My brother in law is in permanent AF and so far nothing can seem to stop it. He is hyperthyroid and extremely tired and breathless all the time. I am wondering if a change from Bisoprolol might help. I take Nebivolol but I have an under active thyroid
Di
Neither are anti arrhythmic drugs bu Beta blockers to control rate during events. If it is permanent nothing will stop it of course but who is treating him? If only his GP then he needs to see a specialist to see what could be done for him.
He has just tried cardioversion, waiting for what’s next. Seeing a consultant and an ophthalmic consultant as he now has double vision in one eye.
What is being done about his thyroid? Is he on an anti-thyroid medication like Carbimazole? If his levels of thyroid are too high, the AF has no chance of resolving itself. First deal with the probable cause, which is the thyroid, (unless it is already well under control).
By the way thyroid issues are notoriously badly managed the world over, so he needs to keep on top of things and learn all he can about his condition. Some GPs even get confused between hyperactive and hypoactive and prescribe the wrong medication...
He’s on Carbimazole but won’t look on forums and believes Drs know best !!!!
Hmm. I think we know the answer to that.
If he now has double vision, he must also have thyroid eye disease, TED, which is a complication of Graves’ disease, which is probably what has triggered his overactive thyroid. It is vital he sees a specialist for the eyes, so at least he is on the right path in that matter!
I have Graves‘ disease so am well acquainted with what he is going through. It is very debilitating.
He is currently wearing a patch over one eye, but the DVLA are happy for him to drive. He is finding the continuous AF debilitating
What are the doctors doing about his thyroid? If that hyperthyroid goes on untreated, it's not good. Meanwhile, there are some foods that may help tame the thyroid, no guarantees though....
nourishedkitchen.com/foods-...
Foods that May Slow Down a Speedy Thyroid
1. Fermented Soy Foods
Soy is very goitrogenic. A strong suppressor of thyroid hormones, some research indicates that soy may even be more effective in thyroid suppression than anti-thyroid drugs. Don’t forget that soy is a potent food, and that while sufferers of hyperthyroidism might welcome soy’s thyroid-suppressing effects, take care to eat soy in its fermented state in foods like tempeh and miso as soy also contains antinutrients like phytic acid which impair the body’s overall ability to absorb many nutrients.
2. Raw Cruciferous Vegetables
Raw cruciferous vegetables also suppress thyroid function. Cruciferous vegetables like kohlrabi, cabbage, cauliflour, rapini, turnips and brussels sprouts contain goitrogens that interfere with iodine uptake and, in that way, also interfere with production of thyroid hormones. (Want to get more raw cruciferous veggies into your diet? Try my Simple Slaw with Flaxseed Oil & Honey.)
3. Millet
Millet, like cruciferous vegetables, contains goitrogens and interferes with iodine uptake. Cooking millet, as well as goitrogen-rich cruciferous vegetables, may mitigate its antithyroid effects to some degree.
Foods that Aren’t Doing Anyone’s Thyroid a Favor
1. Gluten-containing Grains
Recent research into autoimmune diseases and autoimmune thyroid disease in particular indicates that there’s a strong connection between celiac disease and thyroid disease. Indeed, study published in Digestive Diseases & Science indicates that sufferers of autoimmune thyroid disease have roughly a 400% greater chance of also suffering from celiac disease than control groups. Moreover, some research indicates that after 3-6 months on a gluten-free diet, those pesky anti-thyroid antibodies virtually disappear. That’s a poweful case to remove wheat, barley and other gluten-containing grains from your diet if you suffer from any form of autoimmune thyroid disease.
2. Unfermented Soy
Unfermented soy foods – particularly those rich in concentrated isoflavones and genistien – contribute to autoimmune thyroid disease. Reasearch into soy formula and its effects on babies indicates that babies fed soy formula are more likely to develope autoimmune thyroid disease and large concentrations of unfermented soy may adversely thyroid function in adults. If you eat soy, keep to small amounts and always choose fermented forms. (Learn more about the nastiness of too much soy consumption in my post about the Soy and Illinois Prisoner Case.)
3. Coffee
Coffee is simultaneously stimulating and goitrogenic which spell trouble for both hypo- and hyperthyroid sufferers. As a strong stimulant, it can wreak havoc on those suffering from hyperthyroidism as that added stimulation is the very last thing they need. Moreover, for those suffering from hyperthyroidism, coffee also interferes with iodine uptake and thus may inhibit the formation of thyroid hormones. Bad news for everyone.
And some more plus cautions on foods:
naturalendocrinesolutions.c...
Should People With Hyperthyroidism Use Goitrogenic Foods As A Treatment Method?
Some sources suggest that people with hyperthyroidism should eat a good amount of goitrogenic foods. The rationale behind this is that since hyperthyroidism involves an excess of iodine production, and because goitrogens inhibit the production of thyroid hormone, then it would make sense to “load up” on these thyroid inhibiting foods. I personally disagree with this, as while someone with a hyperthyroid condition will be able to eat more goitrogens when compared with someone with hypothyroidism, this doesn’t mean they should intentionally eat a lot of goitrogenic foods.
The reason for this is because simply taking goitrogenic foods isn’t going to cure the hyperthyroid condition. While eating goitrogenic foods might do a decent job of managing the symptoms if they are consumed in sufficient quantities, my ultimate goal is to try to restore the health of the person’s thyroid gland back to it’s normal state, which in many cases can be accomplished through a natural thyroid treatment protocol. So while I won’t tell a patient of mine with hyperthyroidism to reduce his or her consumption of goitrogenic foods (at least not the healthier choices such as broccoli, cauliflower, etc.), I definitely won’t recommend that they eat more of them, as this simply isn’t necessary.
In summary, anyone with hypothyroidism definitely needs to be careful when it comes to the consumption of goitrogenic foods. And if you do decide to follow a natural thyroid treatment protocol, then it probably will be necessary for you to completely avoid these foods for a certain period of time. Also, someone with a hyperthyroid disorder should not intentionally consume an abundance of goitrogenic foods in order to inhibit thyroid activity, as for most people with hyperthyroidism, a natural thyroid treatment protocol can restore their health back to normal without having to consume large quantities of goitrogens.
Fatigue and breathlessness both crept up on me quite quickly in early 2017 when I was put on Bisoprolol. Had to abandon it when side effects progressed to include insomnia and hallucinations. Am now on carvedilol instead and feel so much better - lot less fatigued and nothing like as breathless.
Permanent AF
Permanent AF 
Permanent AF
"Permanent AF"
Permanent AF ?
