The AliveCor Kardia Mobile (AKM) is a handheld, smartphone based cardiac rhythm monitor that records a lead-I electrocardiogram (ECG). As to the "saw tooth" pattern, flutter does not always present itself that way. Then hoping for no episodes at least for awhile. 2. doesn’t!! I take Flecainide for my AFlutter and have been flutter free for 18 months.It can cause AFib as a side effect. I did not need a kardia to detect something was wrong - I was very asymptomatic and beathless. In Fig 4, Kardia’s recording gave an ‘Unclassified’ result. ESC: Anti-coagulation merely "to be considered" with CHA2DS2... Atrial flutter and increase in flecainide, Ablation for atrial flutter vs fibrillation. I developed fast re-entrant flutter 9 days after my ablation( right atria) It was not regular, i was on flecainide and the higher dose i was put on slowed the rate but made it more random - like a bag of ferrets in my chest. It was a "small recurring blip" on EKG...so just couldn't see it on Kardia readout...all the large waves were clearly visible on Kardia, and were normal. Kardia produces a very good quality single or six lead tracing. The AliveCor Kardia simultaneously records the pulse gener - ated by patients after placing their two index fingers on the electrodes for 30 s and a voice recording of symptoms expe-rienced. Also, to mention that it’s not for diagnosing heart attacks or other diseases. I have a Kardia and it does not detect atrial flutter in the sense that it does it flag it up explicitly. Both can lead to serious complications such as stroke. I gave my thoughts to the op on her ECG and this was confirmed by Kardia. This study evaluated the impact of daily ECG self‐recordings on time to documented recurrent atrial fibrillation (AF) or atrial flutter (AFL) and time to treatment of recurrent arrhythmia in patients undergoing catheter radiofrequency ablation (RFA) or direct current cardioversion (DCCV) for AF/AFL. Not only will lead 1 ( ie. I have edited out that reference in the earlier post. Conclusion: The AliveCor Kardia ECG monitor allows a highly accurate detection of atrial fibrillation by an interpreting electrophysiologist both in the standard lead I and a novel parasternal lead. Thank you - haven’t purchased yet as still on med after ablation- five more days. If you go to their web site you won't even see the AT unit because it's so new. I just spoke to the AliveCor helpline and they said that Kardia would probably show “unclassified” in the event of there being atrial flutter and would pick up some sort of trace of flutter. The Kardia Band also displays ECG rhythms and detects the presence of atrial fibrillation and normal sinus rhythm (when prescribed or used unde r the care of a physician). Be nice to sit and talk over water- just kidding- coffee is probably afibbers choice - although I drink decaf tea and coffee. That being said, the Kardia devices are single lead EKGs, therefore any arrhythmia that is present in Lead I EKG can be present in your Kardia EKG recording. Also can post who your EP is, or if not appropriate, could you send me a private message with his name and location. My GP thought he saw flutter but I thought it was a shaky recording! really not feeling this flutter/ just wondering if Kardia would detect the flutter?. Untreated atrial fibrillation is associated with a 5-fold increased risk for stroke. I would just like to clear a possible misunderstanding here.I did not confirm Kardia"s diagnoses of the ECG. Has anyone actually picked shown a Kardia ECG to a doctor or cardiologist and they have identified atrial flutter on it? Now realize that I had an incident or two a year at least going back 5 years, but didn't last long enough to diagnose...and really didn't matter since didn't cause any issue other than "feeling weird" for a few hours. It seems to show atrial... lady a surgery date got flutter ablation or CTI ablation or isthmus ablation (it’s been called all... jubilie hospital Scotland after having ablation for my atrial flutter and I can honestly say I've... that I am suffering from Atrial Fibrillation, Atrial Tachycardia AND Atrial Flutter!!! The rate was 143bpm. So taking Flecainide for one arrhythmia can cause another. It therefore produces a trace of Lead I. 10 months on flecainide, Had afib, had an ablation for afib which stopped it, 9 days later developed reentrant atrial flutter.Unfortunately flutter must not be always be that obvious as when I went back to A&E (on verbal advice of my EP), I was diagnosed initially as AFIB, and they INCREASED the flecainide dose from 50 twice daily to 100 in order to cardiovert me, and my symptoms got worse! 