The best description of atrial fibrillation is found on the Mayo Clinic site. Thus, the so called “quasi-SVT event” is actually an atrial fibrillation (AFib) episode. The events detailed in Notes indicate that the current symptoms are classified as paroxysmal atrial fibrillation. In all likelihood, the symptoms are likely to escalate to classifications of higher persistence (with greater health risks).
On Friday, the day after Saturnalia, heart palpitations commenced at about 10:20am while waiting at the Ala Moana Center bus stop. Once in town, an EKG was taken with the Watch Series 9 device. The reading revealed that the heart palpitations were not of the usual notched T-wave variety. Rather, a short heartbeat was followed by a series of regular heartbeats. The pattern repeated every few minutes. The Watch also revealed that heart rate rose to 133bpm for about a minute or so, which was imperceptible at the time. Of note, sleep quality the evening prior was poor as usual with frequent wakings.
The usual quasi-SVT event (read: AFib) did not commence until 2:30pm, and not during the gym workout. Nothing worked as a countermeasure. Heart rate peaked at 157bpm. The ordeal continued until finally laying down to sleep at 11pm. AFib ceased within a couple of minutes. Heart rate returned to normal with no anomalies. No AFib event occurred on Saturday.
On Sunday, the heart palpitations appeared early on, even before leaving the mausoleum in the “old folks home” in Waikiki. No EKG was recorded. AFib commenced just at the beginning of the cardio workout at 12:20pm. Peak heart rate was 157bpm. Again, nothing worked a countermeasure. The ordeal continued until 9pm. Heart rate remained slightly high, about 80bpm until 10:30pm. Then, it stabilized at 69bpm. Again, sleep quality the night prior was poor. No AFib event occurred on Monday. However, heart palpitations were detected in the late afternoon.
The appointment with the cardiologist on Monday was cancelled. The appointment will be rescheduled after the appointment for the annual physical examination at the Ohua Clinic is completed next week. A hard copy of the latest blood test will be requested and submitted to the cardiologist. Hypertension, poor sleep, and stress/anxiety will be discussed.
Pharmacological interventions are highly probable for AFib. Anticoagulant and beta-blocker medications are likely to be prescribed. The real problem, of course, is that the latter medications are lifelong. And, there are numerous side-effects (contraindications) associated with both.
Thus, the imperative is to remove all probable causes first, mainly poor quality of sleep. Diet is actively monitored for sodium and saturated fat content. Stress and anxiety, unfortunately, may require a pharmacological intervention.
As far as gym workouts are currently concerned, the need to maintain rigorous training is moot for senior citizens. There’s no one to impress, especially the young hotties. The 71-year-old body is signaling that it is tired and worn out. The body wants to ready itself for death. On a personal level, that’s been the hardest truth to accept.
Addendum: The irregular heart rate notifications on the Watch Series 9 has been disabled. Unbelievable as this may seem, there has never been any of the latter notifications during the myriad cardiac events detailed in Notes. Instead, AFib History has been enabled.




