Stress trigger for atrial fibrillation

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I had a cryoablation for afib just before Easter so now I'm in my 3 month blanking period and so far I'm extremely pleased with my heart's performance.

I'm aware that stress has an effect on the heart and I'm consciously avoiding stressful situations as much as possible (ha!). The night before last however, I got myself in quite a tizwaz about something and couldn't relax when I went to bed, was up reading until 3am and eventually drifted off to sleep.

Morning arrived and I went straight into afib for about 4 hours.

I've given myself a good talking to and everything has calmed down.

Do others have their own particular triggers they avoid?

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20 Replies

  • Posted

    I had my cryo ablation when u did and was told the blanking  period would be until the end of June. Unlike u, I go into afib without any stress at all causing it -- I can take a nap and wake up with a 135 pulse for no reason at all -- then go back down to 65. I'm not in afib for long and usually back to normal quickly.  Also troubling for me is that my lower blood pressure number has gone high -- into the 90's, which has never happened to me before and I am on a blood pressure med. 

    its disappointing to me that I'm still having afib but I am trying to remain positive until I get my holter test the end of June. 

     

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  • Posted

    We'll have to exchange notes - similar date lines! My blood pressure is good 120/70, I'm also on meds for that, and My afib is so far under control, except for the episode yesterday morning. I, too, will have a holter test but not until

    Is it your first ablation? This is my second as the first one was only successful until I got home from hospital. Perhaps ask your GP or cardiologist on their opinion. They may say wait until the end of the month to see if it changes.

    I hope it will eventually normalise and wish you luck.

    Gwen xx

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  • Posted

    This is my first ablation. Doc told me it's a 70-80% chance of success. I'm not sure I would go thru it again. 

    Its all all over the map on success. Some people have only needed one ablation, some have needed two. Some had it last for only a little while, others for years.  

    Plus the $90K bill from Mayo clinic was almost enough to give me a heart attack!  I have no idea at this time what insurance will and will not cover. 

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  • Posted

    Wow Suzanne! 90k! I live in France and the cost is mainly taken up by the State with a small percentage being paid for by the patient through private insurance

    cover which, for two people, is around 2000 euros a year which covers everything.

    I also said that I wouldn't do a 2nd ablation but I had to have a change of mind when I started fainting and not having the confidence to be alone without passing out.

    You are correct, the first one does work sometimes but then again it's not guaranteed. They told me this one was 50/50, so I have my fingers crossed every day that it will be successful.

    Gwen xx

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    • Posted

      Its at moments like this i truely appreciate the NHS in the UK!! I have just had my second ablation, two weeks ago. My first cryo was 80% successful. My consultant is confident this second one should have nailed it. I am still recovering at present but doing so faster than after my first procedure. Ive had a couple of brief episodes, but i overdid things, so im hoping they were just blips, and not an indicator of remaining issues.
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    • Posted

      Hi cardiac congo

      I wish you every success with your 2nd ablation. I'm hoping mine keeps going well too.

      I think the French health system works very well. Yes, we have to pay the top up insurance, but all our prescriptions are included as well as x-Ray, MRI scans, dentists, and lots of other benefits. The treatment is equivalent to that of a private patient in the UK, no waiting around and fast service.

      So although it is quite expensive, we are happy with it.

      Gwen xx

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    • Posted

      Hi Gwen. Good to know your system is fast. I was fortunate to not have long waits too in fairness. Glad ive not had considerations like patients in other countries have noted! My mistake today - a glass of cola! Paying the price at the moment!! It would appear to be a trigger for me. 😞
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    • Posted

      Gwen, I'm surprised that u were told the success of the second ablation is only 50/50. I was told that the chances of success with a second one is greater than the first because they go in and just 'touch up' what they might have missed the first time.  I certainly wish u the very best.

      did want to say how grateful I am that I found this site. It is comforting to be able to communicate with people who are all going thru the same thing.   

