This is my first post. I am a 73 years old woman and was diagnosed several years ago with paroxymal AF. At the time I had several brief episodes a day lasting just a few seconds. Over time I noticed that these brief episodes had changed to episodes lasting a couple of hours at a time and involving breathlessness and tiredness so, for example, I couldn't manage to walk the dog. These episodes became longer, lasting a few hours but only happened a couple of times a year. Then in September I woke up feeling absolutely exhausted. I had to stop and sit down twice before I could get downstairs. I managed to reach the kitchen and sat down on a chair with my head resting on the table. I couldn't manage to walk into the living room to lie on the settee as my husband wanted. He phoned for an ambulance and I was taken to hospital. They diagnosed slow AF with cardiac pauses together with low blood pressure. BP was 118/57 on admission to hospital. I was discharged the following day my heart having returned to sinus rhythm.
I have had a 24 hour ECG and an ultrasound examination of my heart.
My normal pulse rate is slow at 52 beats per minute and during my usual AF episodes it is very fast, usually over 120. I normally have high blood pressure and have been taking medication for this for the last 20 years.
The cardiologist stopped my blood pressure tablets and started me on Edoxaban.
Ten days later I was back in hospital with a nose bleed caused by high blood pressure and the Edoxaban! My GP has been really good and gradually reintroduced some medication to treat the high blood pressure. I am now in AF all of the time and my GP has prescribed 1.25mg Bisoprolol per day to reduce my heart rate from 120 to between 60 and 70.
I have an appointment to see the cardiologist mid January to find out the result of the ultrasound and 24 hour ECG. What sort of treatment might he suggest? What should I ask him?