Question: Hello, I have a handheld EKG known as Kardia. I was feeling weird after standing up from the floor and decided to sit down and take a reading. I am a bit concerned about the several inverted waves that showed up but the device showed a normal reading. Should this be something to worry about? Subsequent readings did not show inverted waves at all and again both showed up as normal. I know the algorithm is based on finding AFIB and will show as "unclassified" if it detects other arrhythmias or if HR is below 55 or above 100. I am not sure if it's equipped to make an assessment based on inverted waves.

It is a single lead device that you use with two fingers on each metal plate. Please do a quick search for Kardia and you will see what it looks like. It allows you to use a cell phone. I believe in the literature is the equivalent as lead 1. I do not have heart disease and have not had any heart attacks. I have gone to the ER 2 times in the last two years for chest pain, shoulder tightness, and arm pain. One ended up being an ulcer that took almost a year to heal and the other time I was diagnosed with tietze syndrome after a chest X-Ray and examination by my PCP. I also have 4 bulging discs in my upper/middle back and 2 in my neck. I've been told this causes some nerve issues that can explain the chest and or arm pains I sometimes get. I am not diabetic, and have very good BP as well as bradycardia (my resting HR gets in the 40s when sleeping). I will upload the hospital discharge papers, results from a recent CT scan for a different issues that also mentions the heart, and a pic of the device I use. I've only seen these inverted waves once before and didn't think anything of it. This time it was a bit concerning. Thanks for your help

Here are two links to the remaining documents. They were too large to upload.

3-30-16 Hospital Discharge:
https://1drv.ms/b/s!Ahyff0BDgl0WhdchyurwnlvigRGvWg

Picture of Kardia device:
https://1drv.ms/b/s!Ahyff0BDgl0Whspd1kUAJ3_BrdAzcA

Thanks for the reply. I do get palpations, PVCs and PACs occasionally throughout the week. Chest pain and shoulder tightness are unfortunately common for me because of the other issues mentioned. Could the LBBB just be from getting up from the floor too quickly? None of the following EKGs since have shown inverted waves, just the occasional palpation. The hurricane is starting to hit us so I'm a bit anxious about leaving my family and having to go to the hospital.

Thanks for your help. I have a follow up with the cardiologist on Thursday. I'm assuming it's fine to keep that appointment and not try and move it up? We are under a curfew now so I don't think I could leave and go to the ER even if I wanted to.