Adrenergic atrial fibrillation

Posted by clwalker24 @clwalker24, Oct 14, 2024

Hello: I was recently diagnosed with adrenergic afib. I discovered this after a few episodes on the tennis court involving stomach upset and vomiting along with shortness of breath and a racing heart. It seems to be triggered by heat. I thought I needed to get in better shape but it seems a bit more serious than that. I am a 60 year old man who has played tennis for the last 55 years. I am not happy about the possibility of not playing anymore but the Afib episodes continue. Any suggestions/comments are appreciated.

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Thanks for your response!
I was not given any indication of what a daily routine should look like or how to monitor and verify the amount of episodes I may encounter..by my own research I have tried to record possible triggering events.
One of my questions is... what are the best technical devices should I be seeking to use to monitor BP..heartrate...EKG and other data I'm not even aware of??
I live in Spokane wash, and there are wait lists to be seen by a Cardiologist....I have been scheduled for an Echo next Monday. Until then my PCP has administered metoprolol to lower my heart rate and is currently 90, with minimal exertion ..

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A smart watch (Galaxy by Samsung if you're on Android, Apple watch, Kardia Mobile). I believe the Apple can monitor 24/7, but it runs down the internal battery faster. The other two require you to apply the function manually.

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Thanks gloaming, I will persue.
Currently I go into Afib several times a week, mostly by a change in exertion, should I be stopping what I'm doing and try to rest???

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Profile picture for smalls @smalls

Thanks gloaming, I will persue.
Currently I go into Afib several times a week, mostly by a change in exertion, should I be stopping what I'm doing and try to rest???

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I can't advise you about that as you need as much normalcy in your life as possible when under duress, which it seems you are when fibrillating. Perhaps more rest, less exertion, is the best, maybe not. You do not want to encourage more AF if you can help it as the disorder is generally progressive; AF begets AF as saying goes.
Are you on an anticoagulant? If your AF lasts more than a few hours, and happens often, I would think a cardiologist would insist that you should be prescribed one.

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Thanks, once again, I am currently on eliquis
Twice daily.

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Profile picture for smalls @smalls

Thanks, once again, I am currently on eliquis
Twice daily.

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Whew! Good to see. You can always try a graduated level of exertion over a week or two, and wait a day to see if it bothers your heart somewhere between that event and the next. If you don't see a pattern or obvious crankiness, maybe you can just do as you had been all along?

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I am encouraged to try and do exactly what you suggested...I've wanted to do this very thing, but lacked confidence I might be doing something wrongly...in my lack of knowledge I'm a bit hesitant, right now.
Thanks for your input

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To the original author of this Topic, I hope your AFib journey has been smooth.
I am a retired RN, worked mostly in Cardiac ICU's and also worked six years in an Electrophysiology procedural department at a major hospital. Additionally, I did my best to become an expert of Cardiac Rhythm analysis.
I developed PAF, first identified in 2006 and it was managed with Metoprolol as needed, meaning whenever I had an episode (always converted to Sinus Rhythm-SR). In 2011, I had the one and only prolonged episode of A.Fib (16 hours-went to ER) and my Cardiologist tried a single dose of Propafenone 600mg by mouth. This converted me back to SR within 90 minutes. I was then prescribed the "Pill-in-the-Pocket" dosing regimen for future episodes of AF. Over the next five years I used that method for twenty episodes of AF and always achieved the return of Sinus Rhythm. In 2016, I finally transitioned to a daily schedule of Metoprol+Flecanide twice a day. Since retiring from my highly stressful ICU job in 2019, I have had only one episode of PAF and yes, I continue to take my cardiac meds (but I do not take anticoagulatnts because of risk of bleeding). My Afib may be associated with the Mitral Valve insufficiency (likely congenital) which was diagnosed 33 years ago, when I was the first medical person to hear the Valve-Murmur. Now I do have the advantage of knowing exactly when I am in the rhythm, I can palpate my wrist-radial artery and determine the rhythm, I have on hand the "Kardia Rhyhm" tool (create a single or multi-lead ECG via smartphone) App.....I can read an ECG as well as most doctors, and I have a very good Cardiologist. That last item is what any new AFib subject must do.......demand to be referred to a Board Certified Cardiologist. Do not let your Primary Care-GP doc take over control of your Arrhythmia care. Be very cautious about opting for Ablation Therapy if you only have occasional episodes of short duration A. Fib- (Invasive procedures have some risks.....read up on it). Knowledge-educating yourself regarding your situation and understanding the triggers of your rhythm are so important. I'm 73, have had Adrenergic A.Fib for more than 30 years and feel in control. Sure, my Cardiologist argues with me every year..........but I read the same stuff that he reads.

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