For the past seven weeks I have had AF episodes lasting 6 to 39 hours. Three of the episodes have been brought on by drinking a cold drink, two after eating, one during exercise and one after being ill. I have yet to see an EP, but I’m due to see my Cardio again on the 2nd September. Doing a little reading on the internet and reading the posts on this forum my recent episodes would lead me to believe my AF could be Vagal. My AF started just short of two years ago and I was prescribed Amiodarone, which I soon learnt was not to be used in the long term, however in the 16 months I took it (I was only on 100MG every other day after loading), I had no issues other than sensitivity to sunlight. Whilst on the drug I more or less ate, drank and did what I wanted with hardly any episodes. My concerns about the toxicity of the drug were echoed when I was put under a new Cardiologist who placed me on Flecainide. I was on 2 x 50mg daily at the beginning of April and again was fine, however come June I start getting the attacks. I’ve scanned my AF diary for any changes and I cannot for the life of me see any, I’m pretty much a creature of habit. I’m not under any particular stress (Other than having AF) and other than having AF I’m fit and healty.
The only thing the attacks have in common is they happen at a weekend, 2 on a Friday, 3 on a Saturday and 2 on a Sunday. The last 4 attacks have lasted approx. the same length of time 36 – 39 hours. I spoke with my Cardio the other week and he suggested increasing my dosage to 2 x 100mg of Flec, which I did, but come the weekend come another attack. I was told to increase the dosage whilst in AF, which I do, but the episodes still run their course. Increasing the dosage to me doesn’t appear to have affected the length of the episodes and I’m pretty sure if I went back to 2 x 50mg I would be fine until the weekend comes. I have lots of questions for the Cardiologist and I would like to consider an ablation knowing full well there will be a good wait. Is there anybody out there who is in a similar predicament to me? I’m aware AF is a progressive disorder and since changing medication mine appears to be moving on.
Thanks for reading,