Permanent Afib: Having decided against... - Atrial Fibrillati...

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Permanent Afib

23 Replies

Having decided against an ablation and upon seeing the results of my latest 4day monitor, my EP and I decided it was best to let me go into permanent Afib, supported by 2.5 of Nebivolol and Pradaxa.

An episode started Friday morning and is still going strong! I have not gone above 114 so no need for A&E, but feel absolutely wiped out. Is this normal?

Di

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23 Replies

Hello Di! I'm sure you will get plenty of replies from those who are in permanent AF but I would be surprised if you were expected to put up with a continuous rate of circa 114.

It’s not continuous Yatsura, if anything 45-49 is continuous but for the first time I feel so ill I’m frightened. I know it won’t kill me but it’s horrible and my EP is on sick leave until May!

D

bbigH profile image
bbigH in reply to

Hi are you under dr mark hall at broadgreen hospital as hes my ep and off sick till may too.bit of a coincidince

in reply tobbigH

No Dr Kirubakhran QA Portsmouth

well, they wouldn't let me out of hospital until my HR was below 100 bpm in AF.

You are bound to feel wiped out, your heart is running a marathon, well, several without a break

Buffafly profile image
Buffafly

If you feel more ill than usual maybe a visit to your doc or call to 111 would be a good idea? I am a bit confused because I thought that would be how permanent AF 'works' but really have no experience or knowledge at all. What rate do others with permanent AF have?

I hope you feel better soon.

EricR profile image
EricR in reply toBuffafly

I have had permanent afib for a couple of years now. It started as paroxysmal afib after I experienced a heart stoppage and was revived. I chose not to have an ablation after not being satisfied with the success rate. I am 76. My afib is asymptomatic, i.e., I don't have any symptoms or feel "heart flutters". I have a monitored defribillator implant that would go off if I experience ventricular tachycardia that could shut my heart down. I take 25 mg. daily of Carvedilol, a beta blocker, in addition to 10 mg. of Eliquis (apixaban). I exercise moderately (walking and stationary cycling) and am fortunate with good genes and my wife's healthy cooking to maintain a normal weight for my height and body structure. I learned from this website the importance of taking a magnesium supplement instead of calcium and have been doing so for a couple of years. A recent echocardiogram was normal and my cardiologist and personal physician have told me that my heart was as healthy as any person my age who did not have any other health problems. Obviously, I count my blessings. I monitor my bp and my heart rate never goes above 90. My doctors have told me that I might get weak, dizzy and feel nauseous if my heart tries to beat faster that about 100 beats per minute. My heart would not pump fast enough to supply my muscles with oxygen and my extreme fatigue would cause me to stop doing whatever I was doing. Sorry for my verbosity.

in reply toEricR

Eric that is great to hear. I’ll be 75 next Birthday and not convinced about ablation. I walk all lot and intend to buy an electric bike so can go further and faster.

Di

Buffafly profile image
Buffafly in reply toEricR

Thank you, very positive and informative.

EricR profile image
EricR in reply toBuffafly

You are welcome. Good luck and good health!

in reply toEricR

Thank you

I was told my body would become used to it and all would be good. Just waiting to get to that bit!

Thank you for your kind thoughts.

D

So you are not in in permanent AF, but this is an episode of AF which started 3 days ago. Not surprisingly you feel tired. If and when your AF becomes persistent, and maybe permanent, if you are like me you will become used to it. If not, differing medications alone or in combination should help.

Saw my cardiologist privately as EP off sick. Put me back on the Nebivolol and said once EP is back perhaps try Digoxin as well. Fingers crossed.

Paulbounce profile image
Paulbounce

When you are in permanent a-fib Di, your body / heart tends to accept it, and you`ll unlikely to feel the same as people having it on and off.

I`ll wager the feelings you have now will pass.

Best,

Paul

in reply toPaulbounce

Thank you so much, that is so reassuring. Just hope it’s soon. Missing all this gorgeous weather.

Paulbounce profile image
Paulbounce

I`m sure you`ll be just fine Di - I think you will find there`s light at the end of the tunnel ;-)

Have a great day.

Best,

Paul

R1100S1 profile image
R1100S1

I can only say that once my AF became permanent I didn’t notice any symptoms above being tiered at times

My heart rate checks out at an average of 98 on my monitor over last year.

Hope yours settles down to a liveable state.

in reply toR1100S1

Many thanks. Was told by EP it would be bad for a month before it got better but that was last October!

rosyG profile image
rosyG

sorry to hear you re suffering. Your pulse rate is not dangerous and can be reduced fairly easily with the right meds so keep in touch with your doctors and let them prescribe accordingly xx

in reply torosyG

Thank you.

Ianc2 profile image
Ianc2

Hi Hylda

I am 76. I see my cardiologist about once a year. He does an ecg. We have a pleasant chat. He asks me how I feel with my permanent AFIB. I say OK. He says are you still walking. I say yes about 25 - 30 miles a week, my weight is stable and we have a good laugh as the BP machine gets more and more excited, my arm goes purple and the machine comes up with error messages, followed by a rummage around for an old fashioned pump it up and listen machine which usually can't be found.

Does it bother you he says. No I say. I now have a very regular, irregular rhythm which I cannot usually notice. keep taking the warfarin he says - see you in 2 years time, and off I go.

Fabulous!

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