First episode: Got up quickly off the... - Atrial Fibrillati...

Atrial Fibrillation Support

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First episode

pd63 profile image
pd63
12 Replies

Got up quickly off the floor during DIY yesterday and went into AF, as as far I know this is the first time since PAF diagnosis in May '20.HR didn't go above 80andfelt fine episode lasted untilan hour after my daily bisoprolol this morning.

I'll get a tradesman in next time rather than DIY me thinks

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pd63
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CDreamer profile image
CDreamer

oooh ouch!

mjames1 profile image
mjames1

If you told this to a doctor, they would probably shake their head because based on what you said, impossible to make a diagnosis without an ekg. Your events are probably too infrequent for a holter type device, so if you want to pursue, I'd get a Kardia6L or Apple Watch and record the event next time. I also question why you're on the beta blocker, bisoprolol, if you only had one event, 3 years ago? When my afib burden was low -- less than one episode a year -- I didn't take any drugs and went about life normally. I would question your doctor and if the reason doesn't sit well and/or they don't offer you a trial period off the drug, get another consult.

Jim

pd63 profile image
pd63 in reply tomjames1

Had a diagnosis in hospital May 2020, all confirmed by ecg at the time, aslo initially on digoxin but that was stopped due to low HR.Maybe I aint had episode since diagnosis but the beta blocker keeps it under wraps and I have few side effects as far as I 'm concerned if it ain't broke don't try and fix it

mjames1 profile image
mjames1 in reply topd63

Is the beta blocker "keeping it under wraps" or would things have been the same without a beta blocker? Your choice of course, just sharing my views here and I do find that afib tends to be either over or under treated, be it medications or ablation. You are lucky that you have few side effects. Many report significant side effects with beta blockers and they keep on taking them because they were prescribed. In some cases, rightly, but I'm sure in some cases they weren't necessary.

Jim

pd63 profile image
pd63 in reply tomjames1

2 yrs prior to PAF diagnosis I had stroke, full recovery luckily, no comorbidities BP normal, blood fats normal, blood sugars slightly raised have been for years but haven't changed , at time of PAF diagnosis cardiologist believed the stroke was likely due to silent AF so I'll stick with what I've got who's to say I won't have more bouts of AF and if I aint on medication parti ularly the apixaban who knows where I'll end up, vegrtable ward/peg fed in worst case, better safe than sorry

mjames1 profile image
mjames1 in reply topd63

Definitely sounds like aphixaban is indicated. Consider getting that Kardia or Apple Watch to give your doctor more information moving forward, especially if episodes like this continue.

Jim

Murdy1 profile image
Murdy1 in reply tomjames1

I completely agree Jim

secondtry profile image
secondtry

Thanks for the warning, I am starting a DIY project today! Don't have any references but I believe postural issues (exacerbated when doing some DIY jobs) can have an effect on the Vagus Nerve triggering an AF episode.

Tryfan profile image
Tryfan

Wonder if it's a sudden drop in BP that caused it.

Kinfusion profile image
Kinfusion

Just yesterday I was having a discussion with my OH about the possibility that doing DIY had triggered AF episodes. He’s been making wooden plant boxes in our garage of late. Twice he’s had an episode within hours of working on them. On one occasion we wondered had he pushed his physical energy a bit far, but the next time he was just bending over and coating with preservative. Just after he stood up he felt very faint and knew he was in AF. Checked BP (unusually low) and Kardia. Couple of days later he recoated the boxes with them up on a table. No AF triggered. But with this PAF it’s all a bit of a guessing game isn’t it? The dark art of identifying AF triggers!

MaryCa profile image
MaryCa in reply toKinfusion

I found that bending over sometimes triggered AFib, especially if I wasn't long after eating

DawnTX profile image
DawnTX

I don’t know about you, but even without afib, I would have some type of reaction getting up too fast. Even with my pacemaker my heart rate will go up just moving through the house right now, but it settles right back to 80 which is where it is set for now until my body adjusts to lower than my doctor will set it for a lower heart rate. The fact that you were at 80 sounds good to me just take things slow.

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