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Re: Chronic?

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> (snip) when I had my first AF attach the ER guys had me hold my breath and

> bear down. That was supposed to put me back into NSR. It did work, but

> only the once. I don't believe that it is something I would try every time.

> (snip)

>

> Kat in OH

>

I sometimes convert when I take a hot bath. Other times I convert when I

get my heart rate up by running ³around the block² -- or the equivalent.

--

Kathleen Stept (Flecainide 100mg bid, Diltiazem 120 mg, Coumadin 5mg, baby

aspirin), , Mississippi

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My problem

> continues; is this considered " Chronic A-Fib " , or just a recurring

> bother? Is " chronic " a-fib a continuous non-stop basis

irregularity,

> or is it the problem I'm dealing with at the present? If it is

> chronic , should I demand to have the problem seriously dealt with,

> as this does excite anxiety and discomfort ( the " just relax "

> attitude one is encouraged to take doesn't wash with me).

>

> Thanks in advance,

> " ric "

Ric - My understanding is that " chronic afib " is the sort where it is

continous, i.e. 24/7. Other terms for it are persistent or permanent

afib, although permanent afib is usually used for chronic afibbers

who have had it for so long, a year or more maybe, that chances of

cardioversion working are greatly reduced. In fact, chronic afib

probably causes fewer problems than the type you're experiencing.

You can then usually control the heart rate effectively and greatly

reduce the symptoms. I think you should have the problem dealt with

seriously in any case. And the sooner the better.

Ed in Virginia and now 5 months in NSR

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Ric, I have been in 24/7 AF for 18 months, and had the same difficulty you

are having choosing the adjective. So now I always just say I am in AF 24/7,

never in nsr. I agree with the reply that says those of us in 24/7 are much

better off than those in paroxysmal (in and out) because rate control (usually

a beta-blocker or Calcium channel blocker) and coumadin allow us to live

normal lives. We typically lose about 10-15% of our energy level because of

the beta-blockers (and slightly reduced cardiac output for which some of take

a little digoxin to give the ventricles a contraction kick...), but otherwise

don't

have to worry about episodes. I am 64, walk up and down stairs, travel a lot,

and am otherwise very much the same person as before AF. Not completely,

and sometimes getting INR stable is a problem, and the loss of energy is real

- no question about that. But I don't let it interfere with living a very full

life.

The only fatal aspect of AF is stroke, so watch the anticoagulation carefully.

All my best. Kathleen (24/7, atenolol, digoxin, coumadin).

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Ric, I have been in 24/7 AF for 18 months, and had the same difficulty you

are having choosing the adjective. So now I always just say I am in AF 24/7,

never in nsr. I agree with the reply that says those of us in 24/7 are much

better off than those in paroxysmal (in and out) because rate control (usually

a beta-blocker or Calcium channel blocker) and coumadin allow us to live

normal lives. We typically lose about 10-15% of our energy level because of

the beta-blockers (and slightly reduced cardiac output for which some of take

a little digoxin to give the ventricles a contraction kick...), but otherwise

don't

have to worry about episodes. I am 64, walk up and down stairs, travel a lot,

and am otherwise very much the same person as before AF. Not completely,

and sometimes getting INR stable is a problem, and the loss of energy is real

- no question about that. But I don't let it interfere with living a very full

life.

The only fatal aspect of AF is stroke, so watch the anticoagulation carefully.

All my best. Kathleen (24/7, atenolol, digoxin, coumadin).

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Ed in Virginia and now 5 months in NSR

********

Ed in VA,

So happy to hear from you and the good news that you are 5 months

in NSR! Excellent news. Seems almost impossible that 5 months have

passed.

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