Seeking advice about Paroxysmal Afib before seeing cardiologist

Posted by otiswinston @otiswinston, Aug 4 9:10am

I am a very active 71 year old Canadian male diagnosed with AFib 2 years ago. I’m on Eliquis, Felcanide and the lowest dose of Bisoprolol. My resting heart rate is 50 and during AFib episodes my rate generally jumps to high 80’s or low 90’s. The episodes usually last a few hours but are fatiguing, especially when I am active. Sometimes I go 2-3 days without an episode but other times they occur daily and last all day. My Kardiamobile records AFib and sometimes Sinus Rhythm with Premature Ventricular Contractions. I have essentially cut out alcohol, chocolate, caffeine and a proton pump inhibitor - it is hard to say if all that helps.
My biggest frustration is that exercise seems to trigger AFib episodes, usually an hour after exercising and as a result I have had to significantly reduced demanding exercise. I have been very active all my life, including multiple long Nepal treks into my 60’s (the last one in Oct 24 was frustratingly unsuccessful when I simply ran out of gas at 3500m above sea level).
I’ve seen mixed views about ablation for someone like me with AFib that comes and goes. Some report they have had this with success; others say doctors won’t take occasional AFib cases as they need to be sure they can do the procedure while you are in AFib. My cardiologist is usually rushed and offers little guidance beyond tweaking meds - his initial statement was that ablation fails 70% of the time. I will see him again in a few weeks and in preparation for that I would welcome views for this forum. I should mention there is very little chance of finding another cardiologist.

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

@lindy9 it is not that simple for most of us. Glad it is for you.

@katiekateny your story may be mine eventually. My episode frequency has held for 10 years. My episodes last 10 minutes -2 hours generally with one in 2021 that was 7 hours. Heart rate up to 195. Sorry you can't have an ablation! I am curious about the esophagus issue since I have an autoimmune disorder that can narrow it.

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@windyshores

@lindy9 it is not that simple for most of us. Glad it is for you.

@katiekateny your story may be mine eventually. My episode frequency has held for 10 years. My episodes last 10 minutes -2 hours generally with one in 2021 that was 7 hours. Heart rate up to 195. Sorry you can't have an ablation! I am curious about the esophagus issue since I have an autoimmune disorder that can narrow it.

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I had many that were hours long, sometimes all night but woke up with them gone. I didn't say I can't, I don't want an ablation. Esophagus issue??

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@lindy9

I had many that were hours long, sometimes all night but woke up with them gone. I didn't say I can't, I don't want an ablation. Esophagus issue??

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@lindy9 if you look back you will see that I was addressing @katiekateny, I responded to two posters in one post.

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@windyshores

@lindy9 if you look back you will see that I was addressing @katiekateny, I responded to two posters in one post.

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ok

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