← Return to Atrial Fibrillation (AFib): How can I manage it?

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@rubywitch67

Hello Martin, thank you for such a quick reply. You and Teresa are really kind and caring people. It is too late today to contact my cardiologist. I'm sure if I called his office, there would be somebody on call, but I have no doubt they would just tell me to go to the ER. So far today, I have only had a few very short PVC's, or what I USE to call PVC's. I no longer know WHAT to call them. But they haven't been "bothersome" nor have they freaked me out. They feel just like what I've been living with the past 8 years. These recent weird runs have only happened in the evening AFTER I've eaten a fairly large meal and then just sprawl on the couch watching TV or reading. I think if you've read my posts, you know I have panic disorder and the more I think about it, the more I realize that when these episodes begin, SO DOES MY PANIC. Because I haven't met with my cardio yet and talked about this in depth, I am really just out here dealing with a whole lot of "unknown stuff" and "unknown stuff" scares me really bad and makes the panic come. When I first began having PVC's, I would have terrible panic attacks and I could feel the PVC's getting stronger and lasting longer. Once I started to get use to them and accept what my cardiologist said about them......that they were benign and because my heart was structurally sound, I should just learn to ignore them. Which I did. (More or less) One I reached that point, the panic attacks stopped, at least as far as the PVC's were concerned. I think I was going to make a point here, but I've gotten myself lost, again! I think I was going to say something about how I think this new diagnosis has scared me so badly, my panic attacks are really strong and that is why these episodes are lasting as long as they are. Last night, I did some of my relaxation breathing and my heartrate went way down, but then I began to OVERTHINK AND STRESS and it started back up again. I had stopped reading and turned the light out, so I was just laying there in the dark with my mind going a million miles an hour. I finally turned the light back on and started reading again. Very soon after that, my HR returned to normal, I read for a little while longer, turned the light out and went to sleep almost immediately. I slept for almost 10 hours as I think I was emotionally exhausted. And now, here I am today, 8 hours later and have had only a few mild PVC's. But I can feel my anxiety building as I think about "what's going to happen tonight?" But that's how my panic disorder rules me...…….it just picks away at me and the first odd physical sensation I have, it's game over. I am on an anti-anxiety medication but normally only take it in the morning. Tonight I think I will take some in the evening and eat a much smaller dinner and not lay down on the couch.
If I WERE to go to the ER, what would they do? I know they'd do an EKG and if I was in AFIB, what would they do? See, it's that damn "unknown" that scares me so badly.
May I ask why you are on Coumadin and not one of the newer meds for AFIB? Having to have your blood checked every month, isn't that more of a hassle than taking a pill? But the pills and their side effects scare me, and I wonder if going the coumadin route wouldn't be better for me with my panic issues? I am SO confused right now. And bye the way, I am so happy that your stroke was "mild" and that with some PT you are back bowling a near perfect game.
I don't know if I'll feel better with a diagnosis of AFIB over PVC's. My cardio, who knows I'm anxious, always made a point of reassuring me that my PVC's were benign and that definitely helped. Now I don't have a clue where I am. Right now I feel like a blimp that has come untethered and is out of control.
During the week I feel like I can readily connect with my doctor, but the week-ends are a dead end. At least, I THINK they are. I've never tried to contact him after hours or on the week-end, so I don't know. Guess I just figured it was Urgent Care or the ER. And while I live in a rural area, we are only about 1/2 mile from the fire station which is very up to date and has two EMT units. The station is now also manned 24/7, so yes, there is help very close by.
I have seen my cardio every 6 months for the past 8 years since the stents were placed. I've done 2 stress/echo's, I've worn a Holter twice which showed nothing...…….how did I suddenly develop AFIB? Or was I misdiagnosed and it has just now gotten worse?
I am sorry this post has probably rambled and I have so many questions. Thank you for caring. Linda

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Replies to "Hello Martin, thank you for such a quick reply. You and Teresa are really kind and..."

Good morning, @rubywitch67! To answer your questions, I'd start by saying I probably overemphasized going to the ER. I'm always ready to do that, but I'd call 911 only if I know that my symptoms are severe and in need of emergency attention by the best doctors available. In most cases of A-fib incidents, the arrhythmia isn't that severe, although it could be. Check this source on the Mayo Clinic web site for more information: https://www.mayoclinic.org/diseases-conditions/heart-arrhythmia/symptoms-causes/syc-20350668.

A-fib is an electrical misfiring in the upper chamber (atrium) of the heart, as compared with PVC -- premature contraction of the ventricles (lower pumping chambers). A-fib has a very wide range of symptoms, and treatment of it depends on what they are and how likely they are to cause you injury. In most cases, A-fib doesn't deserve immediate emergency treatment; even severe cases tend to be addressed with surgical procedures (not open-heart surgery) to correct disruptions in the electrical signals that cause the heart to beat.

Coumadin is my preferred drug for reducing the tendency of my blood to coagulate. I take a pill every day and drop in to my medical lab on the way home from the bowling alley once a month. No hassle; I get a call within a few hours about my coagulation index and what my dosage should be for the coming month. More hassle than Xarelto, but I'm glad to have the relentless monthly check on how things are going on the status of blood clotting in my heart.

Did you find the information on the Mayo Clinic web site helpful and reassuring?