AFib questions

Posted by peggyd @peggyd, Mar 23, 2016

Good morning! I’m almost 66 years old, with infrequent AFib and on Eliquis. Sunday evening I had a spectacular nosebleed and went to the ER, where the attending physician inserted an epistaxis nasal pack (the kind with the inflatable balloon). I’m getting it removed tomorrow. What can I expect when it comes out–besides my own reaction of dancing gleefully around the office? Blood? Clots? Scabs? A genie? Thanks for your help!

@martishka

Hello @2880,
I am not familiar with your symptoms- just that the cardioconversion didn’t work. I had aFIb for many years and found a permanent fix with a PVA (pulmonary vein ablation) I never had a cardio conversion even though I was offered it in emergency. I felt more comfortable with an IV of meds and I always went into sinus rhythm.
What I do know about aFib is that it can progress into a permanent rhythm, so it is wise to try and take care of it while you can. Every situation is different and it would be determined by your electrophysiologist whether or not you are a candidate for the procedure. If you want more info about PVA let me know.
Good luck, I hope that you find a solution.
martishka

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My electrophisiologist recommended another Cardioversion followed by 2 days in hospital on Tikysen(s??)
I have also contacted Dr Andrea Natale in Austin for another opinion ( non stop flight from Portland)
I just want to do what is right for me !
Don’t have faith in Doc here.Wishi did!
Thanks for great replys , Didi

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@cynaburst

Many people have had good success with ablations to treat afib. If you are not tolerating well, that might be a thing to try. Where are you located? Do you have any structural abnormalities as well?

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Flecainide does not work for my AFIB – My electrophisiologist is doing a second Cardioversion followed by a 2 night hospital stay to see if Tikosyn will work instead .

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@texas7777

I’m 42 years old in great shape (not running shape, but overall); 2 young boys, active, etc.. Recently diagnosed with Premature Ventricular Contractions (PVC), thus still learning about it. Had 7,500 PVC’s in 24 hours. Now trying to decide between meds or catheter ablation (burn or freeze). I’ve probably had it for awhile, but symptoms (light headed, shortness of breath, tired, short-term memory loss at times, etc.) have gotten worse over the past 6 months. I stopped alcohol, caffeine, and trying to reduce stress. Seems to help, but something will have to be done.

I have an appointment with an electrophysiologist in a couple of weeks, but may fly out to MN or FL to Mayo.
Any advice/suggestions appreciated. I’ve read through many comments on Afib (couldn’t find much on ventrical issues) meds, the ablation procedure, etc., but that just made things more confusing.

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Another update. I reluctantly (I hate meds) started Toporol (low dose) a few weeks ago and immediately felt better; more energy, reduction in my being able to feel my PVCs, etc. However, still have headaches/dizzy spells. Did MRI last week; brain good but tons of sinus polyps which are probably causing some of my headaches., “head pressure, dizzy, tired in mornings, etc. Now, focused on the sinus. Thus, toporol worked for me, but I have a co-worker in which it didn’t; lowered blood pressure too much.

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@texas7777

I’m 42 years old in great shape (not running shape, but overall); 2 young boys, active, etc.. Recently diagnosed with Premature Ventricular Contractions (PVC), thus still learning about it. Had 7,500 PVC’s in 24 hours. Now trying to decide between meds or catheter ablation (burn or freeze). I’ve probably had it for awhile, but symptoms (light headed, shortness of breath, tired, short-term memory loss at times, etc.) have gotten worse over the past 6 months. I stopped alcohol, caffeine, and trying to reduce stress. Seems to help, but something will have to be done.

I have an appointment with an electrophysiologist in a couple of weeks, but may fly out to MN or FL to Mayo.
Any advice/suggestions appreciated. I’ve read through many comments on Afib (couldn’t find much on ventrical issues) meds, the ablation procedure, etc., but that just made things more confusing.

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Buc, I think most of us would do without meds if given the option, but sometimes they are necessary. I’m glad Toprol-XL (metoprolol) is working for you.

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Good night. I have atrial fibrillation since December 2015. Been to a number of doctors. Been put on blood thinners, tambacor and lopressor. The afib attacks have increased over the past few months resulting in many visits to the er. I have been recommended for abalation however the doctor said I’m not a good candidate because I can’t tolerate the blood thinners. I am 62 and has diabetes. I also have one of my thyroids removed. I’m post menoposal. Had my appendix removed six months prior to the onset of the afib.
Help!! Can anyone give me some insight or direction to take.
Thank you.

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@gloria242

Good night. I have atrial fibrillation since December 2015. Been to a number of doctors. Been put on blood thinners, tambacor and lopressor. The afib attacks have increased over the past few months resulting in many visits to the er. I have been recommended for abalation however the doctor said I’m not a good candidate because I can’t tolerate the blood thinners. I am 62 and has diabetes. I also have one of my thyroids removed. I’m post menoposal. Had my appendix removed six months prior to the onset of the afib.
Help!! Can anyone give me some insight or direction to take.
Thank you.

