Doctor insights on:
What Does Afib Sound Like
Afib since 15 like to get off meds always irregular any way to keep rate slow and regular without taking meds as it interferes in my life travel ochh?
Atrial Fibrillation: The fact that you have had this since age 15 suggests possible congenital heart or valvular heart disease. Heart rate control important to prevent low blood pressure, shortness of breath and heart failure. Anticoagulation important for prevention of stroke due to blood clot formation in the heart. ...Read more
It depends on: A number of factors. Most people will feel an irregular and skipping or racing sensation in their chest. If the heart rate is too fast or the heart is very weak, you may feel short of breath, weak or even chest pressure. Many people have atrial fibrillation with no obvious symptoms. ...Read more
Can you tell me what it's like to have atrial fibrillation and how often do you get a bout of it and how long does it stay also how?
Patient specific: There is a lot of variation of symptoms of atrial fibrillation and its pattern. Symptoms: fatigue, loss of "get up and go", shortness of breath with exertion, palpitations, fluttering feeling, lightheaded or dizzy. It can last from seconds or minutes to days and some people are constantly in it (persistent atrial fibrillation). Paroxysmal af can occur daily to yearly. ...Read more
Relativity: There are no perfect treatments for af. The most effective, amiodarone, unfortunately has the most serious long term toxicity. The problem with all other meds (except simple beta blockers and calcium blockers) is that they can cause other, more life threatening arrhythmias. The most important risk factor is the presence of cad. Other than that, trial and error is the best bet (with exceptions). ...Read more
No: Although it theoretically makes sense to use anti arrhythmic medications which target the parasympathetic (vagal) nervous system, studies don't seem to show a difference in success using this approach. ...Read more
Top vs Bottom: Ventricular fibrillation is from the bottom chamber; vf is worse; it usually causes cardiac arrest which is often fatal. Atrial fibrillation - from the top chamber- while not as severe, also has significant health risks. It increases the risk of stroke, which can be disabling or fatal. ...Read more
No specific time: If you are in afib some blood just sits in the atria of heart and does not get circulated. When blood sits it can clot. It is sort of like driving with your eyes closed. Can you do it without having a wreck? Yes, for a while. But the wreck can come anytime. It will eventually happen. You should open your eyes. If you have frequent or chronic afib, you need to see your personal physician. ...Read more
Yes: I've seen this before, actually. Sudden cold in the esophagus can trigger extra heart beats (pac's), which then can trigger afib. For people prone to triggered heart arrhythmias, it is important to minimize your exposure to your particular triggers. Common triggers include stress, caffeine, chocolate, alcohol, lack of sleep, sleep apnea, and sometimes sugar or environmental (e.g., cold). ...Read more
Afib increases the..: Risk of stroke. Most clots are felt to develop in the atrial appendage on the left side of the heart. If a clot breaks free, it will travel to the systemic arterial circulation and can block any artery downstream. Stroke from clot blocking flow in brain or less common, heart attack from block of a coronary artery. Clot to the lungs from afib is rare as it is right sided circulation. ...Read more
Absolutely: It all depends where we start. With average or over level of activities of daily living, no advanced disease and overall low fall risk the treatment (and its risks) is acceptable. The main risk derives from the need for anticoagulation, using blood thinners, that by itself is considered high risk treatment regardless of age. ...Read more
Atrial fibrillation: You can consider electrocardioversion or have an electrophysiologic evaluation to ablate the cause of the issue. Your cardiologist will know if these are options in your particular case. ...Read more
?: Why not get treated and get better instead? ...Read more
What diet can I eat which will digest more easily, since hard to digest foods causes afib? Is there medicine for this?
Atrial fibrillation: I know of know foods except stimulants that agravate atrial fibrillation. Ie caffein. There are many medications to help control atrial fibrillation. Note atrial fibrillation has a very real risk of stroke. Need to discuss diagnosis and treatment strategy with you doctor and cardiology. Atrial fibrillation can occur spontaneously but also can have underling cause that needs treatment. ...Read more
Can afib attack terminate gradually? I have been in afib for 10 days but pulse now feeling more regular (with some irregular beats).
Atrial Fib: A Fib can Spontaneously revert to normal rhythm, it would be wise to confirm by ECG particularly as you note some rhythm irregularity; also some basic blood tests are necessary-so go on and be seen by your Dr ASAP. ...Read more
I have afib and anxiety, BP normally 116/70 on meds hr65to75. Woke up today and BP has been 150/99 hr 99 to 110 all day any cause for concern?
I'm in afib 3 cardio versions & a ablasion didn't work, dr want to do another version, is that the best choice or should I do another ablasion?
Depends how you feel: We used to think it was very important to keep people out of afib, but now we know that it doesn't make that much difference - unless you feel bad when in afib. Unless you are adjusting meds, repeated cardioversions are not going to do any good. The hope is to find an antiarrhythmic drug that will keep you in sinus after the cardioversion. Good luck! Most imp: you need to be anticoagulated! ...Read more
I have been told Eliqis is the better drug for the elderly taken twice a day, at 2.5 per time. Why is it better than XeraltoThis is for lone afib.
Oral anticoagulants: 3 new alternatives (Eliquis, Pradaxa & Xarelto) to Warfarin, traditional oral anticoagulant (blood thinner) of choice for decades, don't require monitoring nor are affected by what you eat. All 3 are approved in States for preventing stroke in atrial fibrillation. Some are approved for more uses. None of 3 new ones has been proven better than others at preventing strokes but may be safer than Warf ...Read more
Hypothetically...: Let's make assumptions: you're 36, presumably healthy without other major med problems and you have already failed a trial of 1 or more drugs. You only have afib sometimes. Fine, here's the breakdown. Chance of cure on 1st procedure: 50%. Chance of cure after 2nd procedure: 70%. Recovery time: short. Risk of major complications, ~4% including 1:250-500 of stroke. Pick your ep doc well. ...Read more
Every time I go into afib I am always so tired afterwards, like I need to take a nap. Why is that?
Ur blood pressure: May drop when u go into a fib. Easy to check. Be sure to tell ur doc about this fatigue. ...Read more
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