AF Association

Stuck in slow AF and feeling yucky. Any suggestions?

I have been in slow AF for the last 4 days. My last bike ride failed to cardiovert me. It seems that I may be stuck here for a while 

Whilst I would say that I am largely asymptomatic in AF (compared with some people, particularly those with fast AF), the last few days I have had periods of feeling very “yucky”. I black out when I stand up. I feel dizzy and tingly when I walk around. Sometimes a little nauseous too.

Anyone know what causes these symptoms? (could it be a gradual drop in oxygen or build up of CO2?). And are there any fixes?

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Hi Julie - Have you discussed this with your GP? If not I think you need to, especially as you are blacking out.

Jean

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I haven't. Maybe I should. I've often had this problem when getting out of bed first thing. I think the blood rushes to my body and I black out. I don't lose consciousness or fall over. But I do sometimes have to grab onto something whilst it passes!

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The thing to do is sit on the side of the bed for a few minutes before standing up. Yes, I know it's a pain to have to do but you're not alone.

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Check your blood pressure and you could buy a little oximeter to show your blood oxygen (SpO2) and pulse rate. Passing out needs to be followed up with a GP and, as I replied to someone else, you may be referred for a tilt table test.

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Out of interest how slow is your "slow" AF? I think that is more like mine where my pulse can't really be measured accurately as it is a mixture of missing a beat, a few quick ones then a couple of slow ones. The sort of cha cha cha of heart rates! Averages to about 80 bpm. Feels weak on my wrist though. Normal resting is 48bpm. Now nobody seems bothered and it does barely affect me although I feel very slightly weaker and a bit disinterested in doing anything energetic till it goes 36 hours later. I get it every 10 days roughly and can't find anything to "cure" it so far. Am on lowest level of Sotalol and Apixaban.

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My resting HR is similar in AF and NSR - 50 when awake, down to 38 asleep. When moving, my AF HR rockets up to 140 just walking about. Occasionally can go over 200 when exercising but never into dangerous levels. I get very exhausted when exercising in AF. It still feels bizarre to me!

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You need to seek medical advice really

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Never ever exercise when in AF! As I told you once, the very next level is SCA, what would not be so very good for you. If you exercise when in AF, the heart is getting used to the irregular way of functioning, what is also not good. When in NSR, go for it! But, it is something that should be advised to the AF sufferers with a low capacity heart, what is not your case. Why don't you try to rest for couple of months and give your heart the chance to heal from itself. The things may settle down...

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Hi Baraba. I only exercise in AF in order to cardiovert. It normally works. I have read a lot of people have success with this method, so I think your concerns may be a little over cautious. But yes, I probably should rest more.

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Eh, Julian, the exercise can cardiovert you, but it can also be very dangerous, if not the right one. While experimenting, I almost succeeded to kill myself in two occasions. A very close friend of mine did kill himself when exercising (the girl was much younger, and he was in AF by the time). Any HR above 180 can be considered as overdrive. Very young and sound ones can develop HR up to 250 without any consequences, but AF patients are different story...

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My pulse was 'slippery' and I think (as can't be sure) CoQ10 & Mg compound (Nutri MegaMuscleze) supplements helped it considerably, but do ask an experienced Alternative Practitioner first. The results is a much firmer pulse and a lot of that dizziness going.

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Have you checked your Blood Pressure?

Eleanor.X

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