If you aren’t in heart failure, ask your EP about Flecainide. As Daisy mentioned, afib begets afib. Progression to persistent (or permanent) afib will only limit your options.by rel - AFIBBERS FORUM
Metoprolol 50mg, Flec 200mg. Originally on Metoprolol alone, it did nothing for my SVT+afib episodes. Then added Flec 100mg (50mg twice daily) which restored my life. I cannot tell you how much burden the daily SVT (plus threat of afib) was placing on me, all of which disappeared within days of starting Flec. Unfortunately, 5 months later had a breakthrough afib episode. I was arranging PFAby rel - AFIBBERS FORUM
Brian, Your situation reminds me of my own, here’s my advice: get on flecainide 200mg a day (under EP guidance) and get your life back. Don’t wait months (or years) with frequent daily episodes — your heart is being remodeled. You have a lifetime to adjust/reduce meds and get an ablation, right now flec is your best shot at stopping the cycle cold in its tracks. Afib begets afib!by rel - AFIBBERS FORUM
QuoteGeorgeN is very easy for her heart to accelerate to high rates with little exertion. In her case, a high carb diet seems to accentuate this issue. Also, copious Zone 2 training seems to ameliorate this acceleration. Wow George, this is a dead ringer for for me, thanks for sharing. High carbs (especially at dinner) puts me in the danger zone, and very little exertion while in this zone caby rel - AFIBBERS FORUM
After a day of researching WPW with AFib, I have significant concerns. Degradation to Vfib is a very real risk, and that’d be game over: SCD. However, I did read this: “Patients with concealed WPW syndrome are not at risk because in them, antegrade conduction does not occur over the accessory connection.” The uncertainty of potentially having WPW is unnerving. I cannot live life with SCDby rel - AFIBBERS FORUM
Quotesusan.d keep in mind that class Ic and class III antiarrhythmic medications will slow AP conduction, facilitating blockage of SVT. If the patient has a history of AF or atrial flutter, an AV nodal blocking medication should also be used.” Thanks for the reference @susan.d — if I’m interpreting this correctly, flec+metoprolol combo is inline with current pharma recommendations in the case oby rel - AFIBBERS FORUM
Quick update, I saw my EP today and we have agreed to double the flec to 100mg twice daily. In talking more deeply surrounding my situation, my EP raised the possibility of "Concealed" WPW as a potential cause my early onset AFib. This presents a conundrum, because with normal WPW, it would be an obvious decision to move forward with an ablation. Unfortunately with Concealed WPW, theby rel - AFIBBERS FORUM
QuoteCarey they completely ignored flutter, which is the most likely form of SVT to accompany afib Worth sharing is that I'm acutely aware of every arrhythmia or palpitation I experience, as well as the differences between them all. I know when I'm having isolated PVCs vs PACs. I know pure SVT like the back of my hand, with hundreds of episodes in my lifetime. One ER visit even caughtby rel - AFIBBERS FORUM
QuoteCarey But even if AVRT/AVNRT are the actual culprits that initiate your afib, the fact that they're able to do so means the afib is there and has to be addressed on its own. Once it's out of the way AVRT/AVNRT should be fairly easy to identify, hopefully in the same procedure. I originally followed the same logic of ablating both sources in one procedure, but unfortunately thisby rel - AFIBBERS FORUM
Quotetallguy31 Wow, your situation sounds sounds just like mine ... I just can’t live like this any longer. I’m afraid to exercise and And I’m just waiting for the next episode I've followed your posts as a long time lurker, and definitely see the similarities in tall slim disposition and episode characteristics (middle of the night). Here's more detail about my situation, perhaps itby rel - AFIBBERS FORUM
Quotesusan.d 50mg flecainide is pretty low. Has anyone suggested 100mg twice a day? That is the maximum dosage if you weigh less than 154 pounds ... Get a flecainide serum lab test from labcorp I am 198lbs and quite tall (slightly slim+athletic) so you are correct: 50mg twice daily is low, especially for my build. I am meeting with my EP tomorrow and plan to discuss 100mg twice a day and the flby rel - AFIBBERS FORUM
QuoteCarey The fact that adenosine didn't break the arrhythmia pretty reliably indicates it's not AVNRT or AVRT. To my knowledge, Adenosine will slow, but not terminate, atrial fibrillation. Every episode of AFib that I've ever had starts as SVT and then degrades into AFib within 5-15min. Even though the paramedics thought I was simply in SVT, they were incorrect because theby rel - AFIBBERS FORUM
I'm a male in early 40's with a long history of SVT. Ever since I was a teenager, I've experienced a random nightly pattern of falling asleep, only to open my eyes an hour later, wide awake as if I was never asleep. Shortly afterwards, a feeling of adrenaline rushes throughout my body and then my heart is off to the races. These episodes would last between 10-20min, depending on thby rel - AFIBBERS FORUM