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Hello, I’m Looking For A Cardiologist To Review My Apple

Posted on Sat, 28 Jan 2023

Question: Hello, I’m looking for a cardiologist to review my Apple Watch notifications that say I’m having afib and let me know if I could be in afib.

Follow up: Dr. Bhanu Partap (19 minutes later)

28 years old - incomplete rbbb - this started one week ago - no history of afib.

Answered by Dr. Bhanu Partap (2 hours later)

Brief Answer:
Please refer to the detailed information below

Detailed Answer:
Hello

After going through the attachments provided I can understand your concern and I would like to tell you that Apple Watches are only capable of identifying Arrhythmias like atrial fibrillation, that too upto a certain extent.

Considering your age it’s quite unlikely to have AF if there is no history of any congenital heart defect or illness.

However, the best way to clarify the doubt is to get a proper 12 lead EKG and an echocardiogram done in a medical setup.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bhanu Partap (35 minutes later)

Thank you. Do these particular attachments look like afib to you? It’s just strange that I’ve never gotten alerts on my Apple Watch before this week.

Follow up: Dr. Bhanu Partap (0 minute later)

Also, I did have an ekg in the ER that was fine this week and a clean echo 6 weeks ago for another reason not related to this.

Answered by Dr. Bhanu Partap (3 minutes later)

Brief Answer:
Hello again

Detailed Answer:
First two attachment do have a Pwave and regular R R Intervals which makes AF unlikely. Only the the third attachment is bizarre but again the RR is regular which makes AF highly unlikely.

If ECHO has been done recently and there is no structural abnormalities in that, then no need to repeat it.

Probably just some malfunctioning sensor in the watch.

Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bhanu Partap (39 hours later)

Thank you. Do you think it could be an svt?

Follow up: Dr. Bhanu Partap (0 minute later)

When these episodes happen my resting HR will be 60 bpm, then all of a sudden up to 200 bpm but it’ll calm down within a minute. Always while laying down.

Answered by Dr. Bhanu Partap (7 hours later)

Brief Answer:
Hello again

Detailed Answer:
See, just on the basis of a single channel ecg tracing (watch reading) its not scientific to comment on the rhythm ie what type of tachycardia you are experiencing.

For that evaluation it’s advisable to consult a cardiologist in person and get a 48hrs holter monitoring test done.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Bhanu Partap (2 hours later)

Thank you. Last question - is it normal or strange that this arrhythmia happens aroind the same time every night? It only happens when I’m laying in bed trying to fall asleep. If I fall asleep and then wake up middle of night it won’t happen then. It’s only between say 9 pm and 1 am and depends on when I go to bed.

Follow up: Dr. Bhanu Partap (0 minute later)

This is supposed to say is it strange that *

Answered by Dr. Bhanu Partap (9 minutes later)

Brief Answer:
Hello again

Detailed Answer:
If that’s the case I would suggest you to settle down in a chair for atleast 10 mins with your foot elevated at chair level. After 10 mins go to bed and see it this cycle breaks.

Thanks

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar