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Re: Atriall Fibrillation
Posted: 11 Apr 2023, 7:16pm
by pete75
brianleach wrote: ↑11 Apr 2023, 4:54pm
After several years I know what my "normal" rhythm looks like so I could spot any major change I suppose.
I've got one of those little six quid , finger in SATs monitors. It also graphically shows heart rhythm. Anyone who knows what their normal rhythm looks like would be able to spot change using the cheap little device. For SATs it's within 1% of the one my GP uses and she said hers cost a lot more than six quid.
Re: Atriall Fibrillation
Posted: 11 Apr 2023, 9:46pm
by simonineaston
It also graphically shows heart rhythm.
That's just going to be a count, as heart rate bpm, not an ecg rhythm.
Re: Atriall Fibrillation
Posted: 11 Apr 2023, 10:06pm
by pete75
simonineaston wrote: ↑11 Apr 2023, 9:46pm
It also graphically shows heart rhythm.
That's just going to be a count, as heart rate bpm, not an ecg rhythm.
No, it shows the count as a number. What the graphic shows is a waveform described thus 'The waveform should appear at intervals that match the heart rate and regularity. ' In other words it shows heart rythm. I've got Af and sometimes my heart rythm changes - the waveform graphic on the oxymeter also changes when this happens. The waveform for me is different to that of a healthy person. Obviously not as accurate as an ECG when they stick quite a few sensors on but it gives a good indication taht your heart rythm has changed.
Re: Atriall Fibrillation
Posted: 11 Apr 2023, 10:42pm
by axel_knutt
pete75 wrote: ↑11 Apr 2023, 10:06pm
simonineaston wrote: ↑11 Apr 2023, 9:46pm
It also graphically shows heart rhythm.
That's just going to be a count, as heart rate bpm, not an ecg rhythm.
No, it shows the count as a number. What the graphic shows is a waveform described thus 'The waveform should appear at intervals that match the heart rate and regularity. ' In other words it shows heart rythm. I've got Af and sometimes my heart rythm changes - the waveform graphic on the oxymeter also changes when this happens. The waveform for me is different to that of a healthy person. Obviously not as accurate as an ECG when they stick quite a few sensors on but it gives a good indication taht your heart rythm has changed.
On the day I was diagnosed the first thing the paramedic did was put one of those on. It read 70bpm, the correct rate was 210.
Re: Atriall Fibrillation
Posted: 12 Apr 2023, 1:23am
by Cowsham
axel_knutt wrote: ↑11 Apr 2023, 10:42pm
pete75 wrote: ↑11 Apr 2023, 10:06pm
simonineaston wrote: ↑11 Apr 2023, 9:46pm
That's just going to be a count, as heart rate bpm, not an ecg rhythm.
No, it shows the count as a number. What the graphic shows is a waveform described thus 'The waveform should appear at intervals that match the heart rate and regularity. ' In other words it shows heart rythm. I've got Af and sometimes my heart rythm changes - the waveform graphic on the oxymeter also changes when this happens. The waveform for me is different to that of a healthy person. Obviously not as accurate as an ECG when they stick quite a few sensors on but it gives a good indication taht your heart rythm has changed.
On the day I was diagnosed the first thing the paramedic did was put one of those on. It read 70bpm, the correct rate was 210.
Was the sweat naw lashin oot o yea ?
Re: Atriall Fibrillation
Posted: 12 Apr 2023, 1:26am
by pete75
axel_knutt wrote: ↑11 Apr 2023, 10:42pm
pete75 wrote: ↑11 Apr 2023, 10:06pm
simonineaston wrote: ↑11 Apr 2023, 9:46pm
That's just going to be a count, as heart rate bpm, not an ecg rhythm.
No, it shows the count as a number. What the graphic shows is a waveform described thus 'The waveform should appear at intervals that match the heart rate and regularity. ' In other words it shows heart rythm. I've got Af and sometimes my heart rythm changes - the waveform graphic on the oxymeter also changes when this happens. The waveform for me is different to that of a healthy person. Obviously not as accurate as an ECG when they stick quite a few sensors on but it gives a good indication taht your heart rythm has changed.
