Hi all
I am a 49yr old woman and have experienced occasional palpitations since I was 20. These were mainly 'missed beats' or feeling my heart 'flop' in my chest. These were investigated and no underlying cause was found and I managed to ignore them mostly.
Last year I experienced an episode of fast AF with rates of 190 bpm. This was very frightening for me. I was treated in A&E with IV Flecanide and my heart returned to normal sinus rhythm. I found myself reacting very badly to this episode and became very fearful and hyper vigilant of my heart rate and rhythm. I had an Echocardiogram and no abnormalities were found. This episode occurred following a bout of acid indigestion and while I was resting.
I experienced another episode of fast AF 2 weeks ago and was again back in A&E and treated with iv Flecanide which resolved the AF.
I am otherwise fit and healthy although obese, I have a normal BP and no other underlying conditions. During the episodes of AF I could feel my heart racing and see it bouncing in my chest. I did not feel dizzy or breathless and had no chest pain. The paramedics did see some ischemic changes on ECG during the AF, but this resolved with cardioversion. The onset of the AF was again while I was at rest in the evening although there were no gastric symptoms.
Due to my extreme anxiety following this event my GP has prescribed Propanolol 80mg slow release and Citalopram 20mgs daily.
My main concerns now are how to manage further episodes of AF; do I wait at home for spontaneous resolution or do I continue to summon paramedics and attend A&E?
The ischemic changes on ECG during the AF; does it cause any permanent damage?
What is the prophylactic effect of Propanolol on the AF? Do I keep taking it now that my anxiety has subsided a little?
Thanks