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Heart afib after st...
 

[Closed] Heart afib after strenuous rides - imminent death ?

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[#5774244]

Firstly I'm an advocate of just getting on my bike, doing my thing and going home but after a couple of afib episodes I'm starting to rethink my routine.

I always like to push myself as hard as possible. After a discussion with a mate he gave me his HRM so I could see whats going on.

I usually average a 14 mile ride twice a week under 2 hours at about 2500ft elevation gain and the HRM reported a peak of 188 and an average of 166.

To be honest after the ride I felt like I could have easily done more. Fast forward 13 hours and the afibs kicked off again which will probably continue till tea time tomorrow (im on 12 hour nights tonight)

My heart rate first thing in the morning is 54-56 bpm and I generally feel fit & well apart from this.

It literally feels like you lose your breath and your head pulses as it misses a beat!

I'm only getting this post ride and never after swimming or hiking. Carry on and MTFU or write the will now ?

Would like to hear if anyone suffers from afib ?

Cheers

Stu


 
Posted : 15/12/2013 12:06 am
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See your doctor.


 
Posted : 15/12/2013 12:11 am
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See your doctor.

echoed by the missus as well. I'll go next week.


 
Posted : 15/12/2013 12:18 am
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See your doctor and get a 12 lead done so someone qualified can tell you if it's atrial fibrillation or something more serious.

Why post this on here? No medic worth his salt is going to tell you what to do other than the advise above!

Also for the love of god don't now go off and Wikipedia the various other alternative diagnosis, otherwise you will worry yourself into an early grave! Quite literally if you do have heart problems!

Other than that, I hope things work out for you Stu!


 
Posted : 15/12/2013 12:23 am
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Treadmill test required.


 
Posted : 15/12/2013 12:24 am
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Why post this on here? No medic worth his salt is going to tell you what to do other than the advise above!

[s]I wasnt after a diagnosis or treatment I was merely curious if others had the same symptoms after a strenuous ride Tom.[/s]

In the hope that a bunch of people were going to say "yeah I get that all the time its nothing" and the fact im shitting myself Tom 😕


 
Posted : 15/12/2013 12:42 am
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Look, it doesn't sound like something to shit yourself about Stu.

My advise if it only happens when your doing strenuous exercise, don't do strenuous exercise until you've seen a doctor. Don't put your heart under stress and then I highly doubt you're going to die. 😀 Now go and get a massage off your missus and relax.

I get palpitations ever so often and have a strange ECG reading because I've done a lot of exercise, the quack who looked at it shat himself until the cardio had a look at it...asked me if I was an athletic type and then said it wasn't anything to worry about.


 
Posted : 15/12/2013 12:46 am
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Could be ectopic beats, but get checked out.
Ectopics are nothing to worry about though, they don't tend to happen when you are exercising.


 
Posted : 15/12/2013 12:47 am
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I'd be mindful of diagnosing yourself with atrial fibrillation without first seeing a cardiologist and allowing them to run tests.

So, off to the GP and get a referral to a cardiologist (specifically you want an electrophysiologist). In the meantime, stop battering yourself.


 
Posted : 15/12/2013 12:54 am
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What he said. You really need proper testing.

Could be a few ectopics
Could be PAT or PAF
Could be other stuff or nothing at all
There are other things which are not good which have rhythm issues associated.
But this isn't the place to get a diagnosis.

And we hardly ever use treadmill tests these days. So no points for whoever suggested that one.

We'd tend to do a 12 lead then an R test - a 7 day monitor, and an echo if there is anything more that a few PVCs. Some of us GPs actually get on and do these, these days.

Good luck. But you are making an appointment on Monday, aren't you? And not doing maximal exercise until this is sorted.


 
Posted : 15/12/2013 1:22 am
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There are other things which are not good which have rhythm issues associated.

I'd like to add that while the rest of your post is great I don't think that is very useful. You're a doctor, I'm sure you've seen plenty of the worried well who's anxiety is the biggest health burden in their lives.

The OP should get a referral on Monday but he shouldn't be worrying so much, the chances are he will be okay.

I'm not a doc though, just a BmedSci grad who's more into research. However, I spent a tonne of time looking after an ex girlfriend in 2nd year uni halls who turned out to have AVNRT....the worst part for her though seemed to be all the worrying. That's something I'd remember if I ever went to grad med school, keeping people positive and calm that is.

Worrying too much is horrible and best avoided.


 
Posted : 15/12/2013 1:47 am
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Thanks chaps.

Yes I'll make sure I get in on Monday. I usually ride towards the back end of the week so no worries there.

Thanks again to you all.

Stu


 
Posted : 15/12/2013 1:53 am
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Awesome stu, now get off the internet and spend time with your missus. Damnit! 🙂


 
Posted : 15/12/2013 1:56 am
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I wish Tom !!!

12 hour nights fettling machinery with big hammers !!!!


 
Posted : 15/12/2013 2:00 am
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Tom. A fair point. But about a year ago I told someone on this forum with a cardiac issue to seek help immediately, and he didn't. Things could have been very much worse.

Stu is looking for reassurance. Men, particularly, often seek reassurance and then do nothing.

And somethings like ARVC and HOCM can present like this.

He needs to get the diagnosis sorted and that cannot be done on the internet.


 
Posted : 15/12/2013 2:05 am
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You're right Stoat, it's a tight rope to walk isn't it! Not really envious of the clinical guys other than it must be more of a buzz than being a lab rat when it's going well. And the pay once you've specialized, obviously. Maybe I'll try it one day when I sum up the courage to do another four years of university.

I forgot to consider that men can be idiots by doing things like seeking reassurance and then "manning up"....and that sometimes you have to scare the utter crap out of them to make them get off their arses and do something like see the doctor. 😐


 
Posted : 15/12/2013 2:07 am
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I suffer ectopics and palpitations I took my own ECG then went to the Dr's. In my case it's not serious I've learnt to control it.

Visit your GP


 
Posted : 15/12/2013 2:44 am
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Mine goes a bit odd sometimes but I got it checked out and it's fine.


 
Posted : 15/12/2013 10:03 am
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I get ectopic beats after exercise, missed beats at rest usually the night after a big ride (although everyone insists they are ectopic but they aren't) and also fibrillation, but only when I've had too much coffee. Hard to reproduce though, the GP suggested a stress test but given how difficult it is to reproduce she seemed not too keen on the idea. Normal ECGs look normal apparently.

Plus, it only happens if I drink coffee AND I've been doing lots of good training. If I've been idle I can drink more coffee without symptoms.

Doc's advice was not to drink so much coffee. But I wouldn't mind knowing for sure if I have any issues.. Any tips on what to ask the GP for?


 
Posted : 15/12/2013 5:00 pm