My AFib adventure: A cautionary tale...

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As a rule, I don't share personal information on here, but for the past 18 months, I've been dealing with a medical issue that might also affect some of you...

In August of 2023, I was feeling weak and out-of-sorts, and when I checked my pulse, I could definitely feel that my heartbeat was very fast and irregular. I went to my primary care doctor, who told me I was in Atrial Fibrillation, and immediately directed me to our local hospital for evaluation.

During the battery of tests they performed on me that day, a doctor introduced himself and asked me if I had a cardiologist. I told him I did not, and he smiled and said "Well, you do now...you're my newest patient." And so began my AFib adventure...

I spent two days in the hospital then, on intravenous and oral medications, as they tried to get my heart rate down, with the secondary -- but unsuccessful -- goal of trying to convert my heartbeat to normal sinus rhythm.

After I was discharged, I was placed on several new prescription medications -- blood thinners and blood pressure meds -- and my new cardiologist scheduled a cardioversion, which is an electrical shock to the heart (basically a defibrillation). The cardioversion (which a friend calls "riding the lightning") worked briefly, but after a few days I was back in AFib.

A second cardioversion and more meds followed, and again, I returned briefly to normal sinus rhythm -- and then went right back into AFib.

The next step was a cardiac ablation, which involves threading catheters up into the heart from the veins in the groin, and cauterizing the malfunctioning nerves in the heart. (The preparation for this is -- ahem -- "interesting". The patient has to be shaved of all body hair, front and back, between the neck and the knees. When my girlfriend saw me after they prepped me, she burst out laughing! I looked like a metrosexual...all I needed was a man bun and a murse!) The procedure was performed in January of last year, and it seemed to work.

By last November, I was back in AFib, and after being given my options by my cardiologist, I opted for another ablation, which was done just before Christmas. Two months later, I feel pretty good, and my heartbeat -- knock on wood -- is normal. I've lost quite a bit of water weight because my circulatory system is working properly again, and I no longer get winded climbing a flight of stairs.

This has been an interesting experience, and I've learned a lot. Besides the obvious lessons -- pay attention to your body, don't dismiss symptoms, try to live a healthy lifestyle -- I learned that when you're on medications, especially cardiac meds, you must take them exactly as scheduled, the same time every day. Don't ever skip a dose, and plan ahead for your refills so you don't run out. I also learned to be very, very attentive to things like my pulse and breathing, and to trust implicitly what my cardiologist tells me.

Also, I've been very grateful for my excellent medical insurance, and I've acquired an even deeper appreciation for living in an area where first-rate doctors and hospitals are readily available.

So for now, I'm keeping my fingers crossed. The real test will come next month, when my lady and I will go to Europe for 16 days, and will be at high altitude in the Alps for about half that time...wish me luck! :)
 
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I was diagnosed with AFIB in May 2016. Meds controlled it well for five years but I began having recurring issues and still do. In fact, last night for about twenty minutes, my BPM were 121-148, then it normalized. I am 67 years old and don't care to have an ablation as those work best on people half my age.

I also have sleep apnea and use a CPAP machine. Sleep apnea and AFIB seem to be companion conditions. Prolonged exposure to high temps will cause my AFIB to kick in. Two signs that AFIB is starting for me are extreme agitation and my hearing is super sensitive. Normally I can't hear much of anything.

Best of luck with your issues and enjoy your trip.
 
My oldest brother, who's now 80 and a former marathoner, developed Afib about six years ago. He's on meds and has been through two ablations, the second one seems to have done the trick for him.

I'm a long-time cyclist/distance runner and a couple of years back had some issues with my heart rate spiking for a few beats and then going back to normal levels when pushing hard. It took me a year to find a sports cardiologist who was used to dealing with masters athletes. He fitted me with a portable ECG unit for two weeks and examined the data. He told me that, since I didn't feel those spikes but only saw them in the heart rate data post-ride, to keep doing what I was doing and keep monitoring the data, and to immediately contact him if I started feeling them. He also told me that long-time endurance athletes - runners, cyclists, triathletes, etc. - are ten times more likely to develop Afib than sedentary folks. He also told me that the benefits of remaining active outweigh the risks.
 
