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To illustrate Carey's point, here is an extreme example of NSR. Years ago, Mark, an optometrist from the UK sent me a PDF with a whole bunch of images of his unfortunate rhythms. NOTE, these are NOT ecg's, they are heart rate vs time graphs. EP's sometimes make them from Holter monitor data by plotting the time between R peaks in an ECG. This time can be converted to beats per mby GeorgeN - AFIBBERS FORUM
QuoteMyticker I guess I’ll have to assume that when I see Brady I won’t be in Afib. Wish it would say Normal Sinus Rythm and Brady detected. But as I say, I’d like to see the confirming that without having to do a dance. QuoteCarey It also seems unlikely that the designers would prioritize reporting something as obvious as bradycardia instead of afib, which is the device's primary purposeby GeorgeN - AFIBBERS FORUM
QuoteMyticker It might say Bradycardia and Afib not detected. But I’ve never seen Brady and Possible Afib together. I’m more interested in tbe Afib part The Kardia only reports one result in my 12 years of experience. For example if it detects afib with a rate over 100, it reports afib, not tachy plus afib. Since Kardia uses R-R variability to diagnose afib, you can do this visually on the Eby GeorgeN - AFIBBERS FORUM
QuoteMeganMN That is really odd. They did pierce my atrial wall. Why in the world does it do that? Here is what Chat GPT4 has to say: **Post-ablation migraine** is a recognized phenomenon that can occur after **atrial fibrillation (AF) ablation**, especially when the procedure involves **transseptal puncture** (piercing of the atrial septum) to access the left atrium. Migraine-like symptoms,by GeorgeN - AFIBBERS FORUM
Spectacular news!!! I've been thinking of you all day and wondering how it went. Glad they were able to see so much!!!!!by GeorgeN - AFIBBERS FORUM
If you have the standard 1 lead device, it communicates with your phone via sounds. Hence sound can interfere as well.by GeorgeN - AFIBBERS FORUM
This is from Kardia: I keep getting recordings that look noisy and with an “Unreadable” results. What does that mean and how can I prevent it? If you have the 6L device (even though you are taking a reading with two contacts), it connects through Bluetooth and this article may apply (also from Kardia)by GeorgeN - AFIBBERS FORUM
"3) Is the Kardia Mobile accurate? Are there any known issues of it giving false positives or false negatives." 10+ years of experience for me is that if heart rate is not elevated, NSR is NSR. I have seen NSR reported in the middle of an afib episode, but the heart rate was high (120-140 ish) and was likely flutter (as the Kardia app uses RR variability - beat to beat to diagnose aby GeorgeN - AFIBBERS FORUM
My n=1 with C19 vaxes (both mRNA & J&J) is an association with a dramatic increase in afib episodes. I finally successfully used low dose flecainide (50 mg/day, then 25 mg/day) to avoid the episodes. Initially unsuccessfully tried a number of times to discontinue the flec. I finally hypothesized if I quit getting boosters and could get far enough away in time from a vax that I couldby GeorgeN - AFIBBERS FORUM
QuoteNancy9 I am in a geographic area where I could fairly easily travel to Johns Hopkins (Hugh Calkins?) Years ago a member here got an ablation by Dr. C. I've not read the details in many years, but my recollection is that the doc was out of the room when a Fellow threaded the catheter. It ripped a valve and was life altering in a negative way for the patient. One of a number ofby GeorgeN - AFIBBERS FORUM
QuoteJAYHAWK Question……is blood thinner medication a requirement for a cardioversion. She wants me to take the Eliquis with the Metoprolol. I am extremely averse to anti-coagulants unless absolutely a necessity. Hi Steve, My understanding is that yes and for a period of time (20 years ago, it was 3 weeks), unless you can get a transesophageal echocardiogram (TEE) just prior to the proceduby GeorgeN - AFIBBERS FORUM
QuotePatfromNy You caught my interest with the 24/7 ekg monitoring. I looked into the device you mentioned. I just had a question about the cost. How much is the monitoring service ? Once I buy the device do I have to pay for a subscription ? If you are talking about the post with the guy monitoring with the Wellue ECG device, my understanding is there is no ongoing cost, but youby GeorgeN - AFIBBERS FORUM
I'd recall reading about excessive aerobic exercise being associated with increased cardiac fibrosis, so posed the question to Chat GPT4. Here is the response, with references: The idea that **aerobic exercise** could contribute to or increase **cardiac fibrosis** is generally linked to extreme or prolonged endurance exercise, rather than moderate or typical aerobic activity. While modeby GeorgeN - AFIBBERS FORUM
Quotegloaming Yes, it's a grain, along with barley, rye, quinoa, and millet, for examples. There is no gluten in oats. Pure oats are gluten-free, but they can become contaminated with gluten during processing, storage, or transportation. This is because oats are often grown, processed, and transported alongside other grains that contain gluten, such as wheat, barley, and rye. "Evenby GeorgeN - AFIBBERS FORUM
