Atrial Fibrillation: Should You Lie Down or Sit During an Episode?

During an episode of atrial fibrillation (AFib), there is no strict medical requirement regarding whether you should lie down or sit. If possible, lying down may be more comfortable and can help you relax, which could potentially ease the episode. However, if lying down isn't an option, sitting calmly can also be a suitable alternative.

What to Do During a Rapid AFib Episode

In the case of a rapid AFib episode, it is advisable to seek medical attention at a hospital. Many people experiencing AFib for the first time may not immediately recognize it. They often feel palpitations, a racing heartbeat, and may experience symptoms such as sweating or chest discomfort. Once diagnosed with AFib via an electrocardiogram (ECG), emergency treatment with medications may be necessary to restore normal heart rhythm.

Recommended Position During Treatment

During intravenous treatment, lying flat is typically recommended to facilitate the administration of medication and to help stabilize heart rate. However, if lying down isn't feasible, remaining seated and as calm as possible can still be beneficial while waiting for professional medical care.

Managing Symptoms at Home

If you experience heart palpitations during an AFib episode but don't have access to immediate medical treatment, certain medications can help manage symptoms. Beta-blockers such as metoprolol or atenolol are commonly used to slow heart rate and can reduce the severity of palpitations, even if they don't directly restore normal heart rhythm. These medications can provide relief and help control heart rate during an AFib episode.