2021 - The year I was NOT going to hospital. Yes - very easy to identify - what Bob said. Epub 2019 Sep 25. Can the Kardia differentiate between AF and atrial ectopics? The symptoms of atrial fibrillation or AFib are well-known: a fluttering feeling that can point to a quivering heart muscle, the notable skipped beat that’s the mark of a palpitation, and a racing heart rate that sparks other discomforts. Kardia Mobile is FDA cleared and regulated to detect and display your beats per minute. I'm with Buffafly on this, not worth it just for that. Oh she did say they will be adjusting my meds (again) since they are not working. 2021 - The year I was NOT going to hospital. I may have jumped the gun with ablations, but it seemed the episodes were becoming more frequent, and after wearing the AT monitor for a couple weeks which recorded several events, decided to proceed with ablations. It uploads data to servers periodically, which is accessible by EP daily....and if something dramatic is picked up, a text message is immediately sent to the EP. This gentleman has had atrial flutter in the past and records at home his rhythm daily using his own AliveCor device which he uses in conjunction with an iPad. Indeed, if used carefully the Kardia will show all sorts of heart arrhythmias, if you can read the trace. However, a significant number of patients who have had atrial fibrillation also have premature beats. I have never experienced flutter, so I wouldn't know what it looks like or feels like. However, the Kardia is designed to 'detect' Atrial Fibrillation, and does so, but not to detect flutter. I believe the atrial rate in flutter is between 200-400. My understanding is that the Zio Patch is extremely accurate. How likely is it that the four times I've gotten an atrial fibrillation detected on the watch and the six times it has been detected on the kardia … Press J to jump to the feed. The chart of her Kardia recordings is below and shows the afib began around 520 in the morning at a rate of 106 BPM. Kardia Advanced Determination “Atrial Fibrillation” indicates an irregular rhythm at any heart rate, that is not a sinus rhythm, which could include: atrial fibrillation, atrial flutter w variable block, wandering atrial … Cool technology...but wish didn't need it:-)! This is not the same as it’s having an algorithm to detect flutter, but is still very useful. My flutter was said to be Flecainide-induced. The AliveCor Kardia ECG monitor allows a highly accurate detection of atrial fibrillation by an interpreting electrophysiologist both in the standard lead I and a novel parasternal lead. ESC: Anti-coagulation merely "to be considered" with CHA2DS2... Ablation for Atrial Flutter date received. You can then email the ekg to either Kardia's analysis service (for a fee) or to your doctor. Flutter is just felt as a fast HR because the impulses from the atria are blocked in a regular way. Currently Kardia is only validated to diagnose atrial fibrillation. My resting HR had been running at 65 or less after ablations, but moved up to around 100. At least you will get it documented. In my case I did not need Kardia or ECG to identify flutter. Besides flagging anything dramatic, I suppose another advantage of the AT is so that the doc knows if he found what he's looking for so he can either terminate early or tell you to wear it longer. This study evaluated the impact of daily ECG (electrocardiogram) self‐recordings on time to documented recurrent atrial fibrillation (AF) or atrial flutter (AFL) and time to treatment of recurrent arrhythmia in patients undergoing catheter radiofrequency ablation (RFA) … I don't think Kardia is allowed to say that a recording is definitely AF I guess for legal reasons. It can be easier to spot flutter in Lead II and the centre of the chest as described on the Alivecor website. Sometimes patients feel these premature beats as a skipping or irregularity of the heart beat. Galaxy watch and kardia detected afib. Not sure if the Zio's tracings are any better than Kardia's but again it does have the advantage of capturing you going both in and out of the event which can have diagnostic value. So, yes it definitely can pick up flutter, but it's algorithms are limited, so only an ep, or perhaps a knowledgeable patient will have to read and interpret the tracing. Strictly, all the Kardia does is to indicate *possible* atrial fibrillation. Log In Sign Up. Episodes of atrial fibrillation can come and go, or you may develop atrial fibrillation … Carrying around the "cell phone" type unit is a little bit of hassle...essentially carrying two cell phones for two weeks. During our office visits we review the recordings he has made. During atrial fibrillation, the