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Profile picture for maryellen5490 @maryellen5490

I have questions about my paroxysmal AFib . I have an artificial aortic valve and a pacemaker. I have had afib attacks that sent me to the heart hospital over time, but recently two in six weeks. valve and pacemaker replaced two years ago. I also had a bad fall almost a month ago.
I have no appetite to speak of, wake up feeling weak. Before this fall and afib, I slept decently enough, and felt able to perform tasks etc with no problems.
What are the optimal sleep positions for afib? I now wake up several times a night and worry about getting the GEM sleep I need. I am experiencing no pain. first aortic valve replacement in 2006. No clogged arteries ever. Why can't I wake up feeling halfway good?

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Replies to "I have questions about my paroxysmal AFib . I have an artificial aortic valve and a..."

@maryellen5490 You may have obstructive, or central, or complex (combo of both types) sleep apnea. Sleep apnea, like hypertension, is a silent killer, especially if you sleep alone or your bed partner doesn't hear you snore or gasp for air every 20 seconds. Sleep apnea is a major cause of atrial fibrillation (AF).

The paroxysmal stage you are in is the best place you'll ever be in this progressive disorder. For the majority of patients, it's all downhill. However, it needn't be. Lifestyle changes help, often meds help (for a while until they don't), but the 'gold standard' of care is catheter ablation done by an electrophysiologist (EP). The problem with AF, as a progressive disorder, is that as the heart spends more time in arrhythmia it remodels itself. The vessels enlarge or thicken their walls, the mitral valve can begin to suffer, the myocardium has more and more collagen deposition and fibrosis....all of which degrade the body and the heart's function. So the conventional advice (not from me, I'm not a physician) is to consider an ablation, and do it before things begin to deteriorate more and more rapidly.

Consider requesting an overnight polysomnography. You'll soon know if you have sleep apnea, and your EP will want that, and other fixable problems, dealt with first before he/she performs an ablation.