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Breathless day after Afib

Lilypocket profile image
20 Replies

Hi

Wondered if anyone can shed light on some breathlessness after Afib episode. I take Flecainide 200 Slow release X1 day in morning and 3.75 Bisoprolol.

Last evening about 21h30 I went into Afib and as instructed by my cardiologist I took 1. 25 Bisoprolol. All good - only lasted 15".

However during the night ( 1 a.m.)I went into Afib with a vengeance - very fast and irregular.Felt a bit lightheaded. Couldn't take PIP as my medication is long release over 24 hrs. Finally at 4 a m. I took the Flec and Bisoprolol (4hrs earlier than usual). Finally at 5h 30 I nodded off. When I awoke at 7 a.m. I was in NSR. However throughput all today if I make the slightest effort I become breathless. I am fit ( got a rowing machine at home - my son dumped it at my place). My question is: Is this because I took extra Bisoprolol? My heart does seem quite slow. But it is now 5 PM nearly 12 hours after I went back into NSR and was just wondering if any of you have experienced this. I have had PAfib on and off since 2012. Coincidentally I had an ultrasound last week and all good.

Thanks for reading!

Xx

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Lilypocket
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20 Replies
BobD profile image
BobDVolunteer

This all sounds quite normal after an AF event to be honest. I think most people need a day or two to recover.

Lilypocket profile image
Lilypocket in reply to BobD

Thanks for replying Bob. I only wondered as it wasn't a very long episode - 5 or 6 hours.

Stay safe!

Xx

Padayn01 profile image
Padayn01

Really hope you are ok Lilypocket , i hate been woken in the night with this its just wipes you out the whole next day, hopefully you get a good night sleep tonight and feel brand new tomorrow.

Lilypocket profile image
Lilypocket in reply to Padayn01

Thanks Payday! My episodes are usually afternoon or early evening. I usually feel ok after but today I felt like a 90 year old climbing the Eiffel Tower 😂

Xx

Padayn01 profile image
Padayn01 in reply to Lilypocket

Ahhhhhhh brilliant that made me chuckle 😂

Mrsvemb profile image
Mrsvemb

I always get breathless for a day or two after an AF episode. My BP is always low too, so I don’t need my BP medication the day after either. I do check it though to see when I need to restart it.

Goldfish7 profile image
Goldfish7 in reply to Mrsvemb

Thought I was the only one with breathlessness and very low BP after PAF attacks - great to hear its 'normal'. I now get it after long runs of ectopics and tachycardia.

Lilypocket profile image
Lilypocket in reply to Mrsvemb

Hi thanks for the reply. I may just try taking half my dose of Bisoprolol after an episode thanks for the tip! X

Mrsvemb profile image
Mrsvemb in reply to Lilypocket

Do you have a BP monitor? I only suspend my tablets following a low BP and/or heart rate reading. I wouldn’t suggest that you reduce your meds without checking and also the approval of your doctor.

My cardiologist knows that I tweek my meds and he is ok with that. I have learnt to manage my BP and heart rate.

Lilypocket profile image
Lilypocket in reply to Mrsvemb

No problem! I was suggesting that I might half my dose at breakfast and take the other half at lunch if my HR is slow and I feel wiped out. Of course I wouldn't dream of saying I did it because someone on the forum mentioned it. This is only the second time it has happened in the last year so I certainly would never do it otherwise. Also as I had an ultrasound last week where all was fine I knew it was the AFib and Bisoprolol that had knocked me sideways. I was just interested to know if anyone had experience of this too.😊👍

GuyThoma profile image
GuyThoma

My experience: before cardioversion heart rate 110. After cardioversion heart rate 45-55. This is with taking 5 mg bisoprolol. I was worried when my heart rate went right down to 45-48 my consultant said: "That's where I like it". I now accept bisoprolol, low heart rate (bradycardia) as normal, and it doesn't affect my living.

AncientHouse profile image
AncientHouse

I am only on a low dose of bisopralol but I still can get lots of arrthymias. I have decided to stop the medication for the time being and see if there is any difference

Lilypocket profile image
Lilypocket in reply to AncientHouse

Speak to your doctor first. It could make things worse . Bisoprolol is a rate control drug not an arythmia control drug.

Take care x

AncientHouse profile image
AncientHouse

My rate has been fine except on two isolated occasions 3 years apart. That’s why I don’t think a beta blocker is the solution and may even be causing arrhythmias

Lilypocket profile image
Lilypocket in reply to AncientHouse

Possible as it is said a slow heart rate can trigger it mainly at night. But it is only what I have heard - maybe other members might know if there is any foundation in it.

Xx

AncientHouse profile image
AncientHouse

I get it climbing a small hill and loads on Sunday when I did an 8 mile bike ride. All the nurse practitioner said was don't exercise?!!!

Lilypocket profile image
Lilypocket

Has your cardiologist ever suggested an exercise test to see if there is anything else going on? I've had 2 which I was prescribed to see if the meds they wanted to put me on didn't provoke Afib or ectopics during exercise. X

AncientHouse profile image
AncientHouse

The exercise test is precisely what I want- thanks for emphasising that. I am seeing the cardiologist on 10th June- delayed by lockdown!

Lilypocket profile image
Lilypocket in reply to AncientHouse

Great! I think if exercise provokes Afib it might be worth having that test.

Take care x

Nigel2000 profile image
Nigel2000

This was VERY typical for me, it it doesn’t happen to everyone. It really wrecked me. Because it knew it was “normal,” i didn’t complain about it to the MDs. I wish I had because I don’t think they knew had disabling my afib had become.

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