Managing A-Fib while waiting for an appointment with cardiologist

Posted by blanche123 @blanche123, Jun 1 6:44pm

I had my first episode of AFib (very active 63 y/o female with no cardiac history)with RVR and
Left axis disfunction. They couldn’t give me Cardizem because of a warning on the computer they had never seen before. By the time they figured that out and we’re ready to give it my heart converted on its own.

They sent me home with no meds. 5 days later at Panera it happened again. I really didn’t want to go back to the ER so I was bearing down hard and eventually it passed. I can’t get into see a cardiologist for 2 months. Do I need to be worried? They just said come back if you have more trouble. I don’t want to keep running to the ER. Just a little concerned about the RVR part.

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

Hello Blanche123
I have had AFIB for 14 years. I am in AFIB 24/7 now but do not have RVR. It is sad that you have to wait so long to see a Cardiologist because he could treat you and possibly eliminate ER visits. My concern is that during these episodes you are not on a blood thinner. A stroke is a risk factor with AFIB. I am not a DR or nurse so not qualified to advise you. But wondering if it would be worth calling the cardiologist and let him/her know what is going on and what he advises you to do until you see him/her. I wouldn’t hesitate to go to the ER if necessary though. Best of luck to you.

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They said I am at almost zero risk from a blood clot because I am in very good shape and my labs are good.

I called my GP and she ordered a 30 day event monitor. I also am getting a Fit bit versa elite that I can wear in the water when I swim. She also gave me parameters of when to go to the ER so now I’m feeling better about it all.

Thank you for your reply!

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@blanche123

They said I am at almost zero risk from a blood clot because I am in very good shape and my labs are good.

I called my GP and she ordered a 30 day event monitor. I also am getting a Fit bit versa elite that I can wear in the water when I swim. She also gave me parameters of when to go to the ER so now I’m feeling better about it all.

Thank you for your reply!

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Hi, @blanche123. A quick reaction to your recent message. I'm in very good shape, my labs are good, and I have asymptomatic A-fib. I only know of my A-fib from regular medical exams including EKG readings. However, I had a stroke two years ago — "minor" they said — but it has taken away a bit of my brain power governing senses, urinary system, and physical stability. The stroke happened despite my being on the anticoagulant Coumadin. Do all you can to get Cardiology to check you out as soon as possible. Martin

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I am not a Dr. or nurse but suggest you go on low dose aspirin until you can be seen.

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@blanche123, I'd like to add my welcome. I can imagine you have many questions while waiting for your upcoming appointment with a specialist. I agree with others who have posted about looking into getting an earlier appointment. In the meantime, the 30-day monitor and oversight with your GP will provide valuable information for the cardiologist.

You may be interested in reading these related discussions:
– Asymptomatic Atrial Fibrillation https://connect.mayoclinic.org/discussion/asymptomatic-atrial-fibrillation/
– Your Tips on How to Get Off to the Best Start with a New Specialist https://connect.mayoclinic.org/discussion/your-tips-on-how-to-get-off-to-the-best-start-with-a-new-specialist/

How are you feeling?

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There are two scoring systems for the need for anticoagulation with afib:
https://www.mdcalc.com/chads2-score-atrial-fibrillation-stroke-risk
The https://www.calculators.tech/chads-calculator

The CHADS2 DS2 VASC is considered an enhanced system. However my cardiologist does not use female gender as a factor. Note that the older system is for >75 and the newer one has >65.

Aspirin is no longer recommended as an anticoagulant but your PCP or pharmacist could comment on that.

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They told me not to take aspirin when I asked about it. They said I don’t need anything. I have had 3 episodes of AFib since the ER. They didn’t last long and got shorter each time. I was able to stop them with maneuvers and breathing.

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@colleenyoung

@blanche123, I'd like to add my welcome. I can imagine you have many questions while waiting for your upcoming appointment with a specialist. I agree with others who have posted about looking into getting an earlier appointment. In the meantime, the 30-day monitor and oversight with your GP will provide valuable information for the cardiologist.

You may be interested in reading these related discussions:
– Asymptomatic Atrial Fibrillation https://connect.mayoclinic.org/discussion/asymptomatic-atrial-fibrillation/
– Your Tips on How to Get Off to the Best Start with a New Specialist https://connect.mayoclinic.org/discussion/your-tips-on-how-to-get-off-to-the-best-start-with-a-new-specialist/

How are you feeling?

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Thanks for the info

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@predictable

Hi, @blanche123. A quick reaction to your recent message. I'm in very good shape, my labs are good, and I have asymptomatic A-fib. I only know of my A-fib from regular medical exams including EKG readings. However, I had a stroke two years ago — "minor" they said — but it has taken away a bit of my brain power governing senses, urinary system, and physical stability. The stroke happened despite my being on the anticoagulant Coumadin. Do all you can to get Cardiology to check you out as soon as possible. Martin

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I got my appoint moved up two weeks sooner. Still have until July 11

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@blanche123

They told me not to take aspirin when I asked about it. They said I don’t need anything. I have had 3 episodes of AFib since the ER. They didn’t last long and got shorter each time. I was able to stop them with maneuvers and breathing.

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Hello Blanche! I am interested in knowing what maneuvers are successful for you. If it’s too much to type it all out if you could refer me to a Website that would also be helpful.
Thank you

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@blanche123

They told me not to take aspirin when I asked about it. They said I don’t need anything. I have had 3 episodes of AFib since the ER. They didn’t last long and got shorter each time. I was able to stop them with maneuvers and breathing.

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I find the following can help: extending neck by jutting chin forward; forcing burps – inhale air into mouth and the burp it out; sit rather than lie back – if you want to lean back use a wedge shape foam pillow to keep head & neck upright

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I was diagnosed with AFIB in 2019, age 75 years old in ER and they got it to stop and made an appointment with Cardiologist and had to wait 2.5 months.. I was put on Medication the 2 nd time back in ER and then the Doctor put me on two more meds. They costs me hundreds $$ per month and I have good insurance. They controlled my AFIF for almost 18 months and then I had to go to ER for Cardiofversions 3 times. The medications made me tired and I felt generally horrible. When I was in ER the Doctor told me to get an Ablation Surgery….the Doctor in my town had 40% success rate and told me most people have 2 or 3 Ablation Surgeries! So I went to Mayo Clinic (they have a higher success rate) and two Doctors did my Ablation Surgery two years ago and I have been 100% free of ABIB and no more meds except blood thinners. My point is that I found the ER Doctors more helpful then my 2 Cardiologists in my town.

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