heart's two upper chambers (the atria) beat chaotically and irregularly — out of coordination with the two lower chambers (the ventricles) of the heart. More commonly used is the XT version which records everything but the data is not analyzed until you mail the unit back. That is what my EP is saying, who appears to be on the "leading edge" of new procedures, studies, etc. CONCLUSION: The AliveCor Kardia ECG monitor allows a highly accurate detection of atrial fibrillation by an interpreting electrophysiologist both in the standard lead I and a novel parasternal lead. That said, both single and six lead ecg's are limited and aflutter cannot always be definitively distinguished from afib or other tachycardia's, at least according to several ep's I've shown my tracing's to. Only a couple, relatively short, arrhythmia issues since, one of which was a couple weeks ago. Is this a new kind of ablation? This is not the same as it’s having an algorithm to detect flutter, but is still... from Kardia which I took the day before yesterday. I actually wore the Zio Patch for a couple weeks, for the same reason....incidents didn't happen frequently or last long. trace of flutter. The more detailed EKG showed a form of Flutter, that was just not noticeable on Kardia, and hard to see even on the EKG. I know this has been mentioned before- I still haven’t purchased the Kardia mobile- I am having what you might say normal/ problems after my second ablation. Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. Atrial fibrillation can increase your risk of stroke, heart failure and other heart-related complications. To see Flutter waves reliably, it is best to record Lead II. I didn't know there was an XT version, but that sounds fine and would have been fine for me. In case anyone hasn't found it , if you open the Kardia App on the homepage and go to 'settings' (little green bars top left corner) then select 'Heart Education' then 'Arrhythmia Library' it gives named examples of the different arrhythmias which can then be compared with your own recording. I am confident that if you know how to read the trace it will SHOW flutter, but probably returned "unclassified" as the result. Atrial Fibrillation, Atrial Tachycardia AND Atrial Flutter!!! My cardiologist and EP could definitely see more than AF on my Kardia recordings. Apparently only about 10% of patients ever present this type of flutter, so not seen commonly....but my EP and two other EP techs were looking at it, and explaining to me how it could be seen recurring on the EKG. 2019 Nov;30(11):2220-2228. doi: 10.1111/jce.14160. Sounds like you have very short episodes, similar to what I experienced. I was advised by my ep' s registrar that it is a much simpler procedure as compared to A fib. From the explanations they provided, it sounded like Kardia would normally show any major issue that affects the "larger" waves on the EKG...it is only the less pronounced ones that may not be adequately displayed....but also those are apparently the less troublesome ones, typically. Initial and indicative value of atrial fibrillation and atrial flutter detection in KM is comparable to results achieved in standard ECG. Normally I feel the fib- but really not feeling this flutter/ just wondering if Kardia would detect the flutter?. My Kardia traces were all my EP needed to be sure ( as Bob said saw tooth pattern), Mostly my Kardia called it possible afib, I have a Snap ECG ...Similar to Kardia...and yes it shows when I have an arterial flutter and yes both me and my husband have used readouts as evidence for GP/cardiologist....they are being recognised more and more. If I was in more permanent flutter, a 12 lead certainly would be a good idea. He was quite bothered by the fact that he had several that were identified by Alivecor as AF but in fact were normal. Both thought it looked normal on the surface, but the EP said it wasn't quite detailed enough to make a complete analysis and had me in for an EKG since HR had moved up so much. Patients with atrial flutter (n = 5) and with ventricular stimulation (n = 12) had a high likelihood of being misclassified by the algorithm. At least Kardia documents things at the time. Flutter is quite easy to spot.....the pattern is like a sawtooth . barbaras, I have heard similar but the problem is that if your flutter episodes are very short like mine (under an hour) the chances of getting to a a 12 lead ekg machine are slim. What are the symptoms of atrial flutter? The two units are identical but the XT doesn't come with a transmitter. The Kardia Band is intended for use by healthcare professionals, patients with known or … Think the answer is "it depends". Using the