Post-Atrial Fibrillation Symptoms: When to Seek Help

Problems After Atrial Fibrillation

Hello Doctor, about two months ago, after some labor, I experienced intense heart palpitations and shortness of breath while resting.
After resting, I felt somewhat relieved, but later that night, I also had gastrointestinal discomfort and difficulty breathing (similar to severe nasal congestion making it hard to breathe).
I didn't go to the hospital at that time and only visited a cardiologist the next day.
The doctor diagnosed me with atrial fibrillation and prescribed medication.
I underwent an electrocardiogram (ECG), a 24-hour Holter monitor, and an echocardiogram, and the reports indicated no significant issues, although there was arrhythmia.
I subsequently visited the cardiology department at Kaohsiung Veterans General Hospital, where I had another ECG and a 24-hour Holter monitor, and blood tests showed no hyperthyroidism.
The report indicated "premature ventricular contractions," but the frequency was within a reasonable range.

Now, when sitting or lying in bed, I sometimes feel my heartbeat; it doesn't last continuously but recurs.
I don't notice it much when walking.
Another issue is that after the onset of my symptoms, I feel a bit nauseous, as if there's a pressure in my throat, which occurs intermittently every day, fluctuating between good and bad, and it's quite bothersome.
I've been jogging lately, and my heart rate seems fine, and my recovery is okay.
Could the nausea be related to my heart condition? Should I seek further evaluation?

Mr. Chen, 30~39 year old female. Ask Date: 2017/01/03

Dr. He Dongjin reply Cardiology

Hello, not everyone experiences nausea as a symptom of heart problems, so it's hard to say for certain.
It is advisable to follow up with your physician for further discussion and examination.
Changhua Hospital cares about you.

Reply Date: 2017/01/03

More Info

Understanding post-atrial fibrillation (AF) symptoms is crucial for managing your health and knowing when to seek medical help. Atrial fibrillation is a common heart rhythm disorder that can lead to various symptoms, including palpitations, shortness of breath, and fatigue. Your experience of intense heartbeats and breathing difficulties after physical exertion, followed by gastrointestinal discomfort and a sensation of not being able to breathe properly, can be distressing and warrants careful consideration.

From your description, it seems that you have undergone a thorough evaluation, including electrocardiograms (ECGs), echocardiograms, and blood tests to rule out thyroid issues. The findings of "premature ventricular contractions" (PVCs) and "irregular heartbeat" are not uncommon in individuals with a history of AF. While these findings can be concerning, they are often benign, especially if they occur infrequently and do not lead to significant symptoms.

The sensation of feeling your heart beating while sitting or lying down, known as palpitations, can be a normal response to anxiety or increased awareness of your heart rhythm, particularly after experiencing AF. However, if these palpitations are accompanied by other symptoms such as dizziness, chest pain, or worsening shortness of breath, it is essential to seek medical attention promptly.

Regarding the nausea and the feeling of pressure in your throat, these symptoms can sometimes be related to anxiety or stress, especially after experiencing a significant health scare like AF. However, they can also be associated with gastrointestinal issues, which may not be directly related to your heart condition. It is important to monitor these symptoms and discuss them with your healthcare provider, as they may require further evaluation to rule out any underlying conditions.

In terms of physical activity, it is encouraging that you have resumed jogging and that your heart rate appears to be stable during exercise. Regular physical activity is beneficial for cardiovascular health and can help improve your overall well-being. However, it is crucial to listen to your body and avoid overexertion, especially if you experience any discomfort.

When to seek help after experiencing AF symptoms can be summarized as follows:
1. New or Worsening Symptoms: If you experience new symptoms such as chest pain, severe shortness of breath, or fainting, you should seek immediate medical attention.

2. Persistent Symptoms: If your palpitations, nausea, or throat pressure persist or worsen, it is advisable to consult your healthcare provider for further evaluation.

3. Changes in Exercise Tolerance: If you notice a significant change in your ability to exercise or if you experience symptoms during physical activity, it is important to discuss this with your doctor.

4. Mental Health Considerations: Anxiety and stress can exacerbate symptoms of AF and lead to a cycle of worry. If you find that anxiety is affecting your quality of life, consider discussing this with your healthcare provider, who may recommend counseling or other supportive measures.

In conclusion, while your current symptoms may not indicate a severe underlying issue, it is essential to maintain open communication with your healthcare provider. Regular follow-ups and monitoring of your condition can help ensure that any changes are addressed promptly. If you have any doubts or concerns, do not hesitate to reach out to your doctor for guidance. Your health and peace of mind are paramount, and proactive management is key to living well with atrial fibrillation.

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