Asymptomatic Atrial Fibrillation: How do you monitor?

Posted by Myak @janet23, Mar 17, 2022

I have a three year history of short episodes of paroxysmal asymptomatic atrial fibrillation, PACs, PVCs, tachycardia and bradycardia. The abnormal heart rhythms were diagnosed on Holter and Event Monitor tests from 7-30 days long.

I started seeing an Cardiac Electrophysiologist instead of general Cardiology and I follow the lifestyle changes in the AFib Cure book; I was hoping to stay off medications until I had a seven hour AFib episode after my VO2 Max exercise test at Mayo this year. My only symptom was a little fluttering feeling in my chest, which alerted me to check my Apple Watch ECG multiple times, and it kept flashing the yellow banner “atrial fibrillation”. I took the patient shuttle from the Gonda building to the St Mary’s Cardiology and an ECG confirmed that I was in AFib. I did not have any symptoms while my heart was racing at 120-154. After I met with my Mayo Cardiologist, I took my “pill in the pocket” meds Flecainide and Metoprolol prescribed by my EP doc at home to use as needed, and walked back to my hotel. The meds started working a few hours later and I was back in sinus rhythm. I am now taking Flecainide and Eliquis twice a day. I feel better overall and no AFib.

I was surprised to learn from my EP Cardiologist that many patients do not have symptoms with AFib, like chest pain and palpitations, but the abnormal rhythm damages the heart. I was advised to check my Apple Watch ECG a couple of times a day and take my meds. I also keep an eye on my Apple Watch heart rate.

Does anyone else have this problem? What do you do?

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

@janet23

Hi mb28,
Here is a link explaining the different types of arrhythmias.
https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia
I have experienced most of them over the past three years - some with symptoms and some without. My AFib episodes are typically fast and can be a short burst during an exercise session or longer (heart rate 100- 170) The Apple Watch flags them as Afib. A Cardiologist or Cardiac Electrophysiologist (EP) interprets the rhythm abnormality on an ECG, Holter or Event Monitor. I see an EP doc. Uncontrolled rhythm disturbances over time can cause heart failure. My heart failure is mild and I continue to work on lifestyle changes by following the guidelines in the book “AFib Cure”. I am getting better and I recently decreased my Flecainide dose. I hope to go back to “pill in the pocket” med dosing.

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I value your comments janet23! This is all new to me - I will be seeing an EP and hope to get clarification about PVCs/PACs vs A-Fib and the appropriate treatment. My heart flutters occasionally and races ever so briefly under a minute and goes way. I've been on metoprolol succinate ER for several years for hypertension and the palpitations appear to have come on when I started drinking ginger water. Thank you for the link and resource AFib Cure. Wishing you continued good health.

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@janet23

Hi mb28,
Here is a link explaining the different types of arrhythmias.
https://www.heart.org/en/health-topics/arrhythmia/about-arrhythmia
I have experienced most of them over the past three years - some with symptoms and some without. My AFib episodes are typically fast and can be a short burst during an exercise session or longer (heart rate 100- 170) The Apple Watch flags them as Afib. A Cardiologist or Cardiac Electrophysiologist (EP) interprets the rhythm abnormality on an ECG, Holter or Event Monitor. I see an EP doc. Uncontrolled rhythm disturbances over time can cause heart failure. My heart failure is mild and I continue to work on lifestyle changes by following the guidelines in the book “AFib Cure”. I am getting better and I recently decreased my Flecainide dose. I hope to go back to “pill in the pocket” med dosing.

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Who wrote that book?

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@kevkat73

I was diagnosed w mild? Afib after I contracted covid....
My heart rate stays between 59-63 & b/p (on meds) stays within normal range. I bought the kardiamobile device & it hooks up w your phone & gives you a EKG which my Dr will accept. I cannot tell when I am in Afib so I depend on Kardiamobile to monitor it. I take a low dose of Eliquis 2xs a day After I saw a Cardiologist. The ER doc who confirmed my Afib said he didn't think I needed blood thinner bcuz my Afib is mild But Do what the Cardio recommended. My husband did have Afib but does strength training, short runs & has Not had a episode in years.

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My A-fib was verrrrrry noticeable. Jumping and fluttering! No heart trouble until the Pfizer double jab. Then my mastocystosis escalated to MCAS. With up to nine bouts of diarrhea per day, I was losing electrolytes obviously. I've been an avid supplement taker for decades but nothing would stay in me.

Oh, blood clots, too. All of the above self-diagnosed. How can one self-diagnose blood clots? I could feel specific veins throbbing and could even have traced the blood vessels with a Sharpie--a squiggly line of throbbing (about an inch long) at the back of my skull (left side) a couple of times. A squiggly line of throbbing at the inner aspect of my left thigh (again, about an inch long) a couple of times. Now? I take 1/2 of an adult aspirin every night at bedtime. No more isolated throbbing blood vessels.

Why self-diagnosed? I don't have a doctor. Haven't been to one in decades. Why? I've been under the care of creeps, pervs, liars and incompetents. Yep, they're out there--males and females both.

My A-fib is much improved with exercise. When we don't take a gentle postprandial stroll, I get on the treadmill and walk 7 minutes at 2.5 miles per hour followed by 28 more minutes at 3.2 miles per hour. I've also noticed, despite the remarkable improvement, that neck position can cause my A-fib to reappear.

