My friends first episode

Hi all,
My friend found himself In his bathroom yesterday feeling faint,
He was having mild heat stroke, and them bam onset
Afib! He is 39 in good health very good shape. He had a long episode for a
First 18hours! A few things the cardio said to him,
He said being dehydrated and or the vomiting could have triggered the episode? I know being dehydrated could
Do it, seems like a long episode for a first? He had all the usual
Tests all came back normal, he converted with medication and
Was sent home with no real limitations, was just wondering what your opinions
Might be on this?

Given the gut afib connection, I can see the logic in vomiting causing afib.

If he is in very good shape, you might want to inform him of the lone afib/exercise connection.

In my opinion, it would be time to moderate exercise and pay attention to electrolytes. If that strategy is going to keep afib in the box, the earlier in the progression you start, the better.

Dehydration is a trigger for me. Even if I'm up to snuff on mag and potassium. I'm sure it has to do with changing your blood volume carrying essential electrolytes, and possibly the ratio of each, to say nothing of the way those are transferred through cell membranes.

lisa
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So much of medicine is looking solely down the wrong end of the gun barrel, and that is really a pity for all of us---Shannon