of area'. Knowing that I would be traveling/living different locals extensively, I chose an Aetna Medicare Plan (PPO) "out of area value plan". I have found it to be extremely flexible, having been treated everywhere I have had to go with full coverage. For instance I could have had ablations in SLC, Cleveland Clinic,by IDbill - AFIBBERS FORUM
The good news (why I have not been on this forum lately!): Dr. Natale ablated me 26 months ago and I have been nominally AF free since (at least according to sporadic check ups and semi-annual TCA Zio patch monitorings). Feel great and am off all anti-coagulants. The bad (or, al least troubling) news: since my AF had become persistent and asymptomatic (cardiologists surprised me in informing mby IDbill - AFIBBERS FORUM
This thread brings out two important points in regard the ablation process. The procedures are complex and the supporting staff (say Natale's at St. DAvid) are multi tiered, busy and ever changeing. You cannot count on being fully, accurately updateded on your particular case, especially once you have departed and its "routine" followup. St. DAvids strives for excellent support,by IDbill - AFIBBERS FORUM
Fluoroscopy?? Is this a routine component of an Austin/Natalie ablation? I had just had one such done and there was no mention, nor did any indication of such appear on discharge papers/instructions, of a "flouroscopy". Did I miss something (while being anesthetized ) or is a flouroscopy only applied in certain cases, not mine, otherwise I would have heard about it?by IDbill - AFIBBERS FORUM
GERD ?? It might be helpful to preface posts by bringing the non-cognoscenti up to speed on what you are referring to. Not a complete Nube to this blog, but haven't encountered this acronym previously.by IDbill - AFIBBERS FORUM
Not that long ago (~ 5 yrs back) I routinely pushed aerobic limits with pro level com-padres (Mountain bike, road racing, mountaineering, etc) and typically felt exhilarated by the effort. Slowly Afib took hold (imperceptibly: I am entirely asymptomatic), finally I was struggling to keep up on only routine level workouts, which I had been pursuing without fail, out of habit. Wrote it off as gettby IDbill - AFIBBERS FORUM
I found the following review fascinating in general and, in my case (recently having an extensive ablation for persistent AF) rather startling. The specific contraindication exemplified for ablations (beyond PVIs) is certain to be controversial in this forum! I'd appreciate full commentary. The specific "medical reversal" described reads: Here are four highlights fromby IDbill - AFIBBERS FORUM
This post meant to FOLLOW next (earlier one) on the list. Forgot that latest appears first! Anyway, back from Austin I'm on Eliquis, indefinitely. Dr. Natalie directly told me that Xarelto is essentially the same medication (differing in dosing only), so that they can be substituted. Reason I had this discussion is that it turns out I have a substantial stash of Xarelto from an earlierby IDbill - AFIBBERS FORUM
Back to Idaho now from my very first ablation (persistent Afib) experience at the hands of the inimitable Dr. Natalie. This was a combined "two day" office consultation then procedure. In his own words mine was an extensive, difficult ablation (me being in persistent Afib with a "severely" enlarged LA). He had to isolate my LAA (not, as I understood, usually resorted to inby IDbill - AFIBBERS FORUM
I believe that this *80-85% success rate is for simple paroxysmal, uncomplicated Afib. The likelyhood of success can vary substantially depending on other conditions of your heart and the particular level of Afib you are in. For instance, my case was going in with (recent) persistent Afib and concomitant "severely" enlarged LA. In this case the prognosis was for barely 50% "succby IDbill - AFIBBERS FORUM
Cardiac catheter ablations are certainly a high technology driven procedure. I have been hearing a lot promoting the "next wave" of catheter ablation technology: non-contacting catheter monitors and the superior heart (atrium) maps this monitoring can provide during ablation procedures. In particular the ACUTUS AcQMap systems claim the most advanced results. Is this all commercial hyby IDbill - AFIBBERS FORUM
Cautionary tale here. I too have been rather blindsided by the drugs now required for my [upcoming) ablation. Every year I opt for a "basic" Medicare advantage drug plan since I never take any drugs (well, Metoprolol, but that's dirt cheap). Now with the ablation, looking at the rest of the year on Eliquis. Fortunately I can afford the deductible! So, part of any ablation prograby IDbill - AFIBBERS FORUM
