Still early days: Hi, Its still early... - Atrial Fibrillati...

Atrial Fibrillation Support

32,397 members38,733 posts

Still early days

11 Replies

Hi, Its still early days for me having only started with all this AF lark out of the blue in December. Three hospital admissions later and having had lots of different tests ( ecg, ech, MRI, CT scan) im due to see an EP doc in 12 days time so I should get some idea of treatment plan going forward.

However, and this is my query, im on 7.5 Bisoprolol which manages to keep the worst of the symptons at bay and a nice HR resting at 65, I still get episodes daily and these are becoming more frequent. They don't last long - about 5 mins if that, then i might get a break for an hour or so and bamm they start again.

This seems to be the pattern now every day, when im in AF my HR rises to 115, which I know isn't hurendus compared to what i have felt before meds, but nevertheless it's still uncomfortable.

Why would episodes be getting more frequent on these tablets?

Read more about...
11 Replies
jennydog profile image
jennydog

You are on a rate -control tablet. Your EP will probably prescribe an anti-arythmia drug such as Flecainide. This worked very well for me but does not suit everyone. You may need to try several different drugs before you find the most suitable for you.

Good luck.

in reply tojennydog

Thanks jennydog. Still don't understand why episodes getting more frequent all of a sudden though.

Craggy profile image
Craggy

When I was first prescribed flecainide my episodes increased from about 2 per month to 2 or 3 per week, each lasting between 12 and 20 hours each. It may have something to do with the body adjusting to new drugs.

In my case the flec dose was doubled in response and bisoprolol added as well. Things did settle down over the following months and I am now getting an episode about every 6 weeks or so with things continuing to improve.

The improvement could be due to the drugs but it also co-incides with me taking a magnesium supplement, losing weight and generally improving life style and diet. So who knows?

I hope your position improves soon.

in reply toCraggy

Thanks craggy. I'm only on Bisoprosol at the moment but deffo could do with making lifestyle improvements.

BobD profile image
BobDVolunteer

I'm sure it has been mentioned before but what about anticoagulation. Do check your Chadsvasc score by going to the main AF A website. and looking up[ CHADS

in reply toBobD

Cheers bob, i'll do that.

rosyG profile image
rosyG

I was going to suggest the ides that Craggy has already covered!!

CDreamer profile image
CDreamer

Biso is a beta blocker, ie it slows your heart rate. That will not stop the episodes, as has been mentioned, you will need an alternative treatment plan which the EP will give discuss with you.

Once AF develops then episodes tend to get more frequent and last longer over time and will probably continue to do so until you find an effective treatment plan which is either drugs, all of which can have seize effects, ablation which works for many and/or lifestyle changes.

Lifestyle changes really do help as both Craggy and Rosy have suggested. If your episodes only last a few minutes then now is really good time to start.

CDreamer profile image
CDreamer in reply toCDreamer

For seize read side, the auto word again!

I once sent I letter describing a walk along the Thames and didn't proof reader, being unfamiliar with auto spell checkers in those days. He has never let me forget the change from 'scull' to 'skull' when describing the scullers practising at Henley!

in reply toCDreamer

Haha no problems

in reply toCDreamer

Thanks Cdreamer - helpful info.

Not what you're looking for?

You may also like...

New here

Hi, I started with random episodes of AF last Dec which came out of the blue. Never had anything...

In AF again! Moving to persistent/permanent AF?

I had an episode of PAF about ten days ago. Ongoing symptoms of more frequent ectopics and...

More AF episodes

Well the AF episodes seem to be more frequent - 3rd in last 17 days. Not particularly troublesome...
CDreamer profile image

First post here (36M) - my story and questions

About 15 years ago (age 21) at the University, I first started having atrial fib episodes. They...
remixer21 profile image

Its an ongoing saga but you gotta laugh

Well after a trip to ae after I blacked out when my hr went back to normal its a waiting game in...
julesp profile image

Moderation team

See all
Kelley-Admin profile image
Kelley-AdminAdministrator
jess-admin profile image
jess-adminAdministrator
Emily-Admin profile image
Emily-AdminAdministrator

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.