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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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gloaming | @gloaming | Jul 9 10:50am
In reply to @shar28092 "I've had very infrequent and brief episodes of afib. Each time I see the electrophysiologist, we've..." + (show)
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I've had very infrequent and brief episodes of afib. Each time I see the electrophysiologist, we've discussed ablation and the Watchman. Each time I made it clear to him that I wasn't ready to consider such invasive interventions. Recently I decided it was time to see a "regular" cardiologist, as well - someone who would look at the bigger picture. When he and I discussed my afib history, and the idea of ablation, etc., his way of putting it was, "your atrial fib burden is too low to think about those things yet." So I find the phrase "afib burden" to be a useful way to thinking and talking about how it is affecting one's life.

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@shar28092 The two great determinants of a heart's future in arrhythmia are how symptomatic the bearer is and how much progression and remodelling is showing up on subsequent scans. A low burden is often well-tolerated by the hosts and by the heart, and if it's no bother to speak of, then really.........do nothing. Live with it. On the other hand, if the patient is unduly oppressed by the various symptoms, and particularly if the progression shows marked deterioration in heart function or obvious cardiomyopathy, then more drastic treatments should be done in short order. An arrhythmia patient should remember that the best time to take action is when the diagnosis is the freshest, not years later when treatments might not work very well...or at all. For atrial fibrillation (AF), it almost always progresses and it becomes more and more intractable and more deleterious to the myocardium and possibly to valves, often resulting in heart failure. For AF...get it under control as soon as possible.

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lfferri | @lfferri | Aug 10 9:16am
In reply to @lfferri "@sheriff50 My experience as I have had permanent Afib for 5 years. Initially had a tee..." + (show)
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@sheriff50 My experience as I have had permanent Afib for 5 years. Initially had a tee conversion to sinus rhyhm lasted 6 months. Went back to permanent afib but refused sotolol treatment knowing all the terrible side effects. Over the last year I feel much better but still permanent afib. Taken off beta blocker and feeling better. Refused ablation treatment !

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@lfferri Exactly what I did sheriff50 , Afib for 5 years tee conversion 7months sinus then more afib no sotolol or other beta blockers !

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