So, is my A-fib the direct results of the vaxx or due to the loss of essential nutrients?

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@windyshores

@mtnmarge No I have seen three cardiologist actually. I chose the one who supports me staying off meds. I am absolutely fine 12-18 months at a time with no afib at all. Docs initially told me to go on blood thinners and I declined. Then the criteria changed and those same docs told me I had been right to decline! In my view, most docs will tell us to go on blood thinners even for infrequent afib, because there is liability if they don't tell us to do that. Unfortunately liability only applies in that direction. I am comfortable with an echocardiogram to check for clots after an episode, but I also feel that the studies on short term anticoagulation (1 week-1 month) should be put in practice for someone like me.

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Oh, windyshores, how I wish I could find an MD or Cardiologist who was NOT a pill pusher. I'm in Lexington, Kentucky by way of my hometown (the Windy City), then a corporate transfer to Music City USA.

In Nashville, one of my GYNs was a creep. In the Heart of the Beautiful Bluegrass, I have yet to find an honorable physician. Even had a mentally ill dentist here in Lex. He committed suicide a couple months after intentionally doing something unnecessary and damaging.

If someone could make a personal recommendation...

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The thing is, there is less liability when they DO prescribe. If a doc does not prescribe blood thinners and I have a stroke, they are liable. But if they follow the protocol and prescribe blood thinners, even if I don't need them (the protocol does not take into account frequency of afib, which for me is less than once a year) there is not liability for side effects. At least, that is the way I see it. I feel that the cardiologist who told me not to worry and go home, was quite brave.

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I had AFIB just after my CABG, my Left Kidney Removal, and an Appendectomy. I wore a Holter twice for a month each time after the CABG and kidney removal. There was no evidence of AFIB. My blood pressure monitors, which have the ability to detect AFIB, and my Kardia Mobile do not give any indications. My cardiologist insists on me taking Eliquis. Does anyone have any thoughts on this?

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@windyshores

The thing is, there is less liability when they DO prescribe. If a doc does not prescribe blood thinners and I have a stroke, they are liable. But if they follow the protocol and prescribe blood thinners, even if I don't need them (the protocol does not take into account frequency of afib, which for me is less than once a year) there is not liability for side effects. At least, that is the way I see it. I feel that the cardiologist who told me not to worry and go home, was quite brave.

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Just read your comment. Why does my HR never go above 80 and right back down again? I thought a high HR went with afib. Why do I not have some signs or symptoms? I take my BP regularly during the day but it is more often low than high. Need Kardia mobile? I take both aspirin and Eliquis but was never given a choice. What does flecainide do, seems this appears alot in comments? I am still learning from everyone's comments and wonder why in my reading that no one stays in the hospital after going to ER for very long. I guess I was the lucky one to stay for almost 3 months.
Thanks to everyone who is sharing. It helps to make you not feel alone in this world. KLH

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At the time you wrote this comment, I started on my almost three-month journey before getting back home. It started when I called 911(March 5, 2022). I have never in my life had any real health issues. I had no real symptoms except fatigue and wobbly legs. I was told I had AFIB but my BP was low. And it still is today, especially when getting up. I was put on six new meds and tried two different BP that did not work. I have all these side effects that are driving me crazy. I feel like I am in the dark as to what to expect in the future. I am grateful to Mayo Connect for reading what others have to share. This really helps, thanks to all.

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I do not have any symptoms w my afib other than a pressure feeling in my chest, very rarely. Pulse is good, b/p good (on meds)
I take Eliquis 2xs a day, see cardiologist once a year. He told me my abnormal rhythm does not cause heart damage bcuz it is mild, & repetitive, not wildly fluctuating. I avoid xtra salt, caffeine & track my afib w kardia mobile.
Maybe Research cardioversion or ablation to see what you think.

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@frenchie333

My A-fib was verrrrrry noticeable. Jumping and fluttering! No heart trouble until the Pfizer double jab. Then my mastocystosis escalated to MCAS. With up to nine bouts of diarrhea per day, I was losing electrolytes obviously. I've been an avid supplement taker for decades but nothing would stay in me.

Oh, blood clots, too. All of the above self-diagnosed. How can one self-diagnose blood clots? I could feel specific veins throbbing and could even have traced the blood vessels with a Sharpie--a squiggly line of throbbing (about an inch long) at the back of my skull (left side) a couple of times. A squiggly line of throbbing at the inner aspect of my left thigh (again, about an inch long) a couple of times. Now? I take 1/2 of an adult aspirin every night at bedtime. No more isolated throbbing blood vessels.

Why self-diagnosed? I don't have a doctor. Haven't been to one in decades. Why? I've been under the care of creeps, pervs, liars and incompetents. Yep, they're out there--males and females both.

My A-fib is much improved with exercise. When we don't take a gentle postprandial stroll, I get on the treadmill and walk 7 minutes at 2.5 miles per hour followed by 28 more minutes at 3.2 miles per hour. I've also noticed, despite the remarkable improvement, that neck position can cause my A-fib to reappear.

So, is my A-fib the direct results of the vaxx or due to the loss of essential nutrients?

Jump to this post

My cardiologist said afib Is Very Common. He also said I am Very lucky having no symptoms other than rarely having a slight pressure in my chest. (Feels like heartburn)
Hope U find answers, & your symptoms improve.

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