What is Atrial Fibrillation AFib

Atrial fibrillation (AF or afib) is an abnormal heart rhythm (cardiac arrhythmia) which involves the two small, upper heart chambers (the atria). Heart beats in a normal heart begi...

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Hi there,
I was going to reply to one post I read here....then I read another and wanted to reply....then another! So, I thought I'd just put it all in an introductory post. I have looked at a few AFib support forums but this one seems to be more practical than the others.

I am in the United Kingdom and am 48 years old. I was actually first diagnosed with AFib when I was approaching 40 but Drs now accept that symptoms I have had since I was a teenager were down to AF. This included what they think might have been a TIA when I was 32 - I lost my vision whilst driving after palpitations in my chest for some time beforehand (I am grateful to still be here to tell the tale!). I did undergo significant tests at the time but it the episode remained unexplained. Since teens I have had occassional fainting - especially when getting out of bed and what I thought were palpitations. I was a sportswoman back then and although it didnt hold me back, I did notice that often I would be out of breath quicker than anyone else and it would take me longer to recover after strenuous activity.

About 10 years ago I got out of bed, felt dizzy and faint and felt the 'mammal' flapping in my chest. However, I felt worse than any time before and drove myself (eek!) to the local hospital where they wired me up. The Doctor was amazed looking at my trace and refered me to specialist where I got the diagnosis of Paroxymal AFib. Since then I have tried a few meds (flecanide & sotolol) but felt so ill on them I stopped. Since diagnosis I have been sensible and never drive if I feel an episode coming on (inconvenient buy I have a supportive husband as a taxi driver!) and have made lifestyle changes to help but the meds werent for me and I have just tolerated my AFib and the restrictions it sometimes places on you.

About a year ago my AFib, which I just put up with, got considerably worse - for no apparent reason. In Nov 08 it was so bad (fatigue, breathlessness, dizzy etc), with almost daily long episodes that I asked for an ablation (PVI), which I had on 14th Jan at QEH Birmingham. I had some complications (damaged an artery at groin entry site) and I had to stay in hospital for a week. However, I havent had an episode since the procedure. I hope this is a good sign but I have been off work at home doing very little since the procedure. I worry that once I go back to work this next week and return to my active life that my AFib will return as I expend more energy - my cardio said I have a 50% chance of having to have a 2nd procedure. He used a word to describe my veins but I cant for the life of me remember what it was!

Another point of interest is, for reasons I wont go into here, I lost contact with my brother when I was in early twenties. I was reunited with him in 2006 where he told me that he had paroxymal Afib for some years and that he had a TIA in late 30's. I know one case doesnt make AFib automatically genetic, but it seems more than a coincidence, especially us having it so young (he's only 18 months older than me).

Looking back, I have been my own worst enemy, almost in denial about sysmptoms. Had I been more open about them to medical professionals (severity, frequency & impact) then I might have been diagnosed earlier. But general practioners werent really aware of AFib then and I certainly didnt want to make a fuss.

Apart from the damaged artery, my ablation procedure was fine. Although, because I was in AFib on admission and on morning of procedure, they said they would only go ahead if they pushed a camera down my throat to check not clots present. I wasnt expecting this and it was much worse than the ablation! - nasty stuff they spray in your throat before insertion!! I was told I had a lot of burns but felt absolutley no pain or discomfort in chest and still havent.

Good lord, this has turned into War & Peace!

Kind Regards.
Posted on 02/01/09, 03:02 pm
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Reply #11 - 06/25/09  5:21pm
" Catinsb:
I know of several people who have had ablations and were sent home from the hospital off the meds. Every doctor is different. My doctor kept me on Sotalol after the ablation, then slowly removed me from all meds after he had me wear monitors to make sure I was having no a-fib. "
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Reply #12 - 08/14/09  8:01am
" Hi all,
I had the second ablation Wednesday this week and am now home feeling very good. I am now on warfarin only :) I haven't taken the heart meds (Cardiador) since last Saturday and everything has been fine. The Dr said he thinks the 2nd procedure was sucessful. Had no problems with the entry site this time, with just a little bruise at the moment. If I remain a-fib free I can come off the warfarin too :) but not for some months :(

I know the UK NHS has been the subject of hot debate over the Atlantic this week but I have to say that my experience has been very good. I gave in and asked for an ablation in Nov 2008, was referred to specialist and had the first ablation in early Jan some 6 weeks later. I had a 6 month follow up and they booked me in for the second ablation 6 weeks after that. I dont think a 6 week wait for a non life threatening condition is unreasonable. I also had 2 babies that needed intensive care and the NHS saved their lives. Not saying it doesnt have its flaws but consideration of its merits needs to be balanced.

Hope everyone is doing well :) "
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Reply #13 - 08/14/09  4:05pm
" You and Chris both had your ablations on the same day.
Congratulations! I will keep you in my prayers and hopefully you will have a lifetime of NSR!
Wishing you well, and wishing you enough... JB "
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Reply #14 - 08/15/09  3:53pm
" Thanks JB, still in NSR :) Looking forward to getting back to work and normal life :) "

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