AF Association

Chest discomfort

I would be interested in views on what constitutes worrying chest discomfort. I have PAF not in it now and on aspirin and 2.5 mg bisophorol. I had a CT angiogram last year which was completely clear.

I get a lot of intestinal gurgling so maybe this is a factor.

I get some chest discomfort like heart burn in centre of chest which comes and goes but not present during exercise.

Is this a worry? Can you get chest pain out of AF? My pulse is regular.

11 Replies

You can get chest pain from AF but in my experience only when you are in it and if it is very fast, over 130 say. If you feel well otherwise I don't think you have heart related pain.


You have AF and are not on anti-coagulants. That gives me chest pains!


Everytime I read comments like yours it worries me as I am not on anticoags. I have PAF, am 62, flec only as PIP if needed, I presume I am classed low risk, but your comment can't help but concern me!


I don't know whether to be sorry I have caused you concern or pleased that you may now consider taking anticoagulants. I certainly have no intention to distress you but gosh, unless there are good reasons why you're not on anticoags - and hopefully your GP or specialist will have discussed these with you - then you probably should be. The definition of 'low risk' can only have come from the CHADS matrices but you should know that these only look at 'additional' risk factors - 'additional' risks. The fact that you have AF, irrespective of your age, frequency and duration of AF episodes, parents who lived to be 110 or any other factors, you are currently at least 5 times more likely to have a stroke than someone with a similar profile to yourself without the condition. Given that stroke is the second biggest killer of mankind globally, and you have a 5 fold increase in risk - isn't that enough of an incentive to get yourself protected? That should be a rhetorical question!

Good luck, whatever you choose.


Thanks for your response something to discuss at my next appointment


I have been on warfarin about 2 months and feel fine so far,I have been diagnosed withA/F,in my case my grandad mum and younger sister had a bleed in the brain,had a lot of thought about it,but feel fine,hope this helps


Warfarin and other anticoagulants might be regarded rather like insurance. They put you into a good position in the event of a problem. The older you get, the more at risk you are, although (as AnicoagulateNow very amusingly pointed out a little while ago) there seems to be a sudden dramatic escalation of risk on one's 65th birthday. This doesn't mean that people below that have no risk, but they are less likely to run into trouble, and also some people over 65 are possibly not hugely at risk.

I somehow slipped through the anticoagulation net and only started taking warfarin when I was not far off 67, even though I occasionally had rampant AF. I wasn't on aspirin either. I didn't come to any harm in over two and a half years. It doesn't follow that if you are not anticoagulated you will have a stroke. You just might.


Sorry Kbuck1234, this is miles away from your questions.


I don't know whether these thoughts will be of any use to you?

My AF is vagally triggered paroxysmal AF and the vagal nerve deals with both "fight or flight" and digestion. When in AF, it focuses on the "fight or flight" reaction (high pulse rate) and ditches the digestion, which is why the gurgly noises start.

Re the heartburn in your chest - it could be your diaphragm. I am using Amatsu (a type of Japanese osteopathy) to try and minimise AF occurrences and have discovered that everything in the body is connected (I always thought that my heart and other organs were just floating around!). The heart is linked to your T1 / T2 vertebrae and I often find that when I have a bout of AF, one or other of these will be out. That in turn puts tension on other parts, including the diaphragm, which locks up and can cause the feeling that your breathing is restricted. This is what can give a feeling of heartburn, and I find I can relieve it by feeling under my rib cage and pushing my finger tips inwards and upwards.

Usual caveat - this is just my own experience and I am definitely not a medical professional. If in doubt, talk to your doctor.



I used to get quite a lot of that, if what you are describing is the same as mine. With me I reckon it was down to meals. I only eat small meals now, and graze more during the day to make up. I can't remember the last time I had chest discomfort. At times it could really hurt. I used to drink a glass of water if it happened and that would alleviate it and convince me (rightly or wrongly) that it was digestive not my heart.



hi, yes i get a feeling of pressure sometimes high under the centre of chest. Invariably this has turned out to be some sort of `wind` usually goes with some movement of body, ie bending over, just seems to be dislodged. Fizzy drink sometimes helps as well (beer is good !!)

Would be more concerned if any pain occurred with sweating and OOB.


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