Your blood pressure monitor just flagged an irregular heartbeat – what it means and what to do next

You’ve taken your blood pressure, just as you always do, but this time a small heart symbol flashed up with a message like “irregular heartbeat detected” or “possible AF.”
It’s easy to feel worried — especially if you’ve heard of atrial fibrillation (AF or AFib) but aren’t sure what it means.

The good news is that these alerts don’t mean you’re in immediate danger. They’re simply telling you that your monitor picked up an uneven rhythm in your pulse. It’s a sign to get checked, not a reason to panic.

What is atrial fibrillation (AF or AFib)?

Atrial fibrillation is a type of irregular heartbeat, or arrhythmia. Normally, your heart beats in a steady rhythm: the upper chambers (atria) and lower chambers (ventricles) work together in sequence.
In AF, the atria beat in a chaotic pattern, sending irregular signals to the lower chambers. The result is an uneven pulse, sometimes faster than usual.

It’s common, especially in people over 60 or those with high blood pressure, thyroid problems, or heart disease.
Many people don’t feel any symptoms, while others notice fluttering, tiredness, shortness of breath, or palpitations.
→ NHS: Atrial fibrillation overview
→ Mayo Clinic: Atrial fibrillation (AFib)

How your blood pressure monitor spotted it

When your monitor inflates, it measures tiny pressure changes in your artery with each heartbeat.
If those beats arrive at uneven intervals, the device flags it as an irregular rhythm or possible AF.

Some models, such as the Omron M7 Intelli IT or Microlife BP B3 AFIB, are designed to screen for AF during routine checks.
They can’t diagnose atrial fibrillation — they simply say, “something looks irregular — please have it checked.”
→ British Heart Foundation: How blood pressure monitors can detect an irregular heartbeat

Common causes of irregular readings

Not every irregular pulse means AF. Your monitor might flag an alert if you:

• Move, talk, or laugh during the reading
• Feel anxious or breathe quickly
• Have just exercised or had caffeine
• Place the cuff incorrectly

That’s why it’s important to repeat the measurement calmly before assuming anything serious.

What to do next

1. Stay calm and repeat the reading.
   Sit quietly for five minutes. Take three readings, one minute apart. If the irregular heartbeat symbol only appears once, it may just be a glitch.
2. If it appears repeatedly, contact your GP.
   Bring your readings (or photos of the display). You can also print your log from the device app.
3. Your GP will arrange an ECG (electrocardiogram).
   This simple test records your heart’s electrical activity and confirms whether it’s really AF.
   → NHS: How an ECG works
4. If atrial fibrillation is confirmed, treatment is usually straightforward.
   You may be prescribed tablets to steady your rhythm or slow your heart rate, and sometimes blood-thinning medication to reduce stroke risk.
   → NHS: Treatments for atrial fibrillation
   → Mayo Clinic: AFib treatment and lifestyle

When to get urgent help

Call NHS 111 or 999 if you feel faint, dizzy, short of breath, or have chest pain or tightness.
Those symptoms don’t automatically mean AF, but they do need checking quickly.
→ NHS 111 online

How to track your readings

Keep a simple log — date, time, blood pressure, pulse, and whether the “irregular” icon appeared.
If you have symptoms such as palpitations, tiredness, or breathlessness, note those too.
Patterns over time help your GP decide whether you need longer-term monitoring such as a 24-hour ECG.
→ BHF: Tests for an irregular heartbeat

Why catching AF early matters

Untreated AF can increase your risk of stroke or heart failure, but when it’s picked up early and treated, that risk drops dramatically.
Your blood pressure monitor has done exactly what it’s meant to do — act as an early-warning system between check-ups.
→ BHF: AF and stroke risk

The takeaway

If your blood pressure monitor says “irregular heartbeat detected” or “possible AFib”:

• Stay calm and repeat the test
• Book a GP appointment if it happens again
• Bring your readings and mention any symptoms
• Seek urgent help only if you feel unwell

You’ve taken an important step in protecting your heart health. Early detection saves lives — and most people with atrial fibrillation live well once treated.

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