This guy posted a couple of years ago that controlling blood sugar made a huge difference in his daily PAC burden, which had been 8000-15000/day. These are all his posts. This is a summary of his story: "I have daily PACs. They are almost always totally asymptomatic unless I'm trying to feel them by putting pressure on my chest. I did not know I had PACs until I had my 3rd Pfizby GeorgeN - AFIBBERS FORUM
Here is a simple solution that worked for me for apnea - taping my mouth during sleep to make me nose breathe. This is a post showing beat to beat heart rate with and without tape on the same night. My adult daughter, who is not an afibber, tapes nightly as she says it improves her sleep materially. A lot of time breathing can impact hormones, like adrenaline and feelings like panic. Rapidby GeorgeN - AFIBBERS FORUM
QuoteTomR I was thinking that the risk from other anti-coagulation drugs may be similar to the finding in the warfarin study. I don't like being on an anti-coagulants myself and that is why I'm interested. I'm well familiar with Hans' book - it was one of the first books on afib after my first afib episode in 2004. It was extremely useful. In 2018, Hans also sent me a coby GeorgeN - AFIBBERS FORUM
The CHA₂DS₂-VASc calculator) is currently used to inform who needs anticoagulation.by GeorgeN - AFIBBERS FORUM
Here are my non-medical thoughts. Are you symptomatic during afib? That is do you have symptoms that bother your functioning? if not, I would see no need for metoprolol. If you were highly symptomatic, then perhaps on an as needed basis, not continually. There are two acute risks with afib. The stroke risk you mentioned (the calculator was likely the CHA₂DS₂-VASc calculator). The other rby GeorgeN - AFIBBERS FORUM
What appears to happen is that the data for these flags is stored in the afibbers.org database, linked to a username. This is why, when logged in on various devices, you see the same flags. As mentioned previously, if the cookies get deleted (whether you did it or perhaps some other software does), it appears to wipe out the flags on that machine. If you log out and log back in the cookies getby GeorgeN - AFIBBERS FORUM
Years ago, I was discussing afib with my internist doc neighbor. He told me almost all the afib he saw was "Holiday Heart Syndrome" (caused by overdrinking). Though I personally don't drink now, I did modestly earlier in my afib career, though it never was a trigger. However, it is a big trigger for my afibber son-in-law. With the advent of sleep trackers, I could see what evenby GeorgeN - AFIBBERS FORUM
QuoteKen What happened to the red marker adjacent to each unread post? The cookies were cleared for afibbers.org for the browser you are using. I just tested it on a browser I rarely use to access afibbers.org. When I logged in the flags were there, just as they are for the browser I usually use. I then cleared the cookies for afibbers.org for the test browser and then, after reloading the Uby GeorgeN - AFIBBERS FORUM
QuoteShiny Sleeves Hi yeah when my HR shoots up it feels a little fluttery. I use a SpO2 finger monitor. Plethysmography, which SpO2 monitors use for heart rate, can be very inaccurate, especially if the rate is changing rapidly (like arrhythmia) or during exercise. I have an SpO2 ring that records my SpO2 & heart rate every 4 seconds overnight. It works pretty well, though if I go into aby GeorgeN - AFIBBERS FORUM
Quotemontos Thanks George. That’s actually what I was looking for, but I couldn’t find it. Do you have any personal experience with this or any other suggestions? I do not as my PAC's average 7-8/hour overnight, so not something I focus on.by GeorgeN - AFIBBERS FORUM
Late founder, Hans Larsen, had a "Pac Tamer" recipe:by GeorgeN - AFIBBERS FORUM
First, I'm curious what device you are using to check heart rate? Most devices display a moving average heart rate, so quite a bit of the variability is averaged out, hence you would see "exactly 60" or "exactly 80." So I'm assuming what is displayed is 80 for a while, then high 80's for a while, then low 70's for a while, not bouncing back and forth everby GeorgeN - AFIBBERS FORUM
QuotePfestus1 I tire very quickly if I am up trying to do something. I don't have energy to go to gym, or walk very far. I guess some of my symptoms could be side effects of Eliquis, not sure. A possible side effect from Eliquis is anemia. If there is anemia, it can cause lack of energy, so might be worthwhile to make sure this is not an issue with you. If there is anemia, then exclby GeorgeN - AFIBBERS FORUM
Here is a search of this site on prior berberine posts:by GeorgeN - AFIBBERS FORUM
"with a ventriloquist collar rate that varies between 60 and 120" Assume this is a typo that should read "ventricular heart rate ..." As a non medical person who has had paroxysmal afib for 20 years, I would say they have to be looking at other information than the afib heart rates.by GeorgeN - AFIBBERS FORUM