this post was submitted on 29 Oct 2023
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What else is interesting here is that the ‘normal’ beats….the QRS complexes also appear slightly atypical. They have what looks like an ‘epsilon wave’. This is found in arrhythmogenic right ventricular dysplasia (ARVD). This is by no means diagnostic but purely an observation.
Would be cautious about identifying features such as epsilon waves on an Apple Watch tracing. Epsilon waves are usually identified in the anterior precordial leads because of delay across the RV, which is anterior. The Watch records a modified lead I tracing (one arm to the other), which is not the best lead to see those features.
However, kudos to the OP for catching something evanescant. Between the randomness of some PVCs and the lag in recording as the Apple Watch filters and locks on the rhythm, I'm impressed! (Assuming that recording correlated with what they have been feeling.) PVCs can be weird. Some folks have thousands per hour and never feel a thing. Others have one an hour and feel every single one.
Yeah I’ve so many 12-lead EKGs and the doctors say it’s fine but slightly abnormal but it is common in young athletic men. Although they never diagnosed me with what you said