If I Get Atrial Fib Should I Wait Before Going To The Hospital?
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- Опубликовано: 13 апр 2020
- This video was produced by Dr. Nicholas Tullo, a cardiac electrophysiologist and creator of ECG Academy. He recorded this for STARS (Syncope Trust and Reflex anoxic Seizures), an international patient advocacy group in the UK. Hopefully, it can answer some questions posed by patients in this Covid 19 environment.
I am glad to see youre continuing to make more videos! I love them and watch often.
👍🏻 Come back Doctor, we miss you!! 🥺
I'm still here!! I'm glad you enjoy my videos!!
Can I find your video regarding PAC generating area that we can find through ecg
Dr. Tullo, would you be willing to speak on how you feel about the Apple watches? I am very on the fence about them. I’m curious about the algorithm and wonder if it’s designed solely to detect aFib, would other irregularities such as AV block, or even PVCs, cause a false reading for aFib? I think the watches are a wonderful tool but can also create much anxiety in the case of “false positives.” Thoughts?
Hi, Nicole! I have an Apple watch and I can grab my own ECG. It's cool. But the technology is limited. I think if someone knows how to read an ECG, then you can pick up PVCs or AV block, or other common arrhythmias. But there are other arrhythmias it may miss like atypical flutter. Besides, if you just rely on the AF algorithm, the accuracy is only so-so. I do think that "wearable" monitors are the future of involving the patient in their own care, but we're not there yet. The new KardiaMobile device that captures a 6 lead ECG is cool, but again you have to know what you're looking at. That's just my two cents....
@@ECGDoc thank you so much for your time in responding! I have recently purchased the series 7 watch and got six aFib readings in just over one week. I wore a 24-hour holter to rule it in/out and it did not detect any runs of aFib. However, I noticed the parameters for that particular holter (Body Guardian) was > 30 seconds, so if it was only occurring for a few seconds on the watch, I’m not sure a 24-hour holter was long enough or that it would’ve captured it at < 30 seconds. Perhaps a 30-day event monitor would be more appropriate to definitively rule it out. I would love to send a few of the aFib readings to you and get your thoughts, but don’t want to put you in a position to give medical “advice” to a non-patient, unless you’d be comfortable simply sharing your thoughts or even using the data for education 😊 I do of course have an appointment with my EP but it’s not soon and the anxiety is a bit overwhelming. I notice in them that there are some absent p waves but certainly not every p wave. I have a history of 2:1 AV block, PVCs, PACs, junctional escape beats, and one run of non-sustained v tach in the past. I just march to a different rhythm 😊 I’m very proactive in my own health and told my EP I certainly don’t want to be *that* patient who sends a ton of Apple Watch readings, and waste his time, but I also don’t want to be dismissive if it’s truly even possibly aFib. I do not rely solely on the watch and have felt my pulse in my neck and wrist during these episodes and it feels rapid and just erratic. Thank you again for all of your published content and for your time!
@@Nicole-zq3bo Well, the data shows that only 30 seconds of AF is not associated with an increased rate of strokes. Besides, depending on your age your risk may be minimal. Are you having symptoms with these "Afib readings" or is it that the watch is letting you know. I would not be overly concerned until you discuss it with your EP doc.
@@ECGDoc I have a very odd situation occurring. I have been on a beta blocker for about 3 years and it has been wonderful in controlling the PVCs. I’ve gone from having 10+ per day to maybe 2-3 per month (that I feel, at least). About a month ago, I began having tachy upon getting out of bed - literally just standing up and walking into the kitchen- definitely nothing exertional. My resting rate overnight is great - 60-80s. I sit up slowly out of the bed and it does as I assume it should- goes to maybe 110. By the time I’ve walked across the house it’s up to 130-140. As I get ready for work it’s getting as high as 160 (and I don’t do jumping jacks or lunges while getting ready for work :) as far as symptoms- absolutely none other than feeling my heart beating out of my chest. Now I will admit - I do get dizzy frequently - I always assume it’s my normal low blood pressure. I run about 90/60 and that’s just my normal.. I don’t feel it unless it does drop lower than that. I workout at least 3-4 days per week and have no symptoms during cardiac or weigh lifting. I had one occurrence a few weeks ago when I felt like I was going to pass out, just out of nowhere, but it resolved quickly as well. Thyroid has been checked in last 6 mos and is in range along with metabolic panel and CBC
@@Nicole-zq3bo It sounds like you have POTS. You can read about it at my website njfaint.com -- go to the section on Autonomic Dysfunction.
Great video this is always a tough call to make speaking as a patient. Fortunately I’ve been in remission for quite some time. Would love to host you on my channel if you’d be open to it. Have a great day.
Thanks for the compliment!! You can message me on FB at ECGAcademy if you like...