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  • atrial fibrillation

    I have been mostly assymptomatic until last week, when out of the blue I went into 18 hours of atrial fibrillation, then spontaneously converted back into a normal rhythm. I'd like to hear from others if this means a big change in my course or could it be just a blip on the road?? Otherwise, I'm feeling great, with a normal stress test and a normal Holter monitor. Thanks
    David in Indianapolis

  • #2
    Re: atrial fibrillation

    Hi David,
    About your eighteen hour side track – Well, it might have been just a one time thing, or it may happen from time to time at great intervals, or it might develop into a rather large pain in the butt. AF episodes, once they start, tend to recur more frequently as time goes on – at least that’s what I’ve been reading on these boards.

    You might be fine, but maybe you just need an adjustment to your meds. Why not talk it over with your cardio and see what he thinks of it? Good luck.
    Burt

    Comment


    • #3
      Re: atrial fibrillation

      thanks, let's hope it's not the pain in the butt type.
      David in Indianapolis

      Comment


      • #4
        Re: atrial fibrillation

        David:

        Atrial Fibrilation has been the problem I've been dealing with for nearly 10 years. In the beginning I could almost predict the onset and could very clearly tell when I was in a-fib. The irregular rhythm would always convert to normal rhythm - usually overnight.

        I'm now at a point where I can't tell if I'm in a-fib unless I feel for my pulse. Persistent a-fib is not good because of the risk of stroke. When the atria is quivering and not performing as usual, blood in that chamber begins to pool. Clots can form that could be expelled when the heart returns to normal sinus rhythm. I take 5mg of coumadin a day to thin my blood. This keeps my INR level between 2.0 and 3.0.

        I now see that a-fib is a consequence of something else - probably HCM, though as explained in my intro post Dr is still not sure.

        There are many causes of a-fib. Here is an excellent web site specifically for the condition: http://www.affacts.org/
        • 1995: Brigham & Women’s Hospital - diagnosed with Atrial Fibrillation
        • 2004: Falkner Hospital – diagnosed with Congestive Heart Failure
        • 2004: Tufts NEMC– diagnosed with “End Stage” Hypertrophic Cardiomyopathy
        • 2005: Genetic Test – Laboratory for Molecular Medicine. HCM confirmed – missense mutation detected in TNNT2 gene
        • 2009: Brigham & Women’s - Third cardioversion begin Amiodarone for AFib
        • 2011: Brigham & Women’s - Medtronic ICD implant

        Comment


        • #5
          Re: atrial fibrillation

          You definitely need to discuss the Afib with your Cardio, because of the risk of throwing clots. I think this symptom is like every other - every one is different! I had A Fib x2 in the hospital, once I was cardioverted after 24 hours-I went back into A Fib 5 hours later, but converted myself after 8 hours & Amioderone.
          I also periodically go into V Tach.
          Tell your Dr to be safe
          RONNIE

          Comment


          • #6
            Re: atrial fibrillation

            thanks all, I'm on coumadin and "I find your comments supportive. Life goes on.
            David in Indianapolis

            Comment


            • #7
              Re: atrial fibrillation

              Dear David

              I'm very glad you are on coumadin! The fact that you converted on your own is a very good sign.

              Think about what was going on before the afib started to see if there were any triggers like chocolate, caffiene, alcohol, cigarette smoke, even a super cold drink or a heavy meal can cause palpitations in some people.

              Everyone with HCM is very different. No one can really say this means you are getting worse. However, you should see about taking more or a stronger medication so it doesn't happen again.

              take care,

              s

              Comment


              • #8
                Re: atrial fibrillation

                For me the atrail fib. started kinda suddenly, but I had it for a few hours the first time and converted like that and was released from the hospital and so far as time has passed for the first year I had "had another spell" about every six months and getting a little worser and closer together with periods in between feeling normal, after like close to 1 1/2 yrs it had gotten to the point that I had rapid atrail fib and I had a little trouble converting and I been treated with anti arrithmic drugs and couminden and really haven't had many more periods to where I stayed in atrail fib for long periods of time, other than a few messed up beats here and a couple there I guess I feel ok.
                Jen

                Comment


                • #9
                  Re: atrial fibrillation

                  Hi David,

                  I went into A-fib two weeks ago and still in it. I don't like it but such is a ride in life.