Glad to hear that you seem to be on the right track. It seems that within the last couple of years I have encountered a significant number of acquaintances that have developed Afib. (I won't get off into the weeds about possible causes).
2 very close female friends were casually describing their symptoms and I recommended both needed to call their Dr's immediately. Also in both cases I encouraged them to get Apple watches which have the ability to monitor/record HR. The Apple watch data can be downloaded directly to their Dr's and it has been very beneficial in getting their Rx's adjusted and tracking any reoccurrences.
 
I did all the same stuff as the OP last year about this time, doing fine for now. It's kind of scary to go through all that. You quickly find out there is no modesty in the hospital, too. I can definitely relate to you, Beemerguy. I hope you continue to do well and stay healthy. Same best wishes for everyone else in this thread.
 
I have been in Afib for almost ten years. Had two cardioversions. First one lasted about 6 months. Second one about a week. Had an ablation and that lasted almost a year. Second ablation lasted about 2 days. On medication now. Diltiazem and Metoprolol. Heart rate still bounces, but stays between 60 and 80. But I at least didn't get much of a shave for the ablation, only a trim around the XXXX.
 
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When I had a heart cath years ago, they just shaved one half of my crotch. The wife called it my poodle cut, which did nothing for my ego. Hated the procedure and will resist another until absolutely lifesaving necessity. In June I got smacked down with blood clots in leg and both lungs. It was touch and go for a while and spent a week in ICU. I had none of the usual signs/symptoms of a pending blood clot and test revealed no cause, so it's blood thinners for life now. By the end of this month, I will have had another sleep study, a VQ scan to check pulmonary hypertension, and the filter installed during the blood-clot episode removed. The medical profession loves old people. Good source of income, which is why over 65 is called "The Golden Years."
 
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I've been dealing with a-fib for several years, and it's just been recently that I've figured alcohol consumption, dehydration, and salt intake are the big variables for me to watch to stay out of a-fib. Salt is the biggie - if I consume too much food or drink with excessive sodium, a-fib will greet me several hours later. To a lesser degrees alcohol consumption plays a role, mainly if dehydration is also added. So for me, to stay out of a-fib, keep the salt intake down, stay hydrated, and limit alcohol to no more than a couple glasses of wine in a day. None would of course be better. So for those with fib that haven't connected the dots for triggers, consider what I just wrote, especially salt. So much of what we eat and drink is loaded with sodium. If anyone has more trigger types of wisdom, please add it here!
 
Good luck to the OP and everyone else here with heart problems, I wish you all the best. I had quadruple bypass 2 yrs ago and highly recommend Cardiac Rehab if available. Went 3 days a week and exercised for I hour. One day a week was educational while exercising to learn what to eat and what to avoid, good fats and bad. I try to follow it as closely as I can.

We walk 2 miles a day and have for at least 15 yrs with some sort of steep hill in our walk. I believe it helped me with an easy recovery from bypass surgery. If you're retired you should be able to find minimum 1/2 hour preferably more "FOR YOUR HEALTH", finally doing something for "YOU". If we didn't have the hill to give me a warning sign, I would have just had a heart attack at some point.

GET OUT AND WALK, enjoy the outdoors.

Beemer, I hope you have the best trip of your life in Europe and the Afib leaves you alone. Foreign hospitals can be expensive and your insurance may not cover you overseas. Larry
 
I was diagnosed with AFIB in May 2016. Meds controlled it well for five years but I began having recurring issues and still do. In fact, last night for about twenty minutes, my BPM were 121-148, then it normalized. I am 67 years old and don't care to have an ablation as those work best on people half my age.

