My walking companion across the road went into casualty with a badly swollen foot. Yes, they said badly swollen foot, definite case of gout You also have afib so stop bisoprolol as the medications will clash. You will have to see a consultant and may have to have a pacemaker.
Apparently there is a strong correlation between gout and AFIB, with further strong links to inflammation.
He only went in with a swollen foot. As he said "There must be a special offer on this week"
Love his style but never heard of a link before. That said any inflamation will increase AF burden.
Hi yes I was told that any inflammatory illness can exacerbate afib. Not sure about the link between bisoprolol and gout medications clashing. I take bisoprolol, flecainide and allopurinol for gout .
G'day lanc2,
Not heard that one. I have controlled paroxysmal AF, controlled by food/diet and meds. Part of the meds is Warfarin and Bisoprolol therefore I cannot take any anti inflammatories.
I also have osteoarthritis to varying degrees, right knee, ( now had a partial knee replacement), upper neck, right shoulder and finger joints. in terms of pain the right shoulder is the worst by far. The only pain relief I've been permitted (without interfering with the other drugs) is CoCodomol 30/500.
Not had/got Gout ............ yet 
Crikey, if I had a diagnosis like that I'd start hiring a JCB and get a hole dug
What I mean is its a quantum leap, isn't it, from gout to pacemaker !!
John
Not really John. Actually Pacemaker the best thing I did for AF control, not regretted for an instant. Gout is a form of inflammatory arthritis - any systemic inflammation can worsen arrythmias.
I think you've hit the nail on the head in a way. My arthritis is osteo and arises or has arisen from wear and tear on specific joints over time. Mercifully, and from what I've read I am not at all affected by gout, rheumatoid or any other form inflammatory arthritis. Or indeed any other form of inflammatory medical condition. So, the different forms of arthritis have dictated a different approach to problem solving, eliminating pain. In my case ... thus far anyway .... surgery has done the job, and where surgery isn't appropriate then CoCodomol is the preferred option.
This difference then would explain why my form of arthritis has no correlation with my AF ... in other words although the arthritis has worsened over time my AF has not and is in fact now very well controlled by food/diet/meds ......... and regular exercise .... all making the need for a JCB or Pacemaker unnecessary at this moment in time
I have heard of the link, exactly the same happened to a friend of mine.
Not the most cheerful of articles but the take away is the same as in dump excess weight , stop smoking, take exercise, follow a healthy diet. Interesting reading. reducing inflammation seems to be the key the whole process.
It’s not considered a treatment for AF - mine was implanted in prep for AV node ablation.
In prep for AV node ablation ? Did you actually have it as you said the pacemaker was the best thing you had ever done.
I haven’t had AV node ablation as the pacemaker seemed to work for me & only had 2 minor episode since so EP & I agreed not to go ahead but keep as good to’ should the AF become problematic again. But it’s NOT a recognised treatment for AF although my EP says this has happened to 5-6 of his patients.
I was offered an AV node ablation for AF after my pacemaker was fitted but did not take up the offer.
My heart rate has been very variable recently and my oximeter bleeped when showing some heart rates between 46 & 49 bpm. My BP monitor did not catch any that low but several in the mid to high 50's. I got a referral to the pacemaker clinic this week and they said it was all in order and that the pacemaker does not let my heart rate go below 60bpm and my devices must be at fault. I had always assumed that for the pacemaker to kick in that my rate would first have to go under 60bpm.
They said it had recorded a recent rate of 191 bpm just after midnight last Monday.
I said that I'd not noticed it.
I have both and when I have a flair up I can only take my gout tablets for 4 days Max! Then I have to leave them off for 10 days? (Even if it has not gone) This is more for my lungs though as they will get very sticky while on the gout treatment. They will not put me on long term treatment for the gout?
Be Well
I've had a few debilitating episodes of gout (in the feet) and found that concentrated Montmorency Cherry tablets cure most episodes in a few days. I'm not allowed to take oral NSAIDS as they are contraindicated for internal bleeding, heart attacks, stroke etc. but I do use Voltarol NSAID topical Gel, which does help a little when the pain is very severe.
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Bisphosphonates and Afib 
