Atrial fibrillation and cycling

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ColinJ

Puzzle game procrastinator!
All done! Everything went smoothly and my heart is back in rhythm.
Excellent news!

I‘ll still be on the anti-coagulants for at least three months so any outdoor cycling is off the menu for this season at least
Is that because you worry about the consequences of an injury in a crash or accident?

I felt the same when I was put on anticoagulants 14 years ago but eventually decided that the added risk of cycling is small and the benefits are huge.

I now wear a medical dog tag when out of the house and have filled in medical info accessible from my phone's lockscreen. Hopefully, paramedics would read that info on one or the other if I were found unconscious and bleeding heavily.

I have met quite a few other riders on anticoagulants for life and they have a similar approach.

Anyway, enjoy getting back on the bike outdoors when you eventually do.
 

kingrollo

Legendary Member
Such as exercise

Several studies have found troponin levels above the reference range following both prolonged and short-duration physical activity (4). The fact that exercise can induce troponin concentrations that meet the biochemical criteria for acute myocardial infarction has sparked debate.

https://tidsskriftet.no/en/2025/04/perspectives/physical-activity-and-troponin-elevation

If it's exercised induced though - the levels will quickly subside. Well that's what I was told.
 

Ming the Merciless

There is no mercy
Location
Inside my skull
If it's exercised induced though - the levels will quickly subside. Well that's what I was told.

It is all in the link I gave

“As a result, troponin concentrations normalise within 24–72 hours after physical activity (9). In comparison, troponin levels can remain elevated for 4–12 days following a myocardial infarction (4). The prolonged half-life of troponin after a myocardial infarction is likely due to its simultaneous release from the necrotic cells as it breaks down. Since these processes occur concurrently, estimating the half-life of circulating troponins has been challenging. “
 

Bollo

Failed Tech Bro
Location
Winch
Excellent news!


Is that because you worry about the consequences of an injury in a crash or accident?

I felt the same when I was put on anticoagulants 14 years ago but eventually decided that the added risk of cycling is small and the benefits are huge.

I now wear a medical dog tag when out of the house and have filled in medical info accessible from my phone's lockscreen. Hopefully, paramedics would read that info on one or the other if I were found unconscious and bleeding heavily.

I have met quite a few other riders on anticoagulants for life and they have a similar approach.

Anyway, enjoy getting back on the bike outdoors when you eventually do.

Thanks Colin. That‘s where my thoughts are headed. My AF was at the more impactful end of the spectrum so the combination of the symptoms and beta-blockers made any effort beyond a baseline level very uncomfortable, even before considering the anticoagulant risk. I’m easing my way back in gently whatever comes next, but hoping to be able to drop both the anticoagulants and beta blockers eventually. If the anticoagulants are going to be a long term thing then I’ll likely go the med bracelet route.

The HHHC runs an excellent online education evening that‘s also an opportunity to hear other people’s experiences. There’s a lot more awareness now because many fitness trackers and smart watches pick up AF, but many people don’t really manifest any symptoms at all.
 

vickster

Squire
I had an ablation about 18 months ago. All good since other that one or two short lived episodes caught on Apple watch after checking due to symptoms which I didn't follow up on
 

PaulSB

Squire
Excellent news!


Is that because you worry about the consequences of an injury in a crash or accident?

I felt the same when I was put on anticoagulants 14 years ago but eventually decided that the added risk of cycling is small and the benefits are huge.

I now wear a medical dog tag when out of the house and have filled in medical info accessible from my phone's lockscreen. Hopefully, paramedics would read that info on one or the other if I were found unconscious and bleeding heavily.

I have met quite a few other riders on anticoagulants for life and they have a similar approach.

Anyway, enjoy getting back on the bike outdoors when you eventually do.

Thanks Colin. That‘s where my thoughts are headed. My AF was at the more impactful end of the spectrum so the combination of the symptoms and beta-blockers made any effort beyond a baseline level very uncomfortable, even before considering the anticoagulant risk. I’m easing my way back in gently whatever comes next, but hoping to be able to drop both the anticoagulants and beta blockers eventually. If the anticoagulants are going to be a long term thing then I’ll likely go the med bracelet route.