      God bless u all 

       

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    • Posted

      Hi cardiac congo,

      Oh yes, cola - I hadn't thought of that as a trigger but of course it must be the caffeine content.

      I'm avoiding plain chocolate, coffee and alcohol and of course the biggest trigger - stress!

      Christmases are a bit boring lately!!

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    • Posted

      I was told by the surgeon after that it was a very long and very difficult operation because there was a large area to an late.

      I was under sedation for 7 hours and the maximum time is usually around 5 hours.

      He also said I could possibly now have a flutter instead but so far so good!

      I'm also grateful to have found this site. It's good to discuss worries and thoughts with like minded people.

      xx

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    • Posted

      hello Gwen, I just read about your second ablation. i had a cryo-ablation at The Heart Centre, manchester Royal Infirmary, in August 2014. My EP., Dr. Muhlyadeen, told me post ablation that my prognosis was very good as i'm a 68 year old this September, 66 when I had my only ablation. I have been AF free for 34 months and I was prescribed Apixaban 5mg., twice a day. I recently had a 48 hour Holter monitor, which came back with results of, normal rhythm throughout with only extra beats in isolation and occasional short runs. There was no evidence of paroxymal atrial fibrillation. Based on the above results, you can discontinue your Apixaban for the time being. It goes on to say should you experience frequent symptoms of palpitations I need to report it as it may alter the decision with reagrd to anticoagulation, should they document any recurrence of PAF. My chad score has been defined as zero. This is my experience and was wondering if anyone else has been taken off anticoagulants, post ablation, under the same circumstances. I don't want to take medication unless it's absolutely necessary for obvious reasons. Any other patints had any similar experience to mine, would like to hear and share info.

        Regards

      ​    Johnj

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    • Posted

      Hi John. I too am hoping to come off rivaroxaban thinners if my 3 month post ablation checkup is ok. I only take then now, im off verapamil following my first ablation last dec. Im currently 3 weeks post second procedure. Fingers crossed!!
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    • Posted

      Hi viper,

      I, too, am 68 this September!

      The prognosis after my 2nd ablation in March was not good. I was told that my success rate was 50/50 and I would probably be back for a third.

      Since then I have been to see my cardiologist who tested me on his in office ECG machine and was very pleased with my results. I have a slight valve disorder but he's not worried about it.

      I am in France so the medication names differ to the English ones but he has reduced my Bisoprolol to 2.5mg from 5mg per day, and I take 50mg of Flecainide per day, also Previscan blood thinner.

      He said that he hopes to get me off all meds with the exception of the blood thinner, over the next 12 months.

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    • Posted

      Gwen,ive had many many  EKGs that have NEVER showed me to be In a-fib and we're ALWAYS normal.  However a holter monitor worn for 24 hours indicated I was in afib 57% of the time.  

       

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    • Posted

      That really odd that the EKG hadn't picked the afib up. Maybe it was normal just at those particular times. It's lucky you had the holster to confirm it

      I had a 4 hour afib episode one morning last week but none since.

      How are you getting on?

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    • Posted

      EKGs only take heart measurement for the time it takes to do the test 

      . I've never been in afib when I've had one. Yes, I am lucky that they found it in the holter test 

      (don't worry about your typing -- it mistypes my responses too)

      im still in afib on and off every day but the episodes are not long - just several

      in and out. Discouraging.  I can go from 58 bpm up to 130. No symptoms still - I just randomly check it during the day 

      also for some reason my lower number on my blood pressure has been high, which has never happened before, and I am on blood pressure meds.  The lower number is not as important as the higher number,but it's still troubling. 

      Just hanging in for my holter test the end of the month. U r so sweet to ask. 

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    • Posted

      Suzanne that figure is too high. I would seriously get yourself checked by your doctor, it might be adding to your afib episodes.

      Are you taking any cholesterol medication?

      Please take care

      xx

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