I have had paroxysmal AF on and off for about 10 years with occasional flare-ups. Since being on the dreaded 2.5 mg Bisoprolol no flare-ups at all ( did get some on 1.35 mg ).
However been in hospital for a couple of hand operations and my ecg always looks like AF never bothered the hospital, also if I wear my dreaded Apple Watch it says I have AF
I have no day-to-day symptoms, can do heavy jobs, walk the dog and work with no effect at all
Do you think I should leave well alone whilst all is well or act on my ecg's , bearing in mind the hospital and doctor do not seem bothered about it.
Or am I just lucky it does not affect me ?
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bigbearatthecave
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I would talk to your GP but if you are asymptomatic, you either take anticoagulants or your CHADS score doesn’t indicate the need and your HR is controlled then apart from some annual monitoring I doubt whether any action would be taken. Have you seen a cardiologist/EP? Was your ECG confirmed as in AF and if so what resting HR? Is your BP within normal range? These are all questions that need to be considered.
Speaking as someone who took my (then) cardiologists advice to "leave well alone" about 15 years ago, I would caution against a complete hands off approach. You may not need treatment but an annual check up or check in could keep an eye on things and prevent things declining beyond the point where interventions could be offered. Hope that helps!
If you have your AF under control - H/Rate under 90 you are doing well.
I trust you are taking an antico-agulant or warfarin or baby aspirin to prevent stroke.
Af just means you have an irregular heart beat.
I have a controlled heart beat now. I dont feel it. Even at 186 avge H/R Day I did not feel it but I had fatigue, profuse sweating on exertion.
I take Diltiazem 120 AM and 2.5 Bisoprolol PM which the former controls both Rapid H/R persistent with AF and the latter controls my Hypertension BP. Both
control Rhythm.
Can't have Ablation as Echo shows an enlarged behind chamber.
Take care, except and try to forget that you have aF.
Like you, I have no symptoms usually associated with AF but, everytime I have an EKG done at the hospital or GP's, I'm always in AF. I have a resting heart rate of 50 - 60 and a blood pressure of around 115/60, in other words completely normal. I ride a bike up to 30 miles a week and, essentially have a totally normal life. Alcohol and caffeine don't seem to make any difference either but I'm moderate on both.
I take 2.5mg bisoprolol and 2x5mg apixaban daily for my AF. I have a review with a cardiologist about once a year and I've had 3 cardioversions. Each CV has put me back in NSR but it hasn't lasted very long. It's impossible to say how long as I don't have any symptoms.
So long as you're medicated for potential stroke and are under medical care, I'd say leave well al9one and just get on with your life.
Yes, like me you're extremely lucky to be asymptomatic.
I was in for a spine op in March which required staying in for a few nights. I went into my regular Afib on the second night (HR around 160-170) and the neuro nursing staff took absolutely no notice - almost like it wasn’t their job to deal with it. As someone else commented, I would suggest you take it up with cardiology.
Different approaches in different hospitals and in different countries, I suppose. My husband was in ICU after a hernia operation, and his HR went up to 140 BPM one night, so the nurse called the on duty specialist physician - he prescribed Biso and down it came. He did not have AF, I think it was because he was deprived his whisky nightcap ! This was at a private hospital in South Africa.
I think my nurses had little or no knowledge of AFib. I myself restarted my Edoxaban (anti coag) the day after the operation as instructed, but the nurse also gave me a jab of heparin in the stomach. When I raised the issue that they were potentially “double dosing” me with anti coags she just shrugged and said “it’s on the list”. When I mentioned it to the ward consultant the next day his face went like stone, but he didn’t say anything. But that evening the nurse tried to give the heparin again, but I refused it. I almost felt like they were trying to kill me! 😟
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No energy after being in af 
Ablation or not ?
An up date, 4 weeks post knee replacement- so far, very good!
