TachyBrady vs Bigeminy or Tri or Quad

When and what is the difference between them? I'm mainly Brady with AF. They see my heart loop monitor every month and sign off on the report. I did have that unknown cause 3 second pause in December but I was becoming sick/dehydrated. The Tachy part of my beat-to-beat aren't higher than 70's or very low 80's. The Brady parts are mostly 40's with some 50's and a few high 30's thrown in the mix.

Anyone else high this issue? The panic for my appt Tuesday the more I read seems to increase. I feel I should educate myself but sometimes maybe too much.

I do take Eliquis.

And recently, last week, found out my TSH for my Hashimoto's is low/suppressed and was also that way for my previous blood work 6 months ago so I could have been veering toward slightly Hyper with jittery moments and a little more sensitivity to cold but it is Winter. I take Armour. And dosage has been decreased as of last week.

The Cardiologist and EP had me do a special manual upload from my HLM on Jan 21st and consulted with each other but no urgent "please come in ASAP" and just scheduled me with the EP on Feb 18th so it doesn't seem urgent/emergency level based on that or are they just shuffling me thru the system.

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Qwackertoo
The Cardiologist and EP had me do a special manual upload from my HLM on Jan 21st and consulted with each other but no urgent "please come in ASAP" and just scheduled me with the EP on Feb 18th so it doesn't seem urgent/emergency level based on that or are they just shuffling me thru the system.

That's the part you should focus on. No, they're not shuffling you. Why would they even bother investigating further if that's what they were doing? They looked, they saw no cause for alarm, so they scheduled you for a routine follow-up. That's a good thing, be happy about it.

The rest of your post I find a bit puzzling. You ask about bigeminy, trigeminy, and quadrigeminy. Those are pretty simple. Bigeminy means every second beat is a premature beat (a PAC, probably). Trigeminy means every third beat is premature, and quadrigeminy every fourth. Those patterns aren't alarming, just annoying. The bradycardia you describe also isn't alarming, and if you're taking a beta blocker that's probably at least a partial explanation. And a heart rate in the 70s and 80s isn't tachycardia. It's actually quite normal. So I don't understand where you get the tachycardia thing. Did someone use the word tachybrady? If so, they just meant you alternate between a slow and more rapid heart rate.

What is Armour?

Honestly, I think you're probably over-interpreting whatever it is you're reading or they told you. You haven't said anything that would scare me if I were in your shoes.

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Carey
What is Armour?

A porcine thyroid med.

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Carey

The Cardiologist and EP had me do a special manual upload from my HLM on Jan 21st and consulted with each other but no urgent "please come in ASAP" and just scheduled me with the EP on Feb 18th so it doesn't seem urgent/emergency level based on that or are they just shuffling me thru the system.

That's the part you should focus on. No, they're not shuffling you. Why would they even bother investigating further if that's what they were doing? They looked, they saw no cause for alarm, so they scheduled you for a routine follow-up. That's a good thing, be happy about it.

Thank you for your reply, Carey.

The nurse said the Tachy/Brady occurred before the Pause in December when she called on Christmas Eve Eve. So I went back to my HRV Beat-To-Beat measurements on that night and they look like what has been going on and the more I've looked back it has been happening for months with the 40-40-70-40-40-70-40-40-80 not those exact even numbers but the pattern range yet with some HRV readings being perfectly normal #'s. I have seen over many months the RN or Interpreter of the monthly HLM report use the term Bigimeny, Trigimeny and PAC's in addition to the AFIB incidents. Not a lot of explanation details on the reports and maybe it varies depending on the Interpreter. So that is where I was "wandering amongst the weeds" in terms trying to figure out what I'm facing.

Later in mid-January after 2 AF episodes, during illness (stomach, nose, throat prob a little dehydrated) I had a scheduled follow-up appt with Cardiologist and the Nurse called and wanted a few blood tests done, echo + for me to drop by and pick up a monitor to wear for a week . . . I told her ummm I have an implanted HLM and she said "oh I'll remind him of that" so thus my comment on the shuffling thru the system.

Then the Cardiologist/EP consulted. They told me I could still come see the Cardiologist IF I wanted to but EP office would be calling to schedule appt and I think he will want to do Ablation and or Pacemaker OR? I don't take any blockers at present. I want to see IF he will let me do the Pill In the Pocket since these past 2+ years I've managed pretty well with Zero trips to the ER and no other medication except Eliquis and Cholesterol with very low numbers. Armour is my Thyroid medication which is the natural ingredients derived from a pig for both the T3 & T4 due to the Hashimoto variety. Now with the dosage, leaning towards Hyper which does affect heart rate, higher, so hopefully he will let levels get adjusted and not want to schedule something ASAP like he did 2 years ago when he doubled the Metoprolol, initially started me on 1/2 a pill right before implant, 12.5 mg 2x's day, then after 3 week trip to Switzerland so even the high altitudes didn't bother except my knee & ankle overuse. Upon return throw a Steroid 6 or 7 day pack, 2 very old root canals getting re-infected, a colonoscopy with prep passing out, 2 rounds of dental antibiotics . . . and during this time EP doubled my Metoprolol to 25 mg 2x's a day plus Flecanaid. Let's just say that didn't work out so well and my HR was all over the place with dozens upon dozens of low heart rate notifications so stopped all of those and here I am now 2 years later. I hope that without the other factors, that the Pill In Pocket is reasonable for Paroxsymal AF vs more aggressive approach but maybe I'm being naive.

My emotions are getting the best of me right now. Hopefully today will be a very happy day. Both grandkids, 1 yr & 3 yr are coming over for a Valentine's Sleepover tonight so all day today and all day tomorrow of laughter and fun planned.

I would guess that all the rhythm issues are due to -- or at least exacerbated by -- the thyroid problems. Both hyper- and hypothyroidism can cause havoc with the heart, so I hope you're seeing an endocrinologist regularly.

Thank you for the reply.

My Endocrinologist passed away a few years ago. I visited another a couple of years ago, limited supply of them here, and I would never return to him unless I was homeless, had no other choice . . . He Was THAT Bad.

I do have an MD VIP for my Primary Care Physician. Yea it costs more but I believe the extra care & attention to my health is worth it.

I do twice a year complete blood work and he monitors my TSH & T3 & T4. And they do seem to jump around. I think the Endocrinologist before was over medicating me. Now PCP tries his best to tweak with two doses and varies with 5-2 days then 6-1 and now with recent results tweaking down to 4-3 with higher 90's on 4 and 60's on 3 days a week. Then any additional changes are followed up with 2~ month rechecks.

I do feel something is up with the levels and underlying heart rates. Cold. Jittery. And of course HR HRV & Beat-to-Beats. Perhaps stopping alcohol 6 months ago, was a couple of glasses of wine then quit then maybe a couple of beers but now NONE so maybe the thyroid medication is working better than it use to without that in the mix. Hard to say for sure. And who knows, perhaps the Natural version of thyroid medication, from a pig, vary a little from batch to batch?

So many mysteries and Afib is the worst mystery of them all.