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fat buddha




Joined: 13 Jul 2004
Posts: 2381
Location: rural Zuzzex

PostPosted: Tue Dec 05, 2017 5:15 pm    Post subject: Atrial fibrillation Reply with quote

well, it turns out I have AF which will explain why my running and biking has been pants this year - I was putting this down to age and loss of mojo, but it seems there was more to this than I realised at the time. Rolling Eyes

this all culminated in me having a minor stroke on the 24th November and I'm on the mend and have nearly 100% movement back in my left arm and leg (no speech or facial problems thankfully). for the mo, I'm on anticoagulant and beta-blocker therapy, can't drive for a month, and now waiting to see a cardiologist to discuss treatment of the AF - probably cardioversion or ablation.

but I want to get back to some form of CV exercise while I wait for this (I might go privately if the wait is long) and wondered if anyone out there who's had/has AF has any tips they'd like to share or help me with.

cheers
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explorerJC




Joined: 20 Oct 2005
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Location: Farthingstone

PostPosted: Tue Dec 05, 2017 8:06 pm    Post subject: Reply with quote

Very sorry to hear that FB.

On the AF, I have friends who have suffered and recovered although one (multiple ETU/ITU champ) never got completely back to speed.

As for recovery from a stroke, I had one in 2001 (in fact, I probably had more than one) and it took a couple of years to really make progress and start to recover my fitness properly..I think I was back in the GB AG team by 2004 or 2005
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Roscoemck




Joined: 10 Aug 2016
Posts: 294
Location: Glasgow

PostPosted: Tue Dec 05, 2017 8:50 pm    Post subject: Reply with quote

FB, sorry to hear that.

Can't offer any advice, just want to let you know I'm thinking about you. Take it easy.
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fat buddha




Joined: 13 Jul 2004
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Location: rural Zuzzex

PostPosted: Wed Dec 06, 2017 9:47 am    Post subject: Reply with quote

thanks for the comments guys.

having the stroke came as a bit of a shock but thankfully, and compared to many others, I have come out of this very lightly and am expected to have a full recovery. from what I have found, exercising with permanent AF (which is what I have, not the transient variety) is OK provided I put a lid on matters and don't try and go eyeballs out - just take it calmly.

swimming and using the turbo/rower seems to be best at the mo so I'll start with that and see how the body reacts. might hang back from running until I feel fully confident that my left leg knows what it's doing - it seems OK walking but running might challenge it a bit more, so leave that a few more weeks.

the big pisser is not being able to drive as I am now dependent on Mrs FB and what little public transport we have around here. hey ho - only a month and not a year!
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ed_m




Joined: 15 May 2003
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Location: coventry

PostPosted: Wed Dec 06, 2017 10:11 am    Post subject: Reply with quote

fat buddha wrote:

the big pisser is not being able to drive as I am now dependent on Mrs FB and what little public transport we have around here. hey ho - only a month and not a year!


A chance to make use of your free bus pass no ?
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fat buddha




Joined: 13 Jul 2004
Posts: 2381
Location: rural Zuzzex

PostPosted: Wed Dec 06, 2017 10:19 am    Post subject: Reply with quote

ed_m wrote:
fat buddha wrote:

the big pisser is not being able to drive as I am now dependent on Mrs FB and what little public transport we have around here. hey ho - only a month and not a year!


A chance to make use of your free bus pass no ?


already being used Ed - had a couple of "grand tours" of crap Sussex housing estates so far.... Wink
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Banana Boy




Joined: 16 Apr 2007
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Location: Surbiton

PostPosted: Wed Dec 06, 2017 11:44 am    Post subject: Reply with quote

FB, I'm a very occasional poster on Tritalk but I have AF.
I had a pacemaker fitted in 1997 for irregular heart beat and have taken warfarin ever since, developed permanent AF in 2002 after a virus.

Started triathlon in 2001, have raced sprint to IM so it hasn't stopped me in that way. Much as I'd like to cite it as a reason for lack of pereformance I'm not sure it's had any major impact in that way.

The main impact based on my (non scientific) observation is that the warm up for any activity is harder. I'm nearly always breathless for the first 5-10 mins of any session (particularly running) no matter what pace. If I then stop for a minute or so I feel much better and, in general, my performance improves as the session goes on. In a race situation if I don't warm up (which I don't) then I tend to underperform on the swim.

