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I've had AF for about 9 months now and was on Dabigatran and Bisoprolol. I couldn't get cardio-version on the NHS as although I had permanent AF for 4 months (following an operation), I switched into parxoxysmal. I have recognised triggers which I now avoid - caffeine, salt, dehydration etc; the one trigger that I do not wish to avoid is excerice and 75% of the time this puts me back into AF. I'm 50 years old and do intense excerice at least once a week plus other excerice - the intence excercise puts me into AF and I do try and stay well hydrated. I've just been prescibed Flecainide and after 'spinning', I went back into sinus rythm - a few days later however I've just played touch rugby and the flecainide has not worked; I've remained in AF - I've only been prescribed 50mg. Should I take another one? How often can you take them? Should I have a higher dose? I have a relatively healthy heart for someone in AF, I have average blood pressure 117/72 (last check), my sinus BPM is circa 58-62 bpm average - but, I am 17stone (ex-rugby player) and carry a lot of muscle bulk but also fat. If I excercise three times a week, is it OK to take flecainide each time or until it stops? Should I have been kept on beta blockers instead? If I don't take any drugs I remain in AF - while I was waiting to take Flecainide I stopped my beta blockers for three weeks and remained in permanent AF 24/7. Stopping excercise or slowing down on my excercise is not an option.
My AF is not as dibilitating as most - my resting average BPM jumps to 85-120 and I have mild palpitations; I lose about 20% of my energy; I can still excercise on AF although I lose breath mor equickly than when in sinus rythm. What is the solution to regular excerce bring on regular AF when using the 'pill in pocket' approach?
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