falling and also have afib

Posted by scottbliz @scottbliz, 3 days ago

I am in afib at the present. I am other wise healthy 75 woman and very strong and active. But I have been falling at least twice a week I know one of the falls was a blackout by the pool of blood on the floor but the others I am aware of going down with nothing to trip on. Just walking outside and boom I am down. Does anyone have any descriptions of falling and being aware of it. Luckily I am able to get up without getting hurt. I don't think I'm that clumsy and definitely not weak. I can still lift 50 lb bag of feed.

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Have you been prescribed any of the many drugs that are used to control (lower) you BP and pulse rate? If so, these drugs can cause dizziness which could lead to problems with balance. If in fact you have been prescribed one of these drugs, then I would definitely contact the prescribing physician and tell that person about your problem.

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I think suerte gives good advice. Since we all react differently to different meds, it's a great place to start. I fit your description though I am a bit older. I haven't had falls, but attacks of dizziness. My primary care doc works with me on moderating my meds.

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a. Is this a formal diagnosis?
b. Are you on an anti-coagulant? If formally diagnosed, you need to be on one. Some don't tolerate them, and maybe fainting is one of YOUR outcomes...maybe....
c. Often AF comes as a result of mitral valve failure or prolapse. Has this been ruled out? Mitral valve prolapse or failure means the same risks of falling and running short of blood supply to the brain as AF does.
d. Were you prescribed metoprolol or diltiazem, maybe something else, for rate control? Sometimes a person is hyper-reactive to these drugs and it slows their hearts so much that they are in severe bradycardia, which brings on severe hypotension.....blackouts. Falls, possibly getting a concussion. Not good.
Your physician/cardiologist needs to know about what you are experiencing....right away. Five minutes ago would have been great. We can't really offer more than guesses here.

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Did you start taking blood thinners for the AFib? Is that when the falls started? My brother started taking a blood thinner after his heart attack and surgery. In the next 6 months he fell and ended up in the ER 7 times before they figured out he had internal bleeding from a malignant tumor he didn’t know he had. That caused the falls. Have they ruled out internal bleeding?

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@californiazebra

Did you start taking blood thinners for the AFib? Is that when the falls started? My brother started taking a blood thinner after his heart attack and surgery. In the next 6 months he fell and ended up in the ER 7 times before they figured out he had internal bleeding from a malignant tumor he didn’t know he had. That caused the falls. Have they ruled out internal bleeding?

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I hadn't thought of that, but you're right.

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scottbliz,
I suggest you get yourself checked out by a doctor. Although you will see some useful info on this forum (pretty much what is available to anyone on the internet), it's no substitute for a diagnosis /treatment from a qualified medical professional.

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Sorry I wasn't real clear. I am taking metaprolol and 5 mg eliques twice aday. BP and heart rate are good but I have afib. Scheduled for ablation in 5 weeks. I was just wanting to know anyone experience with suddenly going down.

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@scottbliz

Sorry I wasn't real clear. I am taking metaprolol and 5 mg eliques twice aday. BP and heart rate are good but I have afib. Scheduled for ablation in 5 weeks. I was just wanting to know anyone experience with suddenly going down.

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I had one incident of syncope about two months prior to my first (of two) ablations. I had been getting more and more frequent episodes of AF, and my metoprolol dosage had just been increased on the advice of the gentleman surgeon who briefed me on the results of a preparatory angiogram (requested by the electrophysiologist who wanted to know if he was dealing more with ischemia than with a mere electrical disorder). He raised my dosage from 25 mg BID to 50. On this particular day, I had bent over, having sat and rested for maybe 15 minutes without rising, and picked up something from the carpet at my feet. I then stood and walked perhaps 10 steps and then a loud yammering, machinegunning, sound, happened between my ears. I felt myself slipping into unconsciousness and knew to get my backside low and onto the wooden flooring ASAP. I still fell with a thump, but I was fine. My head cleared, I never really lost consciousness. It was, as I stated, syncope, but it was positional...or so my EP offered when I mentioned it to him as he came to my bedside just prior to me being wheeled into the cath lab for the ablation. I think it was because I was very healthy, a life-long competitive runner with a very strong and fit heart, but the higher dose of metoprolol had but me in danger of low BP and then syncope. In fact, this is so common that it should be pointed out to both patients and their best buds with them to watch out for a heart in NSR, not fibrillating at the time, and its rate dropping into the high to low thirties...happened to me.

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@gloaming

I had one incident of syncope about two months prior to my first (of two) ablations. I had been getting more and more frequent episodes of AF, and my metoprolol dosage had just been increased on the advice of the gentleman surgeon who briefed me on the results of a preparatory angiogram (requested by the electrophysiologist who wanted to know if he was dealing more with ischemia than with a mere electrical disorder). He raised my dosage from 25 mg BID to 50. On this particular day, I had bent over, having sat and rested for maybe 15 minutes without rising, and picked up something from the carpet at my feet. I then stood and walked perhaps 10 steps and then a loud yammering, machinegunning, sound, happened between my ears. I felt myself slipping into unconsciousness and knew to get my backside low and onto the wooden flooring ASAP. I still fell with a thump, but I was fine. My head cleared, I never really lost consciousness. It was, as I stated, syncope, but it was positional...or so my EP offered when I mentioned it to him as he came to my bedside just prior to me being wheeled into the cath lab for the ablation. I think it was because I was very healthy, a life-long competitive runner with a very strong and fit heart, but the higher dose of metoprolol had but me in danger of low BP and then syncope. In fact, this is so common that it should be pointed out to both patients and their best buds with them to watch out for a heart in NSR, not fibrillating at the time, and its rate dropping into the high to low thirties...happened to me.

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Thank you that helps

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