For future reference I'd appreciate any afibber feedback on top EPs and cadiac arrhythmia centers in the Phoenix area.I found one other post suggesting Dr. Vjendra Swarup. I he (and his associates) still a top ablation center (BTW where do they actually perform their ablations, since they seem to have several "office" locations. I see also that the Mayo clinic has a large Scoby IDbill - AFIBBERS FORUM
Fascinating Fibbin and Wolfpack: I had no idea that the Kardia worked via ultrasonic link! I have been routinely using one for months (linking to a Samsung Tab A, which is NOT on their compatible list!). No problems at all. I am too old to hear the ultrasound. I just assumed that it transmitted via Blue tooth, as is typical these days. Sure enough I switched off my tablet's BT and the Kaby IDbill - AFIBBERS FORUM
Especially in cardiology (including EP) the C. Clinics have the highest reputation possible. I cant recommend any particular ablationist there (I consulted with them for an ascending aortic aneurysm), but I am sure they have practitioners amongst the very best in the world. The celebrated Dr. Natalie was there prior to setting up TCA. They also have an unusually thorough and detailed web sitby IDbill - AFIBBERS FORUM
Being an Afib newbie, this site has been invaluable. First, it revealed Dr. Natalie as the pre-eminent ablationist (with whom I now have an appointment !). However it has also made abundantly clear how complex the Afib prognosis is, even after any "successful" ablation. Therefore almost as much as choosing the best ablationist, it seems appropriate to select a Dr. with easy accessibiliby IDbill - AFIBBERS FORUM
Please inform me: what is an "index" ablation? I see many have used this term. Does it have some uniform medical meaning, or is it variously being used subjectively?by IDbill - AFIBBERS FORUM
I have been offered an appointment for a " 1 day" ablation procedure at TCA with Dr. Natalie. However that is for May 30! Although I did understand that he was well booked up, I had hoped for earlier. Since my Afib was clearly diagnosed more than a year back, it has rapidly progressed from paroxysmal to persistent, and I have not developed a solid drug regimen for control (during my daiby IDbill - AFIBBERS FORUM
A month back I sought advise here on monitoring my afib, since its onset is recent and I am asymptomatic. Thanks for all the advise: I got and am using a Kardia. However there is another aspect of monitoring very much of concern to me since I am very active (run, bike, swim, etc). How to best monitor my HR while actually running (say)? I control HR with Metoprolol, but would like to have an actuby IDbill - AFIBBERS FORUM
QuoteGeorgeN I find a tachogram (heart rate vs. time graph) which is what I get from the r to r recordings on a heart rate monitor (and some Holter's will do this, too) as a very useful presentation. Would you describe exactly what a tachogram is? For instance I have used Polar sensors which provide (e.g. plot) HR at each of a precise sequence of time intervals (e.g. 2 Sec.), thus geneby IDbill - AFIBBERS FORUM
GeorgeN, thanks for the details & scripts. If I have the time I would love to write my own algorithms for analyzing R-R data (that was my field !). However was hoping to just run with existing, turnkey stuff. I'm a bit hesitant to firmly conclude my condition from a Kardia proprietary "Afib oracle". Would rather see my actual ECG peak pattern and be able to verify its likenessby IDbill - AFIBBERS FORUM
Yes, I have much attempted to discern the "regularity" of my felt pulse. Trouble is, its too subjective (to me): I had never ventured to feel my pulse before sometime last year, so I have no relative sense of NSR. My cardiologists always suggests "just feel your pulse!", but his judgement is based on decades of experience. So, coaching from a Kardia seems a great route. Howeveby IDbill - AFIBBERS FORUM
My initial Forum post! Also relatively new to Afib (Cariologist diagnosed, but asymptomatic and did not even know the term ~ 3yrs back). It has rather startled me reading this forum's posts: Most of you "know" your Afib episodes so well (number, duration, history.... apparently mainly from symptoms)! OTOH I never have had obvious symptoms. I have been a "push the limit&quoby IDbill - AFIBBERS FORUM