Atrial Fibrillation Self-Management During an Episode

Atrial fibrillation (AFib) is a common heart rhythm disorder that can cause irregular and often rapid heartbeats. Knowing how to respond during an episode is crucial, especially for individuals who are aware of their condition. Here's a comprehensive guide to managing AFib episodes effectively.

For Individuals Aware of Their Condition

If you have a known history of AFib, it's important to have a clear action plan for managing episodes. Being familiar with your condition allows you to take immediate, informed steps to stabilize your heart rhythm and seek help if needed.

1. Stop Activity and Rest

As soon as you notice symptoms such as palpitations, shortness of breath, or dizziness, stop whatever activity you're doing and find a quiet place to sit or lie down. In some cases, simply resting can help your heart rhythm return to normal on its own.

2. Take Prescribed Medications

If you have been prescribed medications like beta-blockers (e.g., Metoprolol), propafenone, or other antiarrhythmic drugs, follow your doctor's instructions for taking them during an episode. These medications can help control heart rate and potentially restore normal rhythm.

3. Seek Medical Attention if Necessary

If symptoms persist for several hours despite rest and medication, it's essential to seek immediate medical care. At the hospital, doctors can assess your condition and determine whether intravenous medications or electrical cardioversion is needed to restore a normal heart rhythm.

For Individuals Unaware of Their Condition

Some people may be experiencing AFib for the first time and may not recognize the symptoms. If you feel sudden heart palpitations, chest discomfort, or unexplained fatigue, try to stay calm and rest. In some cases, the heart may return to a normal rhythm on its own.

When to See a Doctor

If symptoms do not resolve within a short period, it's important to visit a healthcare provider for a proper diagnosis. A simple electrocardiogram (ECG) can confirm whether you're experiencing AFib. Once diagnosed, your doctor will guide you on long-term management strategies and emergency protocols.