The other issue for me is that I'm very conscious of not crashing on the bike as any bleeding takes ages to stop (and scars take ages to heal) so I'll avoid risks on downhill.

Good luck with your training!
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fat buddha




Joined: 13 Jul 2004
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Location: rural Zuzzex

PostPosted: Wed Dec 06, 2017 11:57 am    Post subject: Reply with quote

thanks for the input BB - very useful

Quote:
The other issue for me is that I'm very conscious of not crashing on the bike as any bleeding takes ages to stop (and scars take ages to heal) so I'll avoid risks on downhill.


in some ways you're luckier in that warfarin can be counteracted in the case of heavy bleeding with a shot of Vit K - I've been put on Atrixaban, one of the newer anticoags, to which there is no antidote so if I have a heavy bleed, then it could be a major problem! Sad I've bought a medical alert dogtag that sits on me all the time which will alert any paramedic. the upside of atrixaban is that I don't need blood levels monitoring which you do on warfarin.

as someone who has been a downhill nutter on a bike (road or MTB) and a dedicated off-piste skier with a few crashes under the belt, I guess I'm going to have to become a bit more risk averse! and a bit more careful with power tools...... Wink
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JeffB




Joined: 04 May 2008
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PostPosted: Wed Dec 06, 2017 8:04 pm    Post subject: Reply with quote

Sorry to hear about it FB, hope you recover quickly.

I know someone who has a heart issue that it starts racing from time to time and has to get the electric shock to get it back into rhythm, which I'm guessing is AF. He was a very good athlete in his younger days and although he doesn't really race much now when he trains he is still good for his age, I'd guess in his younger days he'd have been around 2:05 for an Olympic tri, maybe quicker.

Also know (of) several people that have had strokes generally in their late 40's, at least 3 are still very good runners, 18:xx 5k times for V50 cat, as it turned out at least two had undiagnosed holes in their hearts which was the cause.

A lad I work with is as fit as a lat, and other than cholesterol being slightly high even one of the top stroke surgeons in the country couldn't really work out why he'd had one. It took him a while to get over it but as I mentioned he can still run well but has never really been interested in anything longer than about 10k.

The two I know best do have to manage their fatigue and cut back or not train if they are tired.

Do they think the AF has led to the stroke or some other reason?

EJC, having seen what I'm guessing is you, you don't look like an obvious candidate for a stroke either, and would have appeared to have got back to a good level of fitness.

Jeff
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explorerJC




Joined: 20 Oct 2005
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PostPosted: Wed Dec 06, 2017 8:39 pm    Post subject: Reply with quote

JeffB wrote:


Also know (of) several people that have had strokes generally in their late 40's, at least 3 are still very good runners, 18:xx 5k times for V50 cat, as it turned out at least two had undiagnosed holes in their hearts which was the cause

The two I know best do have to manage their fatigue and cut back or not train if they are tired.

EJC, having seen what I'm guessing is you, you don't look like an obvious candidate for a stroke either, and would have appeared to have got back to a good level of fitness.

Jeff

Patience is the key to recovery. Fortunately I was with a good employer (joined 6 weeks before) and they paid me whilst I recovered and funded rehab and occupational health. Mind you, they got shot of me as soon as they could after I was back full time about 2 years later!

Managing fatigue levels was hard for a long time and gaining mobility a challenge. I just dug in and focussed on being able get to the next level. It took about3 - 4 years to get back into it and 6 or so become competitive...
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fat buddha




Joined: 13 Jul 2004
Posts: 2381
Location: rural Zuzzex

PostPosted: Thu Dec 07, 2017 9:19 am    Post subject: Reply with quote

JeffB - thanks for the input - very illuminating!

Quote:
Do they think the AF has led to the stroke or some other reason?


convinced AF is the cause - it's one of the most common causes (5x higher risk of stroke in AF patients) and I don't have other risk factors associated with stroke bar a consumption of alcohol well over recommended guidelines Rolling Eyes which itself may have been a cause of the AF, although that is by no way clear (the underlying cause of AF is actually poorly understood despite it being pretty common)
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