                  Great support from people here. It really helped calm alot of my fears. Fortuantely I just had a defibrillator put in on July 1. So I feel a little safer in case of a v-tach.

                  Currently on coumadin and will probably be cardio verted next week.

                  Hope all goes well for you. Stay out of that A-fib ok?

                  Comment


                  • #10
                    Re: atrial fibrillation

                    thanks all. Still in sinus rhythm and feeling well. I'm thinking that mty acute withdrawal from cafeeine and an occasional beer was a really good thing. No sense of hyperdynamic heart beat since doing that. For all of you who have AF, consider two things. First, fish oil. Not officially recommended yet by the Am Heart Assoc, but lots of evidence that it helps prevent serious arrhythmias. There seems to be no down side to it (3 g /d), but be careful of the brand you buy. The one at Costco is high in omega-3s and cheap. The other issue is one raised in an article and editorial in Circulation this month reporting on fairly severe ~70 HCMs (septal wall >3 cm) by ECHO. The interesting point here is that 40% of these people had remodelling (shrinkage!) of the ventricle that resulted in as much as 0.5 cm reduction in hypertrophy/year over 6 years. The question it raises is both why does HCM progress and now what causes regression? I'm sure we would all love to know the answer to that one, since a cure or treatment is dependent on knowing what causes the heart muscle to grow and now, shrink. Any ideas?
                    David in Indianapolis

                    Comment


                    • #11
                      Re: atrial fibrillation

                      why would a doctor let a patient be in Afib for 2 weeks????
                      \"It is not length of life, but depth of life.\"

                      Ralph Waldo Emerson

                      Comment


                      • #12
                        Re: atrial fibrillation

                        Cynthia, the doctor has to let the patient be on meds for a length of time before cardioversion, if I'm not mistaken. Also, some patients live in a constant state of afib, like Sarah. I don't think it's that horrible for the doctor to wait. Possibly they hope the meds make the patient convert back to sinus rhythm by themselves?

                        Reenie
                        Reenie

                        ****************
                        Husband has HCM.
                        3 kids - ages 23, 21, & 19. All presently clear of HCM.

                        Comment


                        • #13
                          Re: atrial fibrillation

                          A patient might be left in atrial fib if there is concern over a clot in the atrium. The course then is to get several weeks of anticoagulation to hopefully dissolve the clot before catdioverting to normal sinus rhytm.
                          David in Indianapolis

                          Comment


                          • #14
                            Re: atrial fibrillation

                            Hi, When I went in the hospital for AF, i was a mess first in and out of the hospital like 2 a day for 2 days with a AF, then after the drugs didn't convert me and my pain was the worst thing ever, they finally keep me in the hospital... IT TOOK ME 10 DAYS TO CONVERT and the told me that I could stay in AF for the rest of my life and that ppl can life in AF forever and live a half normal life anyways. Although I know I felt like awful.
                            Jen

                            Comment


                            • #15
                              Re: atrial fibrillation

                              HEART DEVICE
                              Researchers investigating a new version of electrical defibrillation for
                              the treatment of atrial fibrillation (AF) believe that a series of lower
                              energy electrical shocks would be less painful and carry less risk of
                              complications than the short, sharp electrical shocks currently used to
                              resynchronize a patient's heart beat. AF is a condition that often leads
                              to heart failure and stroke.

                              To test the concept, the team designed and built a device that gets implanted
                              under the skin close to the heart. Sensors on the cardiac telemetry system
                              pick up the heart's electrical pattern and send out a continuous radio signal,
                              which is picked up by a notebook computer fitted with a receiver. This set up
                              allows an electrocardiogram to be directly recorded on to the computer without
                              external sensors and wiring.

                              In return, the computer can send a signal back to the device telling it to
                              deliver a short burst of electrical pulses directly to the heart. The sensors
                              measure the effect on the heartbeat and send the data back to the computer.

                              Read the complete story at: http://link.abpi.net/l.php?20040816A6
                              http://uk.geocities.com/deboraginastewart1
                              http://uk.f2.pg.photos.yahoo.com/ph/...art1/my_photos
                              View my heart history too.

                              Comment

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