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A Fib Episode Summary Report

Posted by rebeccadixon @rebeccadixon, Apr 3 12:38pm

My pacemaker recorded my AF but also counted 97 counts with a Peak A/V rate of 640/125. What does that mean? I have very little energy, kind of like a cracked glass with my energy leaking out completely by the end of the day.

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gloaming | @gloaming | Apr 3 4:20pm

On the face of it, without more information, it suggests that you have an atrial arrhythmia, perhaps supraventricular tachycardia, perhaps atrial flutter. You should see a doctor right away for confirmation as some arrhythmias are potentially very dangerous. If you are feeling unwell, anxious, losing sleep, have breathlessness, poor balance, dimming vision, inability to think clearly or to focus...you should get to an emergency ward.

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1 reply
rebeccadixon | @rebeccadixon | Apr 3 5:46pm
In reply to @gloaming "On the face of it, without more information, it suggests that you have an atrial arrhythmia,..." + (show)
@gloaming

On the face of it, without more information, it suggests that you have an atrial arrhythmia, perhaps supraventricular tachycardia, perhaps atrial flutter. You should see a doctor right away for confirmation as some arrhythmias are potentially very dangerous. If you are feeling unwell, anxious, losing sleep, have breathlessness, poor balance, dimming vision, inability to think clearly or to focus...you should get to an emergency ward.

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I have an appointment with Mayo cardiology next week bc I am feeling about all of your described symptoms.

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lenmayo | @lenmayo | Apr 4 10:18am

Google for "Peak A/V rate of 640/125"

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1 reply
rebeccadixon | @rebeccadixon | Apr 4 10:53am

Not able to narrow it down yet but seeing many pages regarding AF.

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rebeccadixon | @rebeccadixon | Apr 9 2:24pm
In reply to @lenmayo "Google for "Peak A/V rate of 640/125"" + (show)
@lenmayo

Google for "Peak A/V rate of 640/125"

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Google could not recognize this condition. 🤒

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1 reply
gloaming | @gloaming | Apr 9 5:07pm

Google turns up nothing except this particular discussion....sooo...

I hope our asker returns and reports their findings. It would help the rest of us to make sense of it and to file it away.

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merrychristmas | @merrychristmas | Apr 13 5:00pm
In reply to @rebeccadixon "Google could not recognize this condition. 🤒" + (show)
@rebeccadixon

Google could not recognize this condition. 🤒

Jump to this post

Google doesn’t always recognize medical abbreviations. Spell it out

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Zebra | @californiazebra | Apr 13 7:37pm

@rebeccadixon
I have paroxysmal AFib (comes and goes), but have never seen an AFib report and am certainly not a cardiac expert. I had to research your question and from what I just read online the A/V rate is atria bpm/ventricular bpm. Peak being the highest rate captured.

In summary, the atria (upper chambers) normally beat at a similar rate to the ventricles (lower chambers). In AFib, the atria beat chaotically and irregularly at a fast rate (typically 400-600 bpm). Luckily, our AV node is a natural pacemaker that regulates the transmission of electrical signals from the atria to the ventricles and slows it down somewhat during AFib.

So my takeaway is that your highest irregular atria signals were 640 bpm and your AV node slowed them down to a ventricular rate (what we feel and can detect) of 125 bpm. Your cardiologist/EP can explain the significance of your rate. Is 125 about what you’ve clocked your heart rate at when in AFib?

When I’m in AFib, I feel very weak, fatigued, dizzy and have a BP that is too low. My bpm is typically 125 max at rest with my normal being 55-60 at rest. I hope your specialists have a solution so you can feel better soon.

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