Carin
Carin was given sotalol for her AF, but had side effects and stopped taking it after two years. After 18 months without an episode, she was upset to have one, and is now in permanent AF. Carin finds AF scary, and feels the condition is underestimated.
One evening, Carin was sitting quietly watching television and became aware of her heart beating strongly in her back. She also found that she needed to urinate lots. This carried on for a few hours and she went to A&E. An ECG found that her heart was beating at nearly 200 beats per minute. Carin was put on a digoxin drip to try and bring her heart rate down. This only brought it down a small amount, so she was admitted to hospital, and later told that she had AF. The next morning her heart reverted to a normal rhythm by itself. Carin has a nursing background and so was aware of AF, but still found the experience very frightening and thought she was having a heart attack. Carin was prescribed sotalol in hospital and her heart rate dropped to 47 beats per minute. She found this worrying but the doctors said that the rate was fine. A couple of months after her first AF episode, Carin had another one and went to hospital. Her sotalol dose was increased, and she was told that she did not need to go to hospital every time she had an episode of AF. Carin took sotalol for two years and felt she was in a trap.’ She says that alternative medications were discussed, but she felt they were made to sound as if they were not really an option, so stayed on sotalol. Carin experienced significant side effects from sotalol, including extreme tiredness and low mood. When she had to stop taking the sotalol before a stomach operation, she realised that she felt much better, and decided not to restart the medication.
After her operation, Carin did not have any AF episodes for 18 months, despite not being on sotalol. Her thyroid had been removed due to another illness, and doctors thought her AF could possibly be linked to that. Carin thought she was cured’ and was devastated’ when she had another AF episode. She now gets palpitations but is not short of breath, and is grateful that she not very unwell. She is slowly coming to terms with having AF. Carin says that she has encountered a range of opinions from different doctors on whether she should take warfarin. She decided to take aspirin and says she will rethink taking warfarin when she is 65. Carin was worried about travelling abroad in case she had a symptomatic AF episode. The AF nurse gave her a pill in the pocket’ medication called cardicor, to take if she has an episode. Carin says this has really given her confidence. She has not had to use it but always has it with her. Carin used to go to the gym regularly, but is now afraid to do so in case she has an AF episode. Her nurse has said that exercising is safe to do, but Carin says she would find a supervised gym helpful. Carin feels that AF is seen as a benign condition’ by much of the medical profession, and that many people do not understand how scary it can be. She found it great to meet other people with AF at an Atrial Fibrillation Association conference.
Carin feels that she has had to steer’ her own care to some extent, and wonders how some people, who are not able to speak up for themselves, receive the care they need. She asked to be referred to a cardiologist by her GP, and has been pleased with the care she has received. She has also found the AF nurse, who she can contact directly, a great source of support. Carin has found the Atrial Fibrillation Association, Stop AFib and Hypertension Society websites useful sources of information. She has also recently tried some homeopathic treatments for her AF, but has not noticed any change yet. Carin prefers not to take medication if she can avoid it. She feels that people are not aware enough of AF, and that pulse checks being offered at health roadshows in supermarkets might be a good way of picking up AF in people. She reminds people diagnosed with AF that it may take a while to come to terms with it, and that it might be helpful to join a support group if available. Carin urges medical professionals to take into account the emotional and psychological sides of AF, and not be dismissive about the effect it can have on people’s lives.
Interview held 23.2.12