← Return to Latest Findings in Atrial Fibrillation (AF)

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This was very interesting and useful to me in particular. I haven’t been able to find anyone who would give me a straight answer about running and if I should be concerned with my HR going over 200. As he says, if you feel ok, “run with it!”

I will also comment on the triggers conversation, my observation is it all boils down to blood glucose levels. I base this on wearing a CGM, anything that triggers a sharp rise in blood glucose will trigger AFib. So, if on an empty stomach, I have a drink, a cookie, a piece of bread, the heart is off and running. High stress also can trigger a rise in you glucose so you can escape from that tiger, or make that plane you are running for and stressing out about missing.
I can have a glass of wine with dinner, no problem, so long as I have eaten half my meal first. I can get away with a little dessert after a healthy meal. But on an empty stomach, guaranteed AFib event.
When they mentioned customers who bought a new espresso machines and had four espressos then started AFibbing, I could not help but wonder if they had a donut or scone along with their espresso.
I was also happy to hear about the reduced risk of stroke in athletes. While I am convinced at this point I should get an ablation, the watchman I was not really thrilled about, and at this point, with his views on it as well, I am going to pass on that.

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Replies to "This was very interesting and useful to me in particular. I haven’t been able to find..."

@tanyawic You sort of have to work with the EP who ablates and maintains your heart going forward, but I would be little hesitant to agree to a Watchman if I were young, had no other obvious/monitored comorbidities, and had no recurrent AF or other ectopy. At the same time, I would not be keen to remain on a DOAC. However, because the gentleman pretty much said aloud that once you have detected AF for any reason, even only acute and refractory, you are now an AF patient for life. So, I would seek my EP and cardiologists' agreement to take a DOAC as a PIP (pill-in-pocket) the same way many paroxysmal AF patients do flecainide or Multaq; when and as needed.