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TR, January 10,  2019  10:28am EST

Useful Healthline Newsletter

To all that are new to AFIB, I just got this Healthline newsletter that might be useful. To the first article providing questions you should ask your cardiologist, hopefully an EP, hopefully a highly experienced EP, I would add the following important question.

Under what circumstances and conditions when an AFIB episode strikes, do I ride it out, or when do I need to get to the ER? It's important to consider this in advance because these things seem to happen when no ones around. My EP said that you may feel lousy when AFIB strikes and you can ride it out, but if you feel really, really lousy, call your doctor or go to the ER. There are heartrate and duration numbers associated with the decision, but it seems all doctors have different opinions. Some would have you in the ER way to often. I followed my EP's advice and never had to go to the ER for AFIB, but that's not the case for everybody. Here's the link to the newsletter.


4 Replies
  • MellanieSAF
    MellanieSAF, January 10,  2019  11:53am EST

    The list of questions they provide is good, but there is no way you will get all of that into a 5-7 minute doctor visit. You may be able to cover it over a series of appointments over time.

    But, the question you pose, TR, is a very important one, and is one of the questions I suggest that people ask early on.


  • Jeanamo815
    Jeanamo815, January 10,  2019  1:25pm EST

    TR, thanks for sharing this Healthline link.

      I agee with Melannie that the time in the doctor's office may limit the number of questions we have answered.  However, it is still  a good idea to make a list of the most important ones that you are concerned about.  Deciding when it is time to go to the emergency room varies with each individual, but an electrophysiologist can give some helpful guidelines.  It depends a lot on one's symptoms.  During my a-fib episodes, my heart rate would often exceed 200 beats per minute....and after a short time of this being sustained, I knew a trip to the ER was one I should make.  Others, like you, can "ride it out" until they return to NSR.  It really all depends on how symptomatic an individual is during an a-fib episode.

    I think the link you posted has some good suggestions.  Thanks for sharing it with us!

    Wishing you the best,



  • macaodha
    macaodha, January 11,  2019  7:07am EST

    Just had a meeting with my cardiologist  to discuss my reoccurrence of AFib. I went into the appointment with some apprehension because I had a page & a half of questions. I'm delighted to say he spent 50 minutes with me, answered every question, changed one of my meds (from Diltiazem to Metoprolol), scheduled me for a cardioversion, and discussed who to see at either the Cleveland Clinic, Univ of Penn, or Strong Memorial for a future ablation and said whomever I choose he would give me a referral.

  • MellanieSAF
    MellanieSAF, January 11,  2019  10:12am EST

    Wow! Fifty minutes is unusual. (I wonder if he had you scheduled for that long, or if the appointments after you got pushed out?)

    It's important for us to prioritize our questions from most important to least important so you don't feel like you got short shrift if you don't get them all answered. But getting everything answered makes your day!


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