A member asked:

Would atrial fibrillation show up on an ekg or is a holter monitor needed to diagnosis? i am convinced i have af but my ekg was normal.

6 doctors weighed in across 2 answers
Dr. David Fox answered

It depends.: The ekg does not always reveal atrial fibrillation. If the af is paroxysmal in nature, then it may not be present at the time the ekg is performed. In these situations, a holter monitor is a better test since you wear the monitor for several days. If the af occurs during this period, it will be seen on the holter monitor. If it does not occur, you will still not be able to see it.

Answered 5/22/2014

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It depends....: Atrial fibrillation is an abnormal heart rhythm which occurs mostly in the elderly. It can be persistent or paroxysmal (intermittent). An ECG shows the heart rhythm at the time it is being done. An abnormal rhythm would be seen only if the heart was in that rhythm at that time. A holter monitor would follow the rhythm over a period of time >24hrs and could show if it happens intermittently.

Answered 6/30/2017

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