Brachycardia attacks help.2 days on the trot.In persistent AFib.Dont know how to deal with it.

[kkatz]

I have been in persistent AFib for 18 months and HR has been fairly Stable.Last 2days I have over excercised HR Up to140 temporarily with twinges in my chest. I rested until down to normal and few hours later Dizzy spells Visual migraine aura & HR 58 to 6 0.Should I be contacting anyone? Or shall I just take it easy for a few days.

[rosyG]

any chest pain should be investigated urgently

[kkatz in reply to rosyG]

Thanks Rosy but not heart attack pain & not spreading . Probably a 4 level and not spreading.Just uncomfortable & went away after rest I was very breathless.It is more the Low heart rate.Probably 56 to 58 for about 3 hours now.Not drastically low but low for me & lightheaded & really tired.If it had gets to under 55 I would call 111.Thanks for your reply though.

[Buffafly]

Are you still in AF? I would have thought you would feel better at that rate unless that rate includes pauses which account for the low rate. That sometimes happens to me when I am reverting to sinus - HR slower and slower with short pauses. If you have a Kardia check how long the longest gaps are. They should be about 5 little boxes, if much longer eg 10 that would be a pause. Hope that helps.

[Buffafly in reply to Buffafly]

Bradycardia is officially under 60 but it seems cardiologists don’t worry too much about that. It’s how you feel that counts.

[kkatz in reply to Buffafly]

If I felt ok .No chest discomfort earlier & If not 2 days in row and staying for hours I wouldn't worry.Anyway no excercise classes or bowling for a couple of days.I don't think my heart likes going up to 140.My smartwatch tells me too high slow down so I do .Thanks again.

[Fibber222]

I would do exactly that. Ring 111 if at all in doubt. I’ve just returned home after a spell of dizzy spells culminating in one that knocked me out and head wound due to hitting radiator (seen by my husband). Had a pacemaker which will kick in should rate go below 60. Also my AF was breaking through every few days. New meds now 5mg bisop a day & 50mg flec twice a day. So far so good.

[Tapanac]

58-60 is a good rate and not bradycardia. My heart rate since my ablation is roughly 43-46 and hospital told me although it is low, not to panic unless it goes under 40. Right or wrong I don’t know.Any pain or unusual discomfort I think should be investigated.

Take it easy

[kkatz in reply to Tapanac]

Thanks for your reply and believe you were trying to help but People differ and officially I believe under 60 and according my single lead ECG it is.As far as I can ever remember and with my medical history & measurements over 50 years mine has never been that low except when sleeping or very ill.However a sudden change from the norm is a worry and as Buffafly said in her post it depends on how you feel.And I felt bad.I am ok this morning & will take it easy over the next couple of days. I will also ring arrythmia nurses after the back from the weekend rush.

[Tapanac in reply to kkatz]

👍all the best to you

[Ducky2003 in reply to Tapanac]

Same here. Told that under 40 would be of concern. My average is currently 52 - 55.

[BlueINR]

If it were me, I would. Sounds like you're going from tachycardia and then into bradycardia, though 60 is considered a normal heart rate here. I would think you should be seen by a doctor. Afib is not a fatal arrhythmia, but it could cause one to go into one. Probably best not to ignore.

[kkatz in reply to BlueINR]

Thanks .I think the Tachycardia is excercise induced &:does go away with rest the brachycardia is new .I just wonder if it is just part of my persistent AFib that I learned to live with.I think I have just been pushing to hard.I will rest & monitor for a few days.I have just been told I am being put on list for ablation.