I also have sleep apnea and use a CPAP machine. Sleep apnea and AFIB seem to be companion conditions. Prolonged exposure to high temps will cause my AFIB to kick in. Two signs that AFIB is starting for me are extreme agitation and my hearing is super sensitive. Normally I can't hear much of anything.

Best of luck with your issues and enjoy your trip.

Thanks for your kind words. :)

Regarding ablation: I was 70 when I had the first one, and 71 when I had the second. I would still be in AFib if I hadn't had them done.

It's an interesting procedure. The operating room looked like Mission Control at NASA, with a bank of monitors and all sorts of machines. The OR Table was a stainless steel crucifix; I was positioned with my arms out to my sides. The whole process was extremely expensive ($47,000 for the first one, $33,000 for the second) but my insurance covered more than 95% of it.

Ablation is an outpatient procedure. I experienced mild internal pain in my chest for a few days (the result of the catheter having been there), but no other discomfort of any kind.

There were no side effects to speak of, other than the itching as my body hair grew back... :)

https://www.heart.org/en/health-top...atment-of-arrhythmia/ablation-for-arrhythmias
 
Good luck to the OP and everyone else here with heart problems, I wish you all the best. I had quadruple bypass 2 yrs ago and highly recommend Cardiac Rehab if available. Went 3 days a week and exercised for I hour. One day a week was educational while exercising to learn what to eat and what to avoid, good fats and bad. I try to follow it as closely as I can.

We walk 2 miles a day and have for at least 15 yrs with some sort of steep hill in our walk. I believe it helped me with an easy recovery from bypass surgery. If you're retired you should be able to find minimum 1/2 hour preferably more "FOR YOUR HEALTH", finally doing something for "YOU". If we didn't have the hill to give me a warning sign, I would have just had a heart attack at some point.

GET OUT AND WALK, enjoy the outdoors.

Beemer, I hope you have the best trip of your life in Europe and the Afib leaves you alone. Foreign hospitals can be expensive and your insurance may not cover you overseas. Larry

Thank you for your good wishes, sir. And thanks also for bringing up a good point I'd forgotten: One of the things my cardiologist emphasized to me, repeatedly, was the need to get out and walk every single day. I haven't been very diligent about that, but when the weather breaks here I intend to do better... :)
 
Beemerguy53, if you are unfamiliar with blood thinners, be prepared to look like an elder abuse poster boy. A loose eyelash hitting your cheek can cause a Oreo size bruise. I can open the refrigerator and get bruised by the light hitting my bare skin.

Someone mentioned triggers. Salt, caffeine, alcohol, tobacco, stress, anxiety, lack of sleep, underlying and undiagnosed health conditions are all suspected to be factors. Most cardiologists will tell you there could be a few dozen patients in the office at once, all in AFIB, and no common factors.

It is eye opening to sit in the waiting room at your cardiologist's office and notice all the young patients, folks in their late teens and early twenties. People who certainly have not spent a lifetime abusing their bodies because the harmful things were not yet available to them.
 
We walk every day except when it rains, snows, too cold (under 25 degrees) or sidewalks too wet. That's cause of the 20 lb dog getting dirty. On days we don't walk I use the elliptical for 30 minutes watching utube videos to quickly pass time. SO, every day we exercise.

Did AFib once after surgery still in the hospital in recovery. They said it was normal to go into it after heart surgery, scared the hell out of me. The nurses were all calm, just another day. Larry
 
I went through the same last year.

I was asymptomatic though - I didn't notice unless my heart rate got really wacky. I went to the doc after doing a workout and my heart rate never went back to normal for several days.

Meds and a cardioversion didn't work, did the ablation. I didn't get the "neck to knees" treatment though. The ablation worked for a couple weeks, then back into afib.

They increased the dosage of the meds, that seems to work, or it works well enough that I don't notice. Makes me tired though.

Still considering a 2nd ablation if my cardiologist thinks it will be successful. Apparently the success rate for a first timer isn't all that high, so a 2nd is common.
 

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