Update:
mother fucker, the AFIB started again at about 1:25 am this morning
Again, the only time it’s been triggered is while I was laying down.
I had to take a metoprolol to get it under control
I still don’t understand how a condition where your heart has an internal electrical issue can apparently “cycle off” for nearly a full week
I see the cardiologist on Wednesday hopefully he has answers and also doesn’t simply gloss over the fact my issues have only occurred while laying down or at least a reasonable explanation of why it wouldn’t matter: as long as I don’t wake up with it, walking, lifting, sitting and other various other activities don’t set off an AFIB episode
edit: walked up a flight of stairs just now and According to my smartwatch, my HR peaked at about 100, but started to drop once I stopped and started taking an ECG reading
ECG came back as normal rhythm
Update:
Finally saw Cardiologist May 7
50/50 news is he isn't ready to diagnose me with permanent AFIB but he can’t rule it out.
Good news is he said there's nothing physically wrong with my heart, I'm at very low risk for stroke and I can go back to exercise again.
They strapped a heart monitor to me that that finally got taken off yesterday and mailed in for results.
Observations I made while the monitor was on:
1) Exercise does not trigger any episodes.
2) Caffeine does not trigger any episodes (it really doesn't affect my heart rate much at all) When I do have caffeine, its a small cup of coffee in the morning, and that will be the only caffeine source that day.
3) Metoprolol does not prevent AFIB episodes, it simply prevents my heart rate from going too high when it does happen.
4) in the 14 days I had the monitor on, I only had 4 episodes of AFIB. Every single one of them was at night while trying to sleep.
Theory moving forward: I'm still pretty sure this is related to some kind of inflammation issue.
Possible evidence includes:
1) Incidents have only ever occurred when lying down.
2) There were two times I had an incident at night, where I went back to sleep and it was still present upon waking; AFIB went away almost immediately upon getting out of bed and sitting upright in a chair. The last time this occurred May 20, I exercised within 30 minutes of it stopping and it wasn't retriggered, also coffee didn't retrigger it either.
3a) When the problem first started around April 16, it would occur nearly every other day. After being prescribed regular strength aspirin once a day by the ER doctor, incidents occurred less frequently, with the longest reprieve being seven days.
3b) Cardiologist told me to switch from regular strength aspirin to baby aspirin(I hadn't taken the full strength aspirin that day yet). That night I had an incident (there were no incidents two nights in a row prior). After switching to baby aspirin, the longest reprieve I had was 4 days without incident. But still nowhere as often when I wasn't taking anything.
4) I've experienced temporary heart palpitations if I lean forward for a length of time, sometimes in seconds, others in minutes.
5) Heartbeat became more pronounced several days before AFIB started on April 16. It still feels randomly more pronounced since taking aspirin of any type, just not as consistently.
6) The best I've felt, since this whole thing started, was the two days prior to visiting the Cardiologist, where I was taking a full strength aspirin once a day, as well as eating raw garlic, a natural anti-inflammatory.
The cardiologist is leaning towards sleep apnea as causing this. However, I don't snore, or so I've been told. And, other than an AFIB episode waking me up, I typically sleep pretty soundly: if I had sleep apnea so bad it cranks my heart rate out of control, I'd assume my sleep would be god awful. Also, my Apple Watch isn't detecting any breathing disturbances when I sleep.
I'm extremely tempted to try using full strength aspirin again, as directed on the bottle(not just one a day), and seeing what happens. My hypothesis is that there shouldn't be any incidents for the full recommended course (10 days) and that AFIB will resume within a couple days of discontinuing full strength and returning to baby aspirin once a day.
I'm waiting til the morning after my next episode to test this theory, so I have a point of reference.