Feeling really fed up and anxious again - My Paraxysmal AF episodes have now suddenly dramatically increased over the past 2 months, and are trying to take over my life.!!! I used to get one lasting 2 - 3 hours every 8 - 10 weeks. Since January this year I have had 30 episodes. Last summer went nearly 4 months without (thought I was cured) !) Since March have been getting 2 to 3 times a week and this week every day. But yesterday had 2 in one day!!!! 3 - 5.30pm and 10 - 11.30pm never had this before - still they last 2 hours. They just come on, no known triggers.
I saw my GP in March and explained what was happening asked to see Cardiologist asap. Cardiologist replied to Dr (not to me) said as I have my annual appointment scheduled in June, no need to see me before then, and that I should increase my Flecainide from 50mg x 2 per day up to 100mg x twice a day. He has also referred me to St. Thomas's London for assessment for ablation.!!!
I have had AF since 2006, went through various combinations of drugs until 4 years ago, finding Flecainide and Verapamil combination seemed to have no side affects. I take Warfarin as well. BUT Don't have any evidence that Flecainide works in reducing episodes. I have wanted to stop daily Flecainide and do PIP but he insisted keep taking it.
Cardiologist says it makes the episodes less violent ( I used to have really huge palpitations that felt like my chest would explode, but never any pain though, was very scary. Now my episodes are very irregular heart beats, big palpitations and missed beats then fast, then big and so on - horrible. Slightest exertion, makes it worse, when at home, I lie flat on bed. At work is very difficult I try not to move very much - but it always takes longer to convert to sinus can be 4 hours.
Currently when I have an episode I take one 50mg tablet as extra ( so 150mg max per day) have even tried not taking this extra and it makes no difference. So, Really reluctant to now double up my dose on a daily basis to 200mg. Guess I will have to and see what happens.
I'm 62 years old, still working full time - office manager, not overweight, well controlled BP 124/75 and pulse 65, and no other health problems ( no heart disease).
Have discussed Ablation with Cardiologist many times over the past 9 years, each time he said that he felt my AF was not severe or debilitating enough to warrant Ablation with the risks involved! Now of course, I feel that I don't have any option but to seriously consider it. How long do you think I will have to wait for the consultation at St.Thomas's then how long the waiting for operation?
Sorry hadn't intended on writing so much, feeling low and in need of support right now. Trying to be brave play it down and not worry husband too much as he has very stressful job and suffers from stress.