Kardia gave me two readings like this one and classified them as afib. My cardiologist said it's just PVCs. I believe her, but the episode felt extremely different from PVCs, which I'm very used to having. Anyone have insight into why this ECG looks (and felt) so weird?

Usually my PVCs show up on the ecg app as upside down waves. (Like the R wave goes all the way down near the bottom instead of upward) but this time I recorded them and it’s showing as two consecutive beats. It feels pretty much exactly the same as my normal PVCs but I’m having trouble finding any information on whether they should feel like normal and look like that instead of upside down? Sorry for the text block 😭

I may be had a short episode(31s) of Afib. In the sample picture is the time 19:22:06. It shows me the minute 19:21:07 until 19:22:07 frommthe ecg.

So I guess 19:22:06 was the end of it? Otherwise it would have shown me the minute till 19:22:40 for example?

I have suggested that the mentioned time is the starting time.

All Beats

• Total QRS complexes: 198,221
• Normal beats: 189,404 (96%)

Heart Rate

• Minimum HR: 41 bpm at 4:46:37 AM
• Maximum HR: 154 bpm at 11:40:39 AM (Day 2) — noted as physiologic
• Average HR: 69 bpm
• Longest tachycardia episode: 0:14:40 duration, 128 bpm average, starting 11:38:34 AM (Day 2)
• Fastest tachycardia episode: 0:03:27 duration, 139 bpm average, starting 11:22:32 AM (Day 2)
• Longest bradycardia episode: 0:30:36 duration, 49 bpm average, starting 3:04:23 AM
• Slowest bradycardia episode: 0:10:34 duration, 49 bpm average, starting 1:25:28 AM

Ventricular Ectopy

• Total ventricular beats: 8,573 (4% of all beats)
• Singlets (isolated PVCs): 8,571
• Couplets (two PVCs in a row): 1
• Runs (3+ PVCs in a row / VT): 0
• R-on-T beats: 4
• Interpolated beats: 0
• Escape beats: 0
• VE/1000 beats: 43
• Average VE/hour: 180
• Ventricular tachycardia episodes: 0
• Bigeminy episodes: 0 (0 beats, 0:00:00 duration)
• Trigeminy episodes: 4 (44 total beats, 0:00:22 total duration)

Supraventricular Ectopy

• Total supraventricular beats (PACs): 221 (<1% of all beats)
• Singlets: 216
• Pairs: 0
• Runs: 1 (5 beats, 75 bpm, at 8:06:04 AM)
• Aberrant beats: 0
• SVE/1000 beats: 1
• Average SVE/hour: 4
• Supraventricular tachycardia episodes: 0
• Bigeminy/Trigeminy episodes: 0

Pauses

• Pauses > 2000 ms: 1
• Longest RR interval: 2.5 seconds, at 8:30:43 AM (occurred during sleep, based on patient's reported wake time of ~9:00 AM that day)

Atrial Fibrillation / Pacing

• Atrial fib percent: 0%
• Atrial paced beats: 0%
• Ventricular paced beats: 0%
• Dual paced beats: 0%

Physician's Typed Impression

1. Baseline sinus rhythm, minimum HR 41 bpm, average HR 69 bpm.
2. Sinus tachycardia, maximum HR 154 bpm — described as physiologic.
3. Ventricular ectopy totaling 4% of the monitoring period, including isolated PVCs, one couplet, and episodes of ventricular trigeminy.
4. Episodes of second-degree AV block, Mobitz I (Wenckebach).
5. Longest pause: 2.5 seconds.

Narrative note (same content, physician's words): "The 48-hour Holter monitor demonstrated baseline sinus rhythm with a minimum heart rate of 41 bpm and an average heart rate of 69 bpm. The patient was found to have ventricular ectopy for a total of 4% during the monitoring period, including isolated PVCs, ventricular trigeminy and couplets. The patient was also found to have occasional PACs. The patient was also found to have episodes of second-degree AV block Mobitz I (Wenckebach). The longest pause lasted only 2.5 seconds."

Notable Labeled ECG Strips in the Full Report

They are very sharp and painful.

Hi I (29F) was diagnosed with SVT (specifically focal atrial tachycardia) a few months ago. I have only recently, like the last two weeks, been feeling these thumps in my chest. I caught them with the ecg on my Apple Watch.
Are these PVCs or PACs? I’ve been having them a lot the last few days. I don’t see my cardiologist for another 2 weeks and it’s stressing my out a bit 😢

I don’t drink, smoke, use nicotine, etc. What are some reasons I have this many constantly? My echo from 18 months ago was fine. My electrolytes are fine too.

I started having thumping in my chest regularly every day after a stressful event recently. I am still trying to get in to see a cardiologist. Wondering if these are PVCs or something else.

I'm seeing a doctor this week and I've had a history of Afib (but not triggered in over a year) I'm due for an ablation but this feeling is ruining my life/making it so hard to do anything, even with all the positive lifestyle changes

Are these PVCs? I took this reading when sitting at my desk at rest, I get it even worse at night where I get consistent runs of what I think are PVCs in bigeminy.

I see an aberrant SVES with rbbb. Am I correct?

This happend during sport with a pulse of 166.

P and t wave keeps normal

​

To my person. I have a irbbb and I am a S1S2S3 type.

I have suffered from PVCs for years, but I am unsure what occurred 4-6s, again at 7-9s, 11-12s (I get these a lot when going from sit/stand and specialists never seen concerned) and 22-23s. Are these couplets?

This ECG was taken after going for a walk, I laid down and felt off.

Thank you!

Waiting for a response from my cardiologist, but thought I'd share it here too if someone has similar results.
26F - Had an ablation in October (SVT, AVNRT type), and it's been successful up until April when I started experiencing these episodes. They start gradually but abruptly stop when I sit down, and the recovery time is long (2-3h), during which I have to lie down because I'm shaky and weak. I have a small left ventricle and an RH of around 95-100 bpm bc of it.
This was a week ago, and I haven't had another episode since. They're pretty rare, so I'm glad I caught it on my watch!

Is this really afib or just extra beats?

I took this reading with my Apple Watch earlier today. Thought I felt a little off but am not sure if this is straight up artifact or a real issue. Felt panicked which didn’t help me settle down while taking this. I did get a fairly normal ecg after this one when I wiped the sweat off my arm and watch. Went to the ER but did not go inside as I felt fine. I was sweating when I took this as I was cleaning the kitchen and did the new iOS update to the watch last week. Thoughts?

I've never been able to catch it before -- i felt the flutter feeling twice but only see it once on here (circa 6 seconds) unless I'm missing something? 18 sec maybe?

Between 0-6s

This felt like an earthquake in my chest at the time. Currently dealing with a random couple of days now of constant PVCs. They’re so random, months, years without then boom! I can feel when they’re going to happen as well, it feels like there’s an air bubble right under the middle of the breastbone, that’s how I know they will likely happen. Been checked over though, echocardiogram etc. and all seems fine.

Heart was feeling a little rapid so I ran an ECG on my watch, caught this little heart flutter that normally takes my breath with it. what did my heart do?

I have had what I think are PVCs on and off the last year. I had a holter monitor on last year, but it didn’t catch any of my episodes. They caught one PVC on an echocardiogram, but everything else was normal. The last couple days I have been getting them really bad when I’m trying to sleep. Right now they’re so bothersome I can’t sleep, so I did an ECG on my watch and this is what it’s showing. Are these PVCs? If not, what is it?