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Sorry I don’t have diabetes. I have hypertension.

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Hello @gloria242,

Welcome to Connect. You will see that I moved your message to this discussion so that you can meet other members like you who are worried about what is to come. I encourage you to read through the past messages here, and I’m certain that @peggyd @HeartPatches @martishka @twptrustrek @success101 @frank4848 @prescott @nadine66 @donnelson @predictable @audree @grandmajan @patinhou, and others will return with their insights.

@gloria242, how do you manage the hypertension and afib currently?

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@gloria242

Good night. I have atrial fibrillation since December 2015. Been to a number of doctors. Been put on blood thinners, tambacor and lopressor. The afib attacks have increased over the past few months resulting in many visits to the er. I have been recommended for abalation however the doctor said I’m not a good candidate because I can’t tolerate the blood thinners. I am 62 and has diabetes. I also have one of my thyroids removed. I’m post menoposal. Had my appendix removed six months prior to the onset of the afib.
Help!! Can anyone give me some insight or direction to take.
Thank you.

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@gloria242

Good night. I have atrial fibrillation since December 2015. Been to a number of doctors. Been put on blood thinners, tambacor and lopressor. The afib attacks have increased over the past few months resulting in many visits to the er. I have been recommended for abalation however the doctor said I’m not a good candidate because I can’t tolerate the blood thinners. I am 62 and has diabetes. I also have one of my thyroids removed. I’m post menoposal. Had my appendix removed six months prior to the onset of the afib.
Help!! Can anyone give me some insight or direction to take.
Thank you.

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Hello @terryfrye,

Welcome to Connect. I see that you posted an empty message; did you mean to post something more, or reply to a member’s post?

If you would like more information on how to use Connect, you can find it here: http://mayocl.in/2gkzikX
Or, if you wish, feel free to send me a personal message by clicking on my name, then clicking on the blue envelope symbol, and typing a message that will only be between you and I.

@terryfrye, what was it that brought you to the Afib discussion, in the Heart & Blood Health group?

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@kanaazpereira

Hello @gloria242,

Welcome to Connect. You will see that I moved your message to this discussion so that you can meet other members like you who are worried about what is to come. I encourage you to read through the past messages here, and I’m certain that @peggyd @HeartPatches @martishka @twptrustrek @success101 @frank4848 @prescott @nadine66 @donnelson @predictable @audree @grandmajan @patinhou, and others will return with their insights.

@gloria242, how do you manage the hypertension and afib currently?

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Hello, I control my blood pressure with zestfil. However recently it has been difficult to control with the frequent afib attacks. I don’t know if its the afib triggering the spike I blood presume rises or is it the blood pressure that is triggering the afib. I am currently taking aspirin to help with thinking of the blood. I discontinued the blood thinners because of the side effects, such as bleeding and low iron content. Also since taking the blood thinners, I have had issues with urinating and going to the toilet.

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Hi I’m new on here. I’ve been diagnosed with Afib about 7 months ago. I get tacycardia which is fast heart beat at times or flutter. I’m exhausted most of the time. Can you tell me what people do about this? It is a bit scary. I am on Eliquis 2.5 mg. 2 x a day also. But because of my fear of hemharage. I take mine 1 every other day. I’m not recommending it. Of course do as you cardiologist says to do. That’s just me.

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@carnes

Hi I’m new on here. I’ve been diagnosed with Afib about 7 months ago. I get tacycardia which is fast heart beat at times or flutter. I’m exhausted most of the time. Can you tell me what people do about this? It is a bit scary. I am on Eliquis 2.5 mg. 2 x a day also. But because of my fear of hemharage. I take mine 1 every other day. I’m not recommending it. Of course do as you cardiologist says to do. That’s just me.

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Hi @carnes. Really glad you’re checking in every few days with developments in your a-fib challenge.

For more information, go to mayoclinic.org and search for “cardioversion for atrial fibrillation”. Lots of articles will come up. “Ablation” is another type of treatment that is common. That will come up in search results if you search for “ablation for atrial fibrillation”.

As to Eliquis, doctors ordinarily want you to follow their instructions on taking medication. The potential for your heart to generate blood clots while your atrium is fluttering is the reason for taking an anticoagulant. My choice is Warfarin (Coumadin), because there is an antidote available to restore coagulation if its ever needed to stop you from bleeding from an injury. I have been taking Warfarin (7.5mg per day) for over two years and ensuring its proper coagulation with a lab test once every eight weeks.

I’m also taking Carvedilol to help reduce erratic heart beats, as you probably know from one of those discussions. I haven’t undergone cardioversion or ablation, but I have a friend who has received both treatments, and when I saw him last week, he was in fine fettle with plenty of energy.

I think your doctor will explain whether a recoagulant (antidote) is advisable in your case, given the fact that Eliquis is your medication, and how to deal with bleeding if it occurs. Martin

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