First week on bisoprolol has gone pre... - Atrial Fibrillati...

Atrial Fibrillation Support

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First week on bisoprolol has gone pretty well. Have been feeling better than I have for 3 months.

Scorer profile image
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That is until today when I had my first AF episode for 6 days. Had noticed that I had an odd feeling after lunch for a couple of days, light-headedness and nausea, then today evolved into a full blown attack. Took my BP and it had gone down to 88/50, pulse very irregular and rapid, palpitations etc. When I look back at the diary I have kept of my episodes of AF, suggested by GP, note that probably 70% of attacks have occurred after lunch! Anyone else noted anything similar? Is it just a coincidence? Rarely occur after my meal in the evening so maybe not associated with eating? Or maybe is? See cardiologist next week for first consult after all investigations so maybe more treatment? Good luck all.

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pip_pip profile image
pip_pip

hi Scorer

Af does / can appear after meals. Well known. But hey, we have to eat right ? So we take our chances at meal time. It's the evening meal which generally triggers my AF , sometimes.Judging by your comments the AF will come and go. I always found Bisoprolol very useful, if not a godsend at times, but it can be very trying with fatigue etc for some. Your blood pressure taken while in AF would not mean much. It wavers too much. I don't bother taking mine unless i'm in sinus rhythm (regula rhythm).

When you see the cardiologist ask about seeing a consultant Electro Physiologist (ep) who specialises in heart rhythm problems. (Unless your cardiologist is an ep. which is unlikely on initial investigations and treatments.

Be well

Phil

Koll is the one on the forum that I know says he's had problems if he has a heavy meal and now eats several small meals instead of one big one. I don't know whether it might be worth taking this approach to see if it helps, for a few days? I guess it's something to do with the vagal nerve (drat it) but no idea what. My AF comes on at night mostly, but we're all different. I'd ask your doctor about BP during an episode as I think Pip's right...

Lis

Tobw profile image
Tobw

Same here about my AFib coming on after evening meals (don't think I've ever had it after a lunchtime meal), but it's all very random - I can have a huge portion of fish and chips for supper one night and I'm fine and a very light meal the following evening and I have an episode.

Also agree about it being a bit pointless taking BP readings while in AF because whenever I have it done it produces wildly differing results - I can remember it going from being dangerously high to the lowest reading I've ever had within a couple of hours with a perfectly normal measurement in the middle thrown in as well.

jeanjeannie50 profile image
jeanjeannie50

AF can come on for me if I eat a large meal then attempt to do something energetic e.g. go for a walk or mow the lawn. If I relax for an hour after eating then I'm usually o.k. I don't know why but eating lunch time often triggers mine - guess it's because I don't sit still long enough.

jan-ran profile image
jan-ran

I too have af triggered by food. But sometimes its just random, like 7 am before I've had breakfast. Go figure! I've been meaning to ask this question, about seeing an electrophysiologist. If it is, as seems obvious, better to see an EP, why are we not routinely given an appt with one? I've just had a thorough overhaul, so I don't feel I can ask for any more. Anyway I'm very pleased with my treatment. But surely it shouldn't be left up to us to choose the best consultants for our condition?

JanR

iris1205 profile image
iris1205

ditto. As time goes on my Afib episodes are less governed by individual triggers, though in the beginning meals, white wine and winding down caused my episodes. Generally seen as vagal tone going down and setting off the AF - at least for me! Hope you find some relief soon!

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