Afib starts between 1am and 2am

[alrk]

I have been researching the Afib at night posts, and went back and looked at the data on my phone, and i noticed that the 2 episodes from last year and 3 from this year mostly started around 1:45am. The only exception was the BIG episode in march which landed me in hospital, and came home with apixaban and bisoprolol. I was afib for 10 days that one time! Converted naturally.

Since then i have had 3 occurences, which follow the Same pattern as the 2 last year. I go to sleep at about 11:30/45, 2 hours later heart rate a steady 70/80 (i think depends on meds and timing as GP has made some amendments), then instantly jumps up to 120 where it fluctuates up and down from here until anywhere between 9am and 2pm. Sometimes wakes me, although not as much now as i get more used to it.

Last night i had had no alcohol, and was lying on right side.

I think Possibly worth trying the mouth tape in case of sleep apnea, although i had been told i almost certainly dont have it as i am not tired in the day time. I do snore though (overweight 64 yo)

Any other suggestions??

Thanks

[CDreamer]

Might be worth wearing an O2 monitor to see if your O2 sats dip at night? That’s what would kick off my nocturnal AF but then again I was diagnosed with SA and treating it with CPAP did stop the nocturnal AF. Monitoring showed that my O2 sats would dip, heart rate jump and AF would shortly follow.

Certainly try the mouth taping, along with breath muscle training but not sure you can come to conclusions with such little data and few episodes over such a long period IMHO.

[javo123j]

Must admit that all my afib starts during sleep but seem to be linked to low heart rate, which are around 40 to 45. I've had heart rate monitors which have shown nothing. Not sure doctor trusts phone or watch data

[Jajarunner]

Mine always comes during sleep too, 10 out of 11 episodes. Not been able to find anyway to deal with it though. Sorry

[secondtry]

Suggest some simple low cost things first: Put an extra pillow under your head, use a nasal & mouth strip & reduce stress/activity in the daytime & slowly wind down in the evening to bedtime. Also, do all these at once as one on its own may not be sufficient but each one may be cumulative enough to prevent AF starting.

[Hidden]

Hiya,

Well you've touched on sleep and alcohol ......... BUT .....have you considered that there maybe an influence of food itself at work here. Fer instance, have you considered the time you ate your last meal of the day - have you considered what you actually ate - then again, have you considered the ingredients of the food you ate . There maybe some food/ingredient intolerances/allergies at work here. Variations around the theme of food and AF are linked due to the food aggravating the vagal nerve - which is like an information superhighway between the brain, the heart and digestive system. Certainly if I eat the wrong stuff it can set me off anywhere between 01.00 hrs and 03.00 hrs when I would have eaten around 18.00 hrs or 19.00 hrs the previous evening. Have it all sussed now but I still get a few AF hits up to around 3 hours duration, 3 to 5 times a year.

John

[Madscientist16]

Have a sleep study anyway to rule apnea out. I was able to take some equipment home and do a 2-day sleep study from my own bed.