On the day I was diagnosed the first thing the paramedic did was put one of those on. It read 70bpm, the correct rate was 210.
Mine appears pretty accurate. Wondered how good it would be for 6 quid so took it when I visited my GP and we checked it against various stuff she had.
Re: Atriall Fibrillation
Posted: 12 Apr 2023, 7:38am
by brianleach
For those interested this is yesterday's print out. I have removed the first page as it has personal information which no-one would be interested in.
It's very faint I'm afraid because it is saved as a pdf file and I have had to convert to a jpeg.
download/file.php?mode=view&id=101574
Re: Atriall Fibrillation
Posted: 12 Apr 2023, 12:42pm
by softlips
pete75 wrote: ↑12 Apr 2023, 1:26am
axel_knutt wrote: ↑11 Apr 2023, 10:42pm
pete75 wrote: ↑11 Apr 2023, 10:06pm
No, it shows the count as a number. What the graphic shows is a waveform described thus 'The waveform should appear at intervals that match the heart rate and regularity. ' In other words it shows heart rythm. I've got Af and sometimes my heart rythm changes - the waveform graphic on the oxymeter also changes when this happens. The waveform for me is different to that of a healthy person. Obviously not as accurate as an ECG when they stick quite a few sensors on but it gives a good indication taht your heart rythm has changed.
On the day I was diagnosed the first thing the paramedic did was put one of those on. It read 70bpm, the correct rate was 210.
Mine appears pretty accurate. Wondered how good it would be for 6 quid so took it when I visited my GP and we checked it against various stuff she had.
I have a cheapo little one too I've compared with hospital ones when working. It read the same as the hospital ones. Pulse oximeters by the nature of where they are placed give very inaccurate results when patients are cold, peripherally shut down etc etc. I remember one recovery room nurse screaming the patients sats had dropped to 62 - I pointed out she was sitting up in bed talking, enjoying a cup of tea and slice of toast, and her lips were pink - all signs to someone old school like me that her sats were fine.
Re: Atriall Fibrillation
Posted: 12 Apr 2023, 1:43pm
by pete75
softlips wrote: ↑12 Apr 2023, 12:42pm
pete75 wrote: ↑12 Apr 2023, 1:26am
axel_knutt wrote: ↑11 Apr 2023, 10:42pm
On the day I was diagnosed the first thing the paramedic did was put one of those on. It read 70bpm, the correct rate was 210.
Mine appears pretty accurate. Wondered how good it would be for 6 quid so took it when I visited my GP and we checked it against various stuff she had.
I have a cheapo little one too I've compared with hospital ones when working. It read the same as the hospital ones. Pulse oximeters by the nature of where they are placed give very inaccurate results when patients are cold, peripherally shut down etc etc. I remember one recovery room nurse screaming the patients sats had dropped to 62 - I pointed out she was sitting up in bed
talking, enjoying a cup of tea and slice of toast, and her lips were pink - all signs to someone old school like me that her sats were fine.
I hope you told her off for speaking with her mouth full
Re: Atriall Fibrillation
Posted: 12 Apr 2023, 7:31pm
by simonineaston
For those interested this is yesterday's print out.
That's really interesting, Brian - thanks!
Re: Atriall Fibrillation
Posted: 12 Apr 2023, 7:57pm
by axel_knutt
Cowsham wrote: ↑12 Apr 2023, 1:23am
axel_knutt wrote: ↑11 Apr 2023, 10:42pm
pete75 wrote: ↑11 Apr 2023, 10:06pm
No, it shows the count as a number. What the graphic shows is a waveform described thus 'The waveform should appear at intervals that match the heart rate and regularity. ' In other words it shows heart rythm. I've got Af and sometimes my heart rythm changes - the waveform graphic on the oxymeter also changes when this happens. The waveform for me is different to that of a healthy person. Obviously not as accurate as an ECG when they stick quite a few sensors on but it gives a good indication taht your heart rythm has changed.
