Afib with jaw pain: I have had eighteen... - Atrial Fibrillati...

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Afib with jaw pain

LillieandGeorge profile image
9 Replies

I have had eighteen Afib incidents since April, 2024 -- four of them from late April through late June, then nothing until Sept. 7, three days after knee replacement surgery. From Sept. 7 until Nov. 16, I had thirteen incidents, then nothing until two weeks ago, when I had a one hour incident late at night, in bed. With these events, I have jaw pain. No chest pain, no shortness of breath, just jaw pain. I have had a stress test, worn a monitor for two weeks, and had an echocardiogram. I do have mild mitral valve prolapse (probably congenital) as well as a moderately enlarged atrium and mild aortic insufficiency. I am on 25 mg Metoprolol daily and Eliquist. I am quite fit for 72 years old -- teach yoga, walk daily, do strength training. My cardiologist says I'm doing all the right things and claims me essentially healthy. He was puzzled by the jaw pain which accompanies the afib events. Does anyone else have jaw pain while experiencing afib?

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Keepcool profile image
Keepcool

Just joined forum 2 days ago and have documented my AF journey a few times so you may find my War and Peace posts under my name.so at risk of repeating myself will keep this short.

I am suffering jaw pain too, sonetimes with chest pain and been very breathless on climbing stairs.

I don’t think mine is AF as I seem to have changed in the last week to mostly NSR with very high HR.

My GP is putting a rush on a cardiology referral. She thought jaw pain could be the high heart rate.

I’m not sure as all the symptoms started with the introduction of bisoprolol 3 weeks ago…I stopped it years ago as it made me so breathless with chest pain.

Have you heard of vasospastic angina. Please read up on bhf website. I’m sure your doctors would have checked this but worth a look.

I walked today and suffered chest and jaw pain. ( very cold out) yet yesterday walked round local shopping centre with no symptoms. Did grocery shop last week, no symptoms.

Do we tense up, cd it be stress, posture?

Are you more aware of heartbeat in bed so tense up. Do you have jaw clenching at night?

So many other things it could be but these faulty heart signals just love to play on our minds.

Hope it resolves soon

mjames1 profile image
mjames1

Could be TMJ or tooth grinding from tension. I had something similar and it went away after wearing a mouthguard. You might want see a dentist.

Jim

Blearyeyed profile image
Blearyeyed

Women can suffer radiating pain in a way that isn't typical with male patients and a more likely to suffer jaw pain , according to patient reports than men do, so it is feasible .If your also tense because of these episodes you may be holding tension in your jaw at night and stiffening up during AFib could trigger the jaw pain.

But there are various conditions that can cause jaw pain and trigger preexisting heart Arrhythmias because of the inflammatory response you could be having.

Even a broken tooth or hidden infection in the jaw or ear could do it or a TMJ.

Conditions like Giant Cell Arteritis, a type of inflammatory vasculitis often has jaw pain as an early symptom.

It certainly did for me.

Some people also get jaw pain as part of Vasospastic Angina, which may be missed on an ECG or Echo unless they were done at the time your AFib symptoms were most active. You could ask your Cardiologist about checking for that.

Personally, I'd say you need more investigation, ask your GP about GCA and ask if you should be referred to a Rheumatologist for a check on this.

Ask if you've had your inflammatory markers checked with blood tests recently, these can help you rule out other problems.

Go and get other issues like GCA and jaw problems checked by arranging a dental appointment and a full eye test with your optician ( sometimes enlargement or inflammation involved in GCA and other issues that can cause arrhythmias can be picked up during an standard eye scan). My GCA was preliminarily discovered by a check by the opthalmologist, I'd had jaw pain for years because I had Trigeminal Neuralgia so just thought that was getting worse( which could be another cause for your pain if you tense up the jaw during AFib).

If you get Migraines after AFib events believe it or not jaw pain can be a symptom of Migraine as well.

Let us know what you find out , hope you get answers soon , take care , Bee

Hartingdon profile image
Hartingdon

I have jaw pain from time to time but a few days ago suffered a severe bout which lasted about 1 hour. I think it could be trigeminal neuralgia as I also have permanent 'mild toothache'. My dentist took several X-rays but nothing showed up. Could be heart related though.

ForensicFairy profile image
ForensicFairy

Is it dental do you think or something else.

Could it be coronary artery spasms (CAS) or microvascular spasms (MVD)? I was getting chest tightness and a proactive angiogram showed no calcium/cholesterol but my artery spasmed and closed up 70%. I know that others who have MVD or CAS feel a variety of different symptoms. I’m lucky I have no pain - just tightness. My CAS sets off my arrhythmias though.

Lizty profile image
Lizty

Yes. I frequently get jaw pain when suffering a bad bout of atrial fib. The EP mentioned it in my report but no-one has raised it as an issue. My heart is sound, no problems there... just a bit of calcium in my arteries. Assuming the jaw discomfort is what they call idiopathic - or a form of nerve tension.

Buffafly profile image
Buffafly

Yes, diagnosed as coronary artery spasm. Asked cardiologist what caused the pain and he said ‘lack of capacity’ which I took to mean that my circulation couldnt cope with the speed/irregularity.

lizzieloo2 profile image
lizzieloo2

I didn't used to get any pain of any kind with my AF episodes but those which have occurred over the past couple of years have been accompanied by what I can only describe as mild toothache along the whole lower jaw so may be the same as you. I mentioned this to the arrhythmia nurse who didn't seem concerned

birdpie profile image
birdpie

If I have a strong attack I also have a kind of jaw pain. It doesn't hurt so much but feels more like a pressure on/in the jaw. For weaker attacks I don't feel anything in my jaw.

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