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ken37712, May 25,  2019  2:01am EST

Persistent Afib and treatment

I am in early 50s and diagnosed with lone AFib and persistent. An active runner, run 3 miles per day and keeping heart rate below 155. Generally don't feel the symptom except intense exercise. Nurse Practitioner suggested to consider Catheter Ablation (CA) due to my young age and persistent.

Options presented to me are: 1) Do nothing, 2) Cardioversion then medication, 3) Medication only 4) CA 5) Maze Surgical

I am scheduled for 1st Cardioversion + med but thinking long term between Med only or CA or even Maze but like to hear experiences from others who are in similar situation.

4 Replies
  • AFIBLifter
    AFIBLifter, May 27,  2019  7:48am EST

    Can't really advise on treatment except to start with as little as possible -you can add heavier stuff later - to me cardioversion seems very mild, i went running the day after when I had my succesful cardioversion and i felt great (afib came back after 1 week though so now I'm waiting for stronger measures)...

    Are you completely unaffected in daily life? (I get tired and slightly dizzy, feel light pressure/palpatations) get wrose when I run, usually i run slowly adn ai also lift a lot of weights, running feels like crap compared to when not in afib and i'm 20% weaker in all lfits but i still feel good lifting. 

    also: DO you have paroxysmal episodes or in constant afib? (i'm in constant- that's why i'm weaker when running or lifting, when I was paroxysmal I was unaffected unless i triggered it)

    Good Luck with whatever procedure you chose. I've done re "restarts"= cardioversions. All felt super safe and felt really good



  • ken37712
    ken37712, August 20,  2019  1:30am EST

    Thanks AFIBLifter! 

    I am diagnosed with persistent AFib. I had cardiversion but AFib came back 3 days later when I started running.

    I can only do speed walk around 4.2 mph and if I try to run, my heart rate shoots up to 180 bpm or above and stays there until I slow down.


  • Thumper2
    Thumper2, August 20,  2019  8:48am EST

    Ken37712, based on the experiences of so many on this forum, having one or more ablations seems a more likely road to success in staying in NSR.  I'm glad you do not seem to be content with just "living with" AFib.  As I've said many times here, your heart may be quietly remodeling itself in negative ways.  Before you have an ablation, it might be advisable to see if you have sleep apnea -- as Mellanie has said (May 25, 2019),

    "If there is any likelihood of sleep apnea (less likely in athletes, but can still happen), then getting that treated BEFORE the ablation is highly recommended."

    Please keep us posted!  All the best,

    Thumper2 (Judy)


  • MellanieSAF
    MellanieSAF, August 20,  2019  9:08am EST


    Judy is right about getting tested for sleep apnea. Since 85% of cardioversion failures are due to untreated sleep apnea, getting tested for sleep apnea would be the next step for me if I were in your shoes. 

    And, for many people, detraining is necessary until your afib is under control, so running may be out for a while. So, since the cardioversion failed after running, another cardioversion may be in order. However, if you can get a sleep study quickly, and treat sleep apnea if you have it, that may lead to much greater success from the cardioversion.


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