St Jude ensuite system for the ablation and it was very strange seeing a computer image of my heart on display, I feel much better and stronger already, although I will take it easy for some time yet. Tantaanna,whereabouts are you? Another way to document would be with Zio Patch which would not only capture the event, but what happened right before the event. Treatments such as medications, surgery or implantable devices can control or eliminate arrhythmia. Best of luck, Jim! Background . This type of atrial flutter can be cured with a short outpatient catheter ablation procedure. and not to worry still in my post ablation healling period, Thank you for your replies- I am appreciative of the opportunity to hear from others- wish we had a local AFIB support group. Most types of atypical atrial flutter can also be treated with catheter ablation, but the procedure is longer and more involved. I had a second ablation 1 month after the first to correct the flutter. Alivecor’s Kardia can detect atrial fibrillation. KM was superior in detection of sinus rhythm than eye-ball evaluation of 12-lead ECG. Curious, what was the length of the afib episodes that the zio patch picked up? Early Detection of Atrial Fibrillation-Atrial Flutter Using Remote Patient Monitoring Sandy Joung a , Eldin Dzubur b , Irene van den Broek a, c , Aubrey Love a , Lori Martinez-Rubio a , The diagnostic algorithm offered by the system may be useful in screening recordings for further review. EP knew I had flutter, but suspected might have Afib as well...and wanted to know before doing an ablation so could address both at same time. He told me I could quit wearing it then, if I wanted to, since he had already confirmed what he suspected, but I went ahead and wore for full 14 days just in case it recorded something of further significance (which it did not). A lot less risky and 95% succesful. This can be caused by physical movement, dry skin, or other sources. As a medical device, Kardia is not cleared to detect or communicate any other results, rhythms, or arrhythmias. For example, it can be used in patients with existing AF (to In fact, it is only FDA-cleared to identify AF, tachycardia (increased heart rate), and bradycardia (low heart rate). When not in flutter my resting bpm was 46 so not measurable with kardia, When in flutter my bpm was a steady 150 regardless whether I was resting or running 5 miles on a treadmill. Atrial Flutter is included in the library. from Kardia which I took the day before yesterday. The skeptical cardiologist has many patients who are successfully using their AliveCor/Kardia devices to monitor for episodes of atrial fibrillation (afib). Such palpitations can mimic the feeling … The Apple Watch can detect atrial fibrillation. It does not have the capability to detect other conditions or take QT measurements. Hi Barabas, That is the newer AT version that transmits data to your EP. The Zio Patch did, in fact, pick up Afib in addition to flutter, several occurrences but only one that I "felt" since the HR increase was much less than for flutter. However, after 7 days of wearing it I contacted him for some other reason, and he had been receiving daily reports, and told me he already knew that I had an AFib event. Indeed, if used carefully the Kardia will show all sorts of heart arrhythmias, if you can … Fair enough! Ablation for atrial flutter vs fibrillation, Atrial flutter and increase in flecainide. But it's even more likely to raise false alarms, which can have harmful consequences. My Kardia was showing possible atrial fibrillation. Instead of having an irregularly irregular set of complexes, with no discernable P-wave activity, you will likely see a characteristic “saw-tooth” appearance of the QRS complexes. I'd be interested to hear more about the "permanent" solution in the next few years. Cox proportional hazard model analysis confirmed the likelihood of recurrence was greater in the intervention group (p=0.04). Much better than a Holter monitor which I wore for 3 days some years ago. Kardia Instant Analysis Atrial Fibrillation indicates an irregular rhythm at any heart rate. There are lots more examples of different arrhythmias recordings on the internet including AF with the missing 'P' waves. Still, Kardia has high-quality software with a fantastic A.I., so when it indicates abnormal findings, it encourages you to show the recordings to a doctor. User account menu. Hope he is correct:-)!! It is not my place to confirm ECG diagnosis by professionals nor do I have the knowledge to do so. I find It fascinating how different all the arrhythmias appear on the recordings, the layman with practice can get an idea of what they are looking at. Fortunately, the med tech seems to be moving quickly in this and other areas, and hopefully there will be a permanent, reliable solution in next few years, even if ablations don't work permanently. Kardia and atrial flutter by Selwyn - 2020-05-28 12:25:30 You don't have to be a genius to realise that your Kardia ECG is showing a fast heart rate, typical of atrial flutter, in Kardia lead 1 when you are experiencing a fast episode of palpitations. However, the Kardia is designed to 'detect' Atrial Fibrillation, and does so, but not to detect flutter. 2. Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked. The Kardia app has also been cleared to provide the Kardia determination results of Normal Sinus Rhythm, Possible Atrial Fibrillation, Bradycardia, and Tachycardia. The Noise detector will notify you when the recording is "Unreadable" because the signal contains a clinically relevant amount of noise which is determined to not be an EKG. Flutter is v ery easy to see on a 12 lead as a saw tooth pattern. To have your EKG reviewed for other arrhythmias you may share them with your physician to review. I've often wished for a support group too! Glad it worked out for you. Also, did you get notified your EP while you're wearing it? It can be used for screening for AF, but this is out of scope for this briefing, which focuses on those with symptoms or known AF. Despite being efficacious for detection of atrial fibrillation (AF), it is unclear whether atrial flutter (AFL) may be misdiagnosed as sinus rhythm due to regular R-R intervals. Patients taking it for AFib can get AFlutter as a side effect strangely. So, yes it definitely can pick up flutter, but it's algorithms are limited, so only an ep, or perhaps a knowledgeable patient will have to read and interpret the tracing. Kardia produces a very good quality single or six lead tracing. I just spoke to AliveCor in the US and they say that whilst Kardia would not identify flutter by name (as it would with AF) it would pick up the characteristic flutter pattern and probably show this as “unclassified”. Just a non medical opinion, Fibfab and DrDave01 the inventor of the Kardia are sometimes free to give a professional opinion. Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them. I'm not ready for ablation now but the time may come. Close. I think that it shows to an experienced reader if ecg’s the condition but it doesn’t “ say” this is flutter. (should you have any experience of reading ECGs). Kardia does show flutter if you know how to interpret it but not worth getting for that. Hi tantaanna I found an app for my samsung phone called heartbeats which records problems with arrhythmia, personally I have found it quite accurate with diagnosing my AF problems the arrhythmia nurse was quite impressed the the printed readout I showed her, I paid £4 something for a months trial when I was going through a bad spell of AF that allowed me to print and save the results, after my ablation I paid for another month same price just to check or you can £25 for a year. You can use your left hand to push down the side on the knee. You can get one from a discount store, drugstore, or online. It's becoming clear I've probaby been having at least some of these very short episodes for years as well but that was before I had the Kardia. They are happy to look at a Kardia reading before having one in for an EKG, since apparently it tells them all they need to know in many instances. Are you in permanent flutter? I may try the patch in the near future but I think I'll go with the older XT version, otherwise I will get nervous every time my phone rings! Despite the fact I needed an EKG in this instance, the EP's still had very favorable comments about Kardia. Kardia) show the rate, but also it will show loss of P waves. Posted by 2 months ago. My situation was fairly unique. Over the 6-month follow-up period, AF or atrial flutter was detected in 14 patients in the intervention arm (61%), compared with 7 patients in the control arm (30%). Atrial flutter, because it is often very regular is often misdiagnosed by computerized algorithms that are utilizing only Lead I whereas it is typically easy to spot in Lead II. We strongly believe that only digital health can bring healthcare into the 21st century and make patients the point-of-care. Atypical atrial flutter refers to atrial flutter arising in the left atrium. Sorry for the long winded explanation but this app has been good for me to put my mind at rest. Yes, I was very surprised when both my EP and cardiologist said the (different) Kardia traces which I showed them were AFlutter.
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