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Does AF cause permanent damage to your heart?

JK5AEO profile image
18 Replies

After my heart attack (4-years ago) the cardiologist told me that my heart would recover to 90% of its previous function and health.

Has my recent fast AF caused permanent damage to my heart? I was at 155bpm for about 10 hours before reverting to sinus rhythm. Does that amount to a very long work out in the gym, or damage to the heart?

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JK5AEO profile image
JK5AEO
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18 Replies
BobD profile image
BobDVolunteer

Short duration events of that nature shold not cause problems. Very high rates (above 200 ) for long periods ie several days or weeks may cause enlargement of the left atrium but well controlled AF has no advserse effect on life expectancy or general health.

Hopefully you are now on suitable medication to control rate so try and enjoy life.

JK5AEO profile image
JK5AEO in reply to BobD

Many thanks. Yes, I am on bisoprolol and rivaroxaban.

Tomred profile image
Tomred in reply to BobD

Hi Bobd you say well controlled afib has no adverse side effects on life expectancy that's the best news I've heard on afib trouble is i don't know if mine is well controlled or not as since starting bisoprolol and multaq about 2 years ago my ep hasn't been in touch my rate is lower and the rthym isn't as pronounced but I still feel terrible in afib do you think this is well controlled i can't give you figures as my monitor won't record when in afib thanks

BobD profile image
BobDVolunteer in reply to Tomred

I think rates below 100 are fine as my local cardiologist told me they would not treat anything less. Since you are stroke protected then as FJ says you should be fine.

Tomred profile image
Tomred in reply to BobD

Bob when you say stroke protected do you think bisop and multaq are stroke protecting im not on anticoag ep says when I reach 65 I'm 60 now

BobD profile image
BobDVolunteer in reply to Tomred

My mistake. Sorry. I misunderstood FJ's response was not for you. Obviously this subject attracts a lot of views. Not all of us would agree with your EP but it is optional unless you CHADSVasc score is one or above.

Tomred profile image
Tomred in reply to BobD

No problem my chars score as of 2 years ago was 0

in reply to Tomred

Just for clarity Tomred, BobD may be confusing you with someone else. As far as I know, neither Bisoprolol or Multaq (Dronedarone) are stroke protecting. However, if your heart rate is generally below 100 bpm then there should be no adverse affect to your life expectancy. Continue to follow your EP’s advice regarding anticoagulation unless to become aware of something else developing which may increase your CHADsVASC score.

Tomred profile image
Tomred in reply to

Thank you for clarity flapjack

I see you are taking Bisoprolol and Rivaroxaban so you should be fine.......

JK5AEO profile image
JK5AEO in reply to

Thank you Jack!

PICCASO profile image
PICCASO in reply to

I was changed to riveroxaban from warfarin had very bad muscle spazms so went back to warfarin

john-boy-92 profile image
john-boy-92

If the clinicians were worried, they would have carried out Troponin tests.

JK5AEO profile image
JK5AEO in reply to john-boy-92

They tested for troponin in A&E, but I never heard anything further, so hopefully all is well. Thank you for your help.

JK5AEO profile image
JK5AEO

Thank you!

cuore profile image
cuore in reply to JK5AEO

The heart really starts remodelling when it reaches the persistent stage. Having said that, I have an extensively remodelled heart, have had three ablations, am currently in sinus rhythm and am totally fine.

JK5AEO profile image
JK5AEO in reply to cuore

thank you.

pablojack profile image
pablojack

I was in intermittent flutter for some weeks before it became persistent. My heart rate was 150bpm for the following 6 weeks while on apixaban waiting for cardioversion. Following successful CV enlarged ventricles were detected leading to a diagnosis of dilated cardiomyopathy with reduced EF. 6 months later an ultrasound scan showed that the heart was back to normal as was the EF. My cardiologist said that the suspected cardiomyopathy was caused by the flutter and that there was never any underlying disease.

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