After a very unsettled week woke up at1am heart doing a marathon did all the usual things still the same took 10mg bisop HR has slowed a little down from130bpm to90bpm but still in AF grrr
Back again: After a very unsettled week... - Atrial Fibrillati...
Back again
Know how that feels. Quarter six mine started. Heart going like train. Im not allowed to take any extra bisoprolol myself as my heart rate is usually low 40's. So if it doesnt settle after my morning 5mg its off to ae for them to give me extra. Usually sleep it off but episodes lasting now up to 24 hours and ive other heart issues. Hope yours settle down x
Par for the course Mazza,always seems to start in the dead of night,or when the birds start to cheep,Heart battering away like "Animal" out the muppets...nowadays I just ride the storm,even after Ablation for flutter,still take the "lulu's" boom bang a bang...it won't kill us...but it is certainly most annoying,especially when your wanting a good sleep...Good Luck to You....just to let you know your not alone,Hope you get a Wee break from it..Terry.
If your AF starts at night it's not likely to be adrenaline-triggered so logically beta blockers are unlikely to prevent attacks (though they will help to slow them down). Are you taking a specific antiarrhythmic drug like flecainide or propafenone?
Can't take anti antiarythmics I also have LQTS
Oh I see. Have you had a 24 hour heart recording to check for a very low heart rate at night as that could be a trigger for the AF?
Yes. My normal HR is between 40--50 bpm it's whe it goes higher I go into AF
It sounds to me like the best option is a pacemaker – have you discussed this with your EP?
For some reason can't have pacemaker
As far as I know (and it's my main job) ANYBODY can have a pacemaker (but it may have to be combined with an ICD). It is generally recommended in long-QT syndrome, sinus node disease, paroxysmal AF, slow AFand any kind of bradycardia (slow heartbeat) where beta blocker treatment may be helpful – so you have all five reasons to have one.
Modern pacemakers and even ICDs are compatible with MRI scans. I find it hard to imagine any reason you can't have one. If you don't know a good reason I really think you should discuss it again with your EP doc.
Was it a matter of "cannot under any circumstances" or a matter of "not suitable for your condition" or "not for now" or was it a "pace and ablate"?
All are subtlety different. Also when was that? Comments made 5 to 10 years ago are not necessarily still relevant because of medical knowledge increasing and technology developing.
I have heard that a number of consultants are particularly not keen to go down inserting a pacemaker and then doing a pace and ablate on people in their 50s and 60s but for someone in their 70s or 80s are less concerned. Some of that may be misplaced because typical life of pacemaker has increased significantly in the last few years but people mustn't forget pace and ablate is a no return option!!!
Mazza
Have you had an ablation?
What does Dr say you can do?
The ablation worked for me! That was in 2003.
I hope it works for you.
Blessings!!