Specific time related AF

[chenstone18]

Does anyone have specific times when their episodes of AF come on. I ask because historically i have found that 6pm is my most high risk time which seems to have no known trigger. For every day for the last week i have had short episodes, fortunately curtailed by 200ml of flec PIP, at this time of day. Any thoughts would be appreciated.

[CDreamer]

By no known trigger - is that routine/foods/drinks? What is it you do for the hours between 4-6p,m?

Sometimes there is no trigger - could be your Circadian rhythm?

ncbi.nlm.nih.gov/pubmed/931...

[chenstone18 in reply to CDreamer]

That link was way above my intellect and i had to look up some of the meanings of the words used! But i think i got what it said. Thank you.

[Silvergraygal in reply to CDreamer]

I forgot to add in my earlier post, I experienced several other AFIB episodes before the scheduled Cardiac Ablation, but refused to go to hospital due to several reasons and advice from my primary care Naturalistic doctor. The hospital always did IV with Cardizem, tons of blood work, and the AFIB subsided by itself as it did at my home without intervention. My risk for stoke is high with this type of irregular rhythm. So the Watchman is really my only hope for preventing stroke.

[Desanthony]

What have you done just before. One of the guys on my ablation risk awareness course knows that his is brought on by coffee and wine. He stopped the wine completely but treated himself to a strong cappuccino at tea break on Friday mornings and got AF then so even coffee had to go. Maybe it is tied in to something you have or do just before? I would be interested to find out from others if they have any ideas. Next time you go to see your cardio nurse/Arrhythmia nurse/EP or cardio whoever you manage to see/speak to first ask them if they have ever heard of this.

[chenstone18 in reply to Desanthony]

Well it coincided with a short period of sitting down resting after a busy time of baths and tea time with the three youngsters. This seems counter intuitive to me as resting is good for you?

[Desanthony in reply to chenstone18]

Yes it certainly does. However, my wife has severe asthma and will sail through a stressful time and then within days of coming through this when she is able to relax will have an asthma attack so it seems we are very complicated beings.

[CDreamer in reply to chenstone18]

Resting can trigger a vagal response which then can trigger AF, especially when lying down. Some people only have AF at night or early morning whilst others find that exercise or overdoing things can trigger an episode. Some people find exercise will stop an AF episode - so individual.

Try doing something different.

[pottypete1]

I have been relatively free from AF since my last ablation in August 2018.

However prior to that I kept records for a couple of years and entered them on. Spreadsheet.

Whilst a significant number of my episodes were at random times of day my record s showed that 56% of my episodes occurred on waking in the morning around 06:00.

Pete

[7164]

Chenstone

My Af comes on after meals. 2-3pm 7-8 pm and going to bed/early am.

I don’t understand but people will tell you vagal

Rod

[Izzle]

Over the last 8 years I've logged 270 significant AF episodes. There is no correlation to time of day when it starts OR stops.

However, we're all different and AF is such a variable problem that you may have a time link.

Good luck

Alan

[stoneyrosed]

Early morning AF i think can be caused by dehydration, and upon waking emptying the bladder exasperates the problem by lowering the blood pressure. I think beta blockers are one drug that causes this to happen.

[kivihaka1]

Yes, I seem to have most of my attacks at or close to 6pm. I get an attack every 3 weeks which lasts 24 hours and I take a PIP . heart rate goes up to 90 bpm. Not sure that will help you mind.

[kookiedough]

Mine always happened in the early morning like 3-4am.

[Heart1234Wisconsin]

When I was having episodes, they generally happened during the dead of night. From 1:00 am to 3:00 am.

[Silvergraygal]

Last December 12th I began experiencing AFIB that I could not control with just coughing. The time was around 11:30 pm. By midnight I was at the hospital and being admitted. It took several hours for Diltiazem to control the irregular beats that were reaching up to 200 BPM. (In the past, I was told that I only had an irregular heart beat and to cough and it would go away and this brought relief after a few minutes. ) I was kept in hospital for a few days and released without meds and told it was "stress." (I had told the doc that I don't have stress, am retired, and do Yoga.) I was given an appointment for a week later and a Continual Loop Recorder was implanted in my chest. I was told, "We will see you in six months!) Two weeks later in January of 2020, I had another episode between 11:00 pm and midnight, was once again admitted into hospital, and stayed a couple of days, being released using meds this time and told I should refer to Phoenix AZ because my city does not handle AFIB. A Cardiac Ablation was preformed Feb. 24th and I am still on meds and doing much better. However, I was scheduled for Watchman Implant on March 30th and it was cancelled due to Covid-19 measures. I was looking forward to Watchman as it ment I could get off drugs that cause me side effects that can be scary and very uncomfortable. I am in good health except for this AFIB, and I am age 74. The Ablation sounds scary, but really was worth it for me. I am hoping that the Watchman will be equally as effective when the Pandemic is over and I can reschedule. Since my AFIB was not controlled by meds, the Ablation and Watchman were my only choices apart from meds the remainder of my life. I REALLY am looking forward to the gym opening again as I enjoyed the Elliptical and the Recumbent Bike hearty workouts very much.