AF rears its ugly head again. - Atrial Fibrillati...

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AF rears its ugly head again.

denny-62 profile image
7 Replies

After being diagnosed early in 2015 and having two episodes I had my sotalol increased to 240mg a day and took my rivaroxaban and was good til January 27th when I was off to emergency again. Reverted quickly with Iv magnesium and taking my morning dose of sotalol early. Just had another episode six weeks after last. Iv magnesium an extra 40mgs of sotalol, magnesium and fluids and my AF remained stubbornly entrenched. 24hrs later in hospital in reverted on its own. Home again after telemetry in hosp for three days. And so we begin the year. I was feeling fantastic, doing Zumba twice a week and aqua aerobics. No booze, little coffee, plenty of rest and no stress. It's got me beat what my trigger is. Going to have a sleep study next. Almost back to normal apart from some tiredness and feeling a bit off now and then. Back to my exercise and normal life by end of the week. I have asked cardiologist for a referral to EP which he said would take 12months to get appointment. The joys of public hospital system. But after a few days in hosp I consider myself lucky to have AF and not one of the other heart conditions. Doc also said I can wait up to six hours before going to emergency.

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denny-62
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7 Replies

Hi, you have identified a number of triggers - try keeping a food diary and see if you can relate any type of food to the onset.

BobD profile image
BobDVolunteer

While others may disagree I would say forget triggers unless something jumps up and bites you. That way madness lies as my EP told me. AF is almost always progressive sadly so it will become more common and frankly an EP is the only person to see, I wonder where in the world you are by the way as Sotalol is no longer recommended for AF control,here in UK.

denny-62 profile image
denny-62 in reply to BobD

Yes I have come to that conclusion re triggers also. I am in Australia and sotalol is the first line drug. I mentioned to the doc about the UK but it's still widely used here and it seems to suit me although I took a while to get used to it initially. I'm lucky I'm very well normally. The consultant said it progresses in frequency and severity. I have known this since onset.

absolutepatsy profile image
absolutepatsy in reply to BobD

Not so Bob, I was put on Sotalol last month, I live in Scotland. 

BobD profile image
BobDVolunteer in reply to absolutepatsy

Sorry I am right if NICE applies . Apparently it has the potential to introduce dangerous ventricular arrhythmias is some cases although some cardiologists still persist.

absolutepatsy profile image
absolutepatsy in reply to BobD

I read NICE and you are right, however my Doctor tells me to take it up with the Cardiologist which I intend to do. 

BobD profile image
BobDVolunteer in reply to absolutepatsy

White man NOT speak with forked tongue.

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