@sjm46 “ It’s very common, and won’t kill you!”, is a phrase I heard from 2 Doctor’s, a Nurse Practitioner, and a Medical Technician, who all work in the Cardiology, Electrophysiology Dept. of the Regional Hospital, where I live! This was after my first 2 episodes of A-fib, where I was literally scared, at how my heart flip flopped in my chest, and I couldn’t sense a heart beat after that, feeling faint, with pain radiating to my left shoulder! My anxiety was over the top, and my smart watch, after I took an ECG reading, stated that I was in A-fib, and it’s message was to get 911 help for me right away, and, also, for me to call my Dr. A.S.A.P. So, the next week an appointment was set up with a nurse practitioner, who explsined the risk of blood clots, forming in the atria area, and, potentially csusing strokes. We discussed possible solutions, down the road, to help, such as blood thinners, and / or devices etc. A time was set up for me to wear a heart monitor, for several weeks! I did have several A-fib episodes, as recorded by the monitor, some lasting 30 minutes, or so. After discussing the results, with a Nurse, and being told, that I had 5 times chances of having a stroke, as compared to other people, not afflicted with A-fib. I told the Cardiac Nurse, that I was anxious, because my family history was that my Dad died of a stroke, my Mom died of a severe stroke, and just a couple years ago, my sister died of s stroke! Then, they made an appointment for me, to come back in six months, saying that, should I have any episodes of A-fib, between now and then, thst I should call their office and someone would talk me through the episode, that it was not necessary to call 9-1-1, or go to ER. I have not been given any kind of preventative treatment. So, my anxiety has not been relieved, and I’m studying what the Mayo Clinic, and Cleveland Clinic Electrophysiologists recommend, to help alleviate triggers, that could start an A-fib episode. I live in a popular touristy area, where many ‘baby boomers’ have retired, which has overloaded the medical community’s only hospital, so, sometimes, I get the impression that I may not be receiving the medical care, I feel I need, at times! I am nearly 80 years old, over the hill, and just another complaining white hair, I sense, from some of the staff. So, anything I can do to inform myself, about diet, exercise, and preventing triggering an episode, of A-fib is to my benefit!
I am 79 and I worried, like you, that they would write me off as too old for an ablation. I did have good luck and I told my cardiologist that I wanted an electrophysiologist referral. The EP he sent me to was also excellent, gave me a choice of ablation or trying an anti-arrhythmic medication. After a brief trial, with some vague side effects and looking up the med to read all the Black Box warnings, I said clearly: I want an ablation and I am scheduled for one in 3 weeks. If I were you and you have tried all the life-style changes to try to figure out if you have any triggers (alcohol and dehydration and sleep disturbances are some of the biggies) then I would actively seek out a clinic outside of your area, if you can afford to do so, where they will LISTEN to you. The more episodes of A-fib you have, the more ectopic foci can spread. If you are a healthy, active 80 year old, you deserve better treatment than this IMHO (in my humble opinion.) And you should definitely be on a blood thinner. Strokes are no joke! Even a mild one can ruin your quality of life. And that Halter monitor trial is, to me, BS; you obviously can tell when you are in A-fib as I can--I can tell when I have an extra beat, not alone A-fib. Get a second opinion if you can afford to do so; if a doctor doesn't listen to you, then "horse 'em"--that's my motto! Spend your money on getting treated, not on rehab if you have a stroke waiting for these people to take you seriously. (Sorry, but I have seen this kind of treatment as a nurse, and it really makes me furious. Good luck!