But now, based on what happened to Ryno, I'm wondering if the big sugar/caffeine change in his diet triggered an afib attack or if it was blood sugar related. In hindsight, hearing what happened to you Ryno, I feel we all took these event too lightly.
You can't say or assume that without a cardiac workup, re coffee or blood sugar or electrolytes ( potassium, sodium, calcium, magnesium etc). It very dangerous to self treat or assume. AFib can be a life-threatening condition esp when new onset. It may "progress" into V-Fib, and THAT WILL kill you.
Everyone should know how to take their pulse--do it in the wrist, not the neck in cases of arrhythmia (pressure on the carotid baroreceptors affect heart rhythm). In retrospect yes, taken too lightly, but you had no way of discerning between wuss and AFib or any other in the pantheon of heart rhythm disturbances. I am actually surprised that when the first episode happened, June 29???, no appointment was made with cardiology then? In fact, this, if this was the first episode, it is by definition new onset AFib
...when we encounter this we get people seen that day. In a big USA ER cardiology will be called in to run the show. Finally, anti coags on board. They need to be monitored with blood work.
The crazy thing is that of the four of us, he's by far in the best shape and youngest of the group. The rest of us are 60 years old, carrying a few extra lbs in our abdomen, and probably don't exercise as much as we should.
totally irrelevant in this case. Assuming is a dangerous proposition. If you're talking coronary artery disease, ok, maybe, not arrhythmias though--different animal. Can happen in the fit and the unfit.
There's probably a moral to this story but I'm not sure what it is other than listen to your body and no harm ever came from just stopping under a shade tree with a bottle of water until you feel solid to ride.
that's probably true.
the most dangerous thing about these intermittent bouts of anything, is that they are easy to deny, to ignore. Simply because they go away doesn't mean they did not happen and will not again, maybe with different outcomes. That is seen that a lot in people suffering angina, complete denial. Obviously that is not the case here.
If there is a takeaway other than get it worked up asap, it is this: I have found that when a patient tells you they "just don't feel right," that should be a red flag to investigate further, at least with a set of vital signs. It may be nothing, but it may be something. Never ever blow it off. Sometimes they cannot put it into words as the sensations are/can be quite vague.