Welcome, Guest. Please Login
YaBB - Yet another Bulletin Board
  News:
  HomeHelpSearchLogin  
 
Pages: 1
Send Topic Print
RLR-advice re: husbands AF please (Read 4572 times)
seffie
Senior Member
****
Offline

I Love YaBB 2!

Posts: 158

Gender: female
RLR-advice re: husbands AF please
Sep 24th, 2008, 1:17pm
 
Hi RLR,
hope you are well! Haven't been on here for a while as although still getting the odd palp & flutters here & there they are manageable.
However, just wanted to get your opinion on something-last night my husband asked me to feel his pulse, he said he had just bent over & when he stood up his heart felt funny. I felt his pulse & it was kind of fast then slow & felt irregular. I suggested he try a couple of things but it persisted. He said his stomach felt uncomfortable, he wasn't breathless but felt his breathing wasn't quite right. He doesn't suffer from anxiety & although I suggested he go to Casualty he said he'd try to sleep it off! Anyway he didn't sleep very well (& neither did I!) & at 6:30am he still had it so I said to go to the hospital which he did.

They did an ECG & confirmed it was atrial fibrillation. By the time I got to the hospital he said his pulse had returned to a normal rhythm by itself & the nausea had gone. It had been irregular for about 10 hours.  
He had an ECG, a chest x-ray & then he saw the consultant who was very reassuring & said that any number of things could have triggered it & that it may not ever happen again.

Some background info-my husband is 46, he has been on medication for 4 years for high blood pressure which is controlled well by Lisinopril, he doesn't smoke, drinks moderately, exercises regularly & has a very active job walking long distances carrying a heavy bag. He recently paid for a heart scan to check for calcium deposits in the coronary arteries and he received excellent results from this.
Before this AF episode he had just started taking a very strong antibiotic for prostatitis & felt that he was fighting off a very mild cold. The consultant said that one of the side effects of this particular antibiotic was tachycardia.

The consultant has prescribed a betablocker on top of the Lisinopril & 75mg aspirin. He will need to have a 24 hour monitor at some point & go back to see the cardiologist.

Although he said he feels fine now he said it has shaken his confidence a little, which of course I totally understand. I am trying really hard not to worry myself but this evening I feel really shaky & upset although I haven't let my husband see how I'm feeling.

I'm not really sure what I want to ask you but I guess I just need to get some reassurance that he'll be OK but I know you can't really tell me that. Although he's taking aspirin now I'm really worried about a blood clot because he was in a fib for 10 hours. Should the aspirin prevent this risk & how long would he be at risk for after an a-fib episode? I think I just want to be able to reassure both him & myself that this is a manageable & treatable condition that, even if it does re-occur isn't anything to get worried about.

I appreciate you taking the time to reply to my post, it's been a long day & I just need a little friendly support & reassurance!!
Thanks again!
love Seffie xx
Back to top
 
 
  IP Logged
RLR
YaBB Administrator
*****
Offline

Retired Physician

Posts: 2057

Gender: male
Re: RLR-advice husbands AF please
Reply #1 - Sep 25th, 2008, 4:19pm
 
Hello Seffie,

Nice to hear from you. I'm still around, just takes me a little longer these days.

Listen, from the sound of things your husband's going to be just fine.

If the heartbeat was rapid and irregular, then we're talking more along the lines of AF, but if it was purely tachycardia then it was most likely a run of paroxysmal atrial tachycardia. Indeed, there are some newer antibiotics, particularly the flouroquinilones, that can have some pretty significant side-effects in some persons. They are not too GI-friendly as well. If he continues to experience problems, there are alternative medications with fewer side-effects.

In the outcome of testing and a negative history, I'm going to suggest that this was medicine-related. He can take a deep breath and relax.

Realize that in order for clots to manifest in the presence of a fibrillation, predisposing factors have to be present related to clotting factors, etc. such that it would constitute a risk. Taking an aspirin daily is fine as long as it's not causing any GI distress and incidentally, unless you're already aware, baby aspirin have been proven just as effective as regular aspirin in the guard against heart disease and stroke.

The risk for a clot is actually during the event itself. He is not now predisposed to the risk of a clot. The clots occur because blood, under certain predisposing factors mentioned, can pool to the extent it allows clotting to manifest. Again, certain factors must be present.

He's fine. I'm glad to hear that you're also managing. Chin up.

Best regards and Good Health



Back to top
 
 

Best Regards and Good Health
  IP Logged
seffie
Senior Member
****
Offline

I Love YaBB 2!

Posts: 158

Gender: female
Re: RLR-advice husbands AF please
Reply #2 - Sep 25th, 2008, 10:24pm
 
Hi RLR,
thanks very much for the reassuring reply!
Yes, it was rapid & irregular & from the ECG they said it was AF.
They have taken him straight off the antibiotic & so he will need to go back to see his doctor re: the prostate inflammation.
Can I just ask you a couple of quick questions?
What would be the predisposing factors for blood clotting?
Although he only drinks moderately is it still OK for him to drink alcohol as I read somewhere that this can be one of the triggers.
He flies regularly on business, if he had another episode whilst flying would he be OK if he couldn't get help until he landed as long as he was taking the aspirin?
Is the irregular rhythm dangerous or is it just the risk of a blood clot that's the main concern?

Sorry-that was 4 questions!!
Thanks very much, you have really helped & I'm sorry to ask you more questions it's just that these have only just occurred to me!!
Thanks again & I hope you are keeping well!!
love Seffie xx
Back to top
 
 
  IP Logged
RLR
YaBB Administrator
*****
Offline

Retired Physician

Posts: 2057

Gender: male
Re: RLR-advice husbands AF please
Reply #3 - Sep 26th, 2008, 4:20pm
 
Well, drinking can precipitate AF, but it's typically due to excessive intake. This is true to the extent that there is even a label for such an event and it's called holiday heart. Many people drink regularly and sometimes to excess on the holidays and the ER can sometimes experience a good number of visitors suffering from alcohol-induced AF.

I would only suggest here that some time be given to distance himself from the event. I certainly think it was induced by the antibiotics, but he simply needs to endure a period where nothing suspect as a cause can induce it. I do not think it will return, but a couple of weeks without alcohol would be prudent and then if no other symptoms appear, he can return to normal patterns. Research has shown that up to 2 alcoholic beverages per day can be beneficial but beyond this extent, has demonstrated detrimental effects. Simple moderation.

He should be able to continue his business trips with no problem and again, I think this will likely not return. His diagnostic tests are negative for pathology, so both your husband and you should not permit the incident to become an albatross circling overhead.

He'll be fine.

Best regards and Good Health


Back to top
 
 

Best Regards and Good Health
  IP Logged
seffie
Senior Member
****
Offline

I Love YaBB 2!

Posts: 158

Gender: female
Re: RLR-advice husbands AF please
Reply #4 - Sep 27th, 2008, 12:33am
 
Hi RLR,
thanks very much, both my husband & I found your reply extremely helpful!
Thanks again, take care!
love Seffie xx
Back to top
 
 
  IP Logged
Pages: 1
Send Topic Print