The HHHC runs an excellent online education evening that‘s also an opportunity to hear other people’s experiences. There’s a lot more awareness now because many fitness trackers and smart watches pick up AF, but many people don’t really manifest any symptoms at all.
If I might offer some advice through my direct experience. I've two serious medical issues; heart attack, a bleed on the brain and I'm epileptic. I'm pleased to say I'm fit as a fiddle and lead an ordinary life. With all of this going on I thought it would be worthwhile carrying a medical ID of some sort and have done for 8 - 9 years. People often ask about it and approve.

In June 2024 I was hit by a tractor. As I lay in the ambulance the only memory I have is lifting my right hand and waving the medical ID bracelet at the ambulance crew. It clearly states on the bracelet "epileptic." So clearly that a random stranger spotted it once, asked why I wore it, I explained. Her son was also epileptic and she thought it a brilliant idea

#1 ambulance person: "What's that?
#2 ambulance person: "I don't know. Never seen one before."

I feel these bracelets, dog tags, phone screen information are pointless. My direct experience in a major RTC is no one is interested and too focused on the life-saving stuff to look at one. My suggestion would be this, I do it myself. Very briefly describe any condition, meds etc on a small piece of card, laminate it and keep it in your pocket. With luck you'll be able to tell the medics where it is, even if you can't get it out yourself. Don't rely on PR, do something active yourself.
 

presta

Legendary Member
I feel these bracelets, dog tags, phone screen information are pointless. My direct experience in a major RTC is no one is interested and too focused on the life-saving stuff to look at one.

I saw this somewhere else recently, but I forget where. I think you're right, if it's serious, the last thing they'll have time for is faffing around with phones.

An A&E consultant on Twitter, who's something of an expert on the problems with NHS IT systems, reckons that the best way to improve your chances is to put all your medical records on Dropbox so that they can be accessed from anywhere, because that's not the case with the copies the NHS hold. (He worked at Oban, and they have no access to English NHS records up there.)

I haven't bothered though.
 

PaulSB

Squire
I saw this somewhere else recently, but I forget where. I think you're right, if it's serious, the last thing they'll have time for is faffing around with phones.

An A&E consultant on Twitter, who's something of an expert on the problems with NHS IT systems, reckons that the best way to improve your chances is to put all your medical records on Dropbox so that they can be accessed from anywhere, because that's not the case with the copies the NHS hold. (He worked at Oban, and they have no access to English NHS records up there.)

I haven't bothered though.
That's an interesting thought. The ID strap I used to wear would have granted full access to my medical records. It relies though on the paramedics knowing what the ID strap offers.

Mine looked impressive but delivered nothing. Fortunately, in my RTC two things happened. A witness overheard me give my address. It was two miles away and he drove straight to my house to tell my wife where I was. Secondly by the time I got to A&E I had come round sufficiently to state my history and meds.
 

ColinJ

Puzzle game procrastinator!
An A&E consultant on Twitter, who's something of an expert on the problems with NHS IT systems, reckons that the best way to improve your chances is to put all your medical records on Dropbox so that they can be accessed from anywhere, because that's not the case with the copies the NHS hold. (He worked at Oban, and they have no access to English NHS records up there.)
I was treated for my first pulmonary embolism in 2012 at my local hospital in Halifax. The second one happened a year later when I was visiting my family in the Midlands so I ended up at the hospital in Northampton. The consultant I spoke to there asked me to detail my medical history because he couldn't access my files! Hopefully, things have improved since then?
 

presta

Legendary Member
by the time I got to A&E I had come round sufficiently to state my history and meds.
The guy I was thinking of seemed to be referring to circumstances when people were conscious, and able to grab their phone and pull up all their records on the screen. I'm not much bothered, as I've had better healthcare from those who haven't already been prejudiced by prior sight of my records.
 
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