On the day I was diagnosed the first thing the paramedic did was put one of those on. It read 70bpm, the correct rate was 210.
Was the sweat naw lashin oot o yea ?
I've had several doctors who were rather bemused that I wasn't feeling unwell at that rate, and one consultant who insisted that my HR can't have been that high or I would have been unconscious. When I mentioned that to a nurse she said "Oh he doesn't know what he's talking about, I've seen loads of patients with HR that high".
Here's one of the paramedic's rhythm strips from 20.8.12, the day I was diagnosed:
The rate's fluctuating between 137bpm and 230, with the auto (top right) reading 216, and I was sitting in the armchair chatting with the paramedic at the time that was printed.
It was always my theory that unfit people are the ones who feel unwell with AF, and the fitter ones brush it off. My electrophysiologist said he has several patients who are Olymic athletes. In the 10 years since I was diagnosed I have lost alll my fitness, and my AF now makes me feel effin' lousy, so I'm even more convinced.
This is a 12-lead ECG from Resus with the diagnosis written on it:
Re: Atriall Fibrillation
Posted: 12 Apr 2023, 8:10pm
by simonineaston
Gosh - takes me back to a previous life, decades ago, when I was a medical physics & physiological measurement tech. in an ICU.
Re: Atriall Fibrillation
Posted: 13 Apr 2023, 7:12am
by MrsHJ
I’m continuing to experiment with my diet and whilst I haven’t added fish back in yet I’m finding that keeping carb intake at 45% or higher and dealing immediately with hunger pangs seems to be helping reduce/?eliminate overnight a fib and ectopic beats during the day. I think someone mentioned low carbs as being an issue upthread so thank you.
The doc is keeping an eye on my thyroid marker but everything else very normal and waiting for my cardio appointment.
Re: Atriall Fibrillation
Posted: 13 Apr 2023, 7:31am
by Cowsham
axel_knutt wrote: ↑12 Apr 2023, 7:57pm
Cowsham wrote: ↑12 Apr 2023, 1:23am
axel_knutt wrote: ↑11 Apr 2023, 10:42pm
On the day I was diagnosed the first thing the paramedic did was put one of those on. It read 70bpm, the correct rate was 210.
Was the sweat naw lashin oot o yea ?
I've had several doctors who were rather bemused that I wasn't feeling unwell at that rate, and one consultant who insisted that my HR can't have been that high or I would have been unconscious. When I mentioned that to a nurse she said "Oh he doesn't know what he's talking about, I've seen loads of patients with HR that high".
Here's one of the paramedic's rhythm strips from 20.8.12, the day I was diagnosed:
20.8.12 @11.11.49 AF @ 216bpm 3L Redact.jpg
The rate's fluctuating between 137bpm and 230, with the auto (top right) reading 216, and I was sitting in the armchair chatting with the paramedic at the time that was printed.
It was always my theory that unfit people are the ones who feel unwell with AF, and the fitter ones brush it off. My electrophysiologist said he has several patients who are Olymic athletes. In the 10 years since I was diagnosed I have lost alll my fitness, and my AF now makes me feel effin' lousy, so I'm even more convinced.
This is a 12-lead ECG from Resus with the diagnosis written on it:
20.8.12 @13.54.25 Resus AF @177bpm 12L.jpg
Watched 24hrs in E&A the other night there was a big heavy guy in with a heart rate of over 200 and the sweat was lashin off him, he was also feeling a bit confused. The doctors gave him a dose of something to try and bring it down -- it came down for a few seconds but went straight back up again. They gave him something else and same thing happened then as a last resort they shocked him which solved the problem but I don't think it was AF he had just an abnormally high hr -- a medical emergency. It was a tense moment.
Re: Atriall Fibrillation
Posted: 13 Apr 2023, 8:36am
by simonineaston
dealing immediately with hunger pangs seems to be helping reduce/?eliminate overnight a fib and ectopic beats during the day
That sounds postive
thanks for letting us know.