"This book is incredibly complete and easy-to-understand for anybody. I certainly recommend it for patients who want to know more about atrial fibrillation than what they will learn from doctors...."

Pierre Jaïs, M.D. Professor of Cardiology, Haut-Lévêque Hospital, Bordeaux, France

"Dear Steve, I saw a patient this morning with your book [in hand] and highlights throughout. She loves it and finds it very useful to help her in dealing with atrial fibrillation."

Dr. Wilber Su Cavanaugh Heart Center, Phoenix, AZ

"Your book [Beat Your A-Fib] is the quintessential most important guide not only for the individual experiencing atrial fibrillation and his family, but also for primary physicians, and cardiologists."

Jane-Alexandra Krehbiel, nurse, blogger and author "Rational Preparedness: A Primer to Preparedness"


"Steve Ryan's summaries of the Boston A-Fib Symposium are terrific. Steve has the ability to synthesize and communicate accurately in clear and simple terms the essence of complex subjects. This is an exceptional skill and a great service to patients with atrial fibrillation."

Dr. Jeremy Ruskin of Mass. General Hospital and Harvard Medical School

"I love your [A-fib.com] website, Patti and Steve! An excellent resource for anybody seeking credible science on atrial fibrillation plus compelling real-life stories from others living with A-Fib. Congratulations…"

Carolyn Thomas, blogger and heart attack survivor; MyHeartSisters.org

"Steve, your website was so helpful. Thank you! After two ablations I am now A-fib free. You are a great help to a lot of people, keep up the good work."

Terry Traver, former A-Fib patient

"If you want to do some research on AF go to A-Fib.com by Steve Ryan, this site was a big help to me, and helped me be free of AF."

Roy Salmon Patient, A-Fib Free; pacemakerclub.com, Sept. 2013


FAQs Understanding A-Fib: Genetic? Will my children get A-Fib too?

 FAQs Understanding A-Fib: Genetics

FAQs Understanding Your A-Fib A-Fib.com2. “Is my Atrial Fibrillation genetic? Will my children get A-Fib too?”

Genetic research in A-Fib, though in its preliminary stages, has the potential to be a game changer for patients with A-Fib.

A-Fib does run in families. Do you have a parent or other family member with A-Fib? If not, then you probably won’t pass on your A-Fib.

Recent research found if you have any immediate family with A-Fib, you have a 40% increased risk of developing A-Fib yourself. And the younger that family member was when they got A-Fib, the more likely you are to develop A-Fib.

While the gene that increases the tendency for Familial A-Fib has been identified, there hasn’t been enough research on the genetics of A-Fib to say whether or not you will pass it on to your children.

To learn more about how A-Fib can run in families, read a few of our Personal A-Fib storiesJon Darsee (#68), Pat Truesdale (#63), Jan Claire (#39), Barry Gordon (#22), and James Adams (#13). You may want to read about Roger Meyer and Three Generations with AFib (see our book, Beat Your A-Fib, page 110).

Go back to FAQ Understanding A-Fib

FAQs Coping With Your A-Fib Day-to-Day Issues

FAQs A-Fib afibFAQs Coping With Your Atrial Fibrillation: Day-to-Day Issues

Coping with your Atrial Fibrillation means a patient and their family have many and varied questions. Here are answers to the most frequently asked questions about dealing with the day-to-day issues of having Atrial Fibrillation. (Click on the question to jump to the answer.)

1.  I like my cardiologist, but he has not talked about me seeing an Electrophysiologist. Should I ask for a second opinion from another cardiologist?”
2. Is there any way to predict when I’m going to have an A-Fib attack?”
3. Should I exercise when in A-Fib or skip it and rest? Can I damage my heart if I exercise in A-Fib?”
4. How long do I have before I go into chronic or permanent A-Fib? I know it’s harder to cure. My A-Fib episodes seem to be getting longer and more frequent.”
5. They want to do an Atrial Flutter-only ablation, will that help if I possibly have A-Fib as well?”
6.  Is smoking medical marijuana or using Marinol going to trigger or cause A-Fib? Will it help my A-Fib?
7.  “During an A-Fib episode, when should I call paramedics (911 in the US) and/or take my husband to the hospital? I’m petrified. I need a plan.”
8. I have a lot of extra beats and palpitations (PVCs or PACs) They seem to proceed an A-Fib attack. What can or should I do about them?”
9.   “How do I know which is the best A-Fib treatment option for me?”
10. When my husband has an Atrial Fibrillation episode, what can I do for him? How can I be supportive?”
11. How can I tell when I’m in A-Fib or just having something like indigestion?”
12.What kind of monitors are available for atrial fibrillation? Is there any way to tell how often I get A-Fib or how long the episodes last?”
13. I’m an athlete with A-Fib and have a naturally slow heart rate. My doctor says I need a pacemaker because my heart rate is too slow.”
14. Can excess iron in the blood cause Atrial Fibrillation? How do I know? If I have Iron Overload Deficiency (IOD), what can I do about it?”
15. Can too little iron in the blood (Anemia) cause Atrial Fibrillation? What can I do about iron deficiency?”
16.Is it possible to have a single A-Fib attack and not have any others? I had a single episode of A-Fib and was successfully converted in the ER with meds.”
17. “My mom is 94 with A-Fib. Are there consumer heart rate monitors she can wear to alert me at work if her heart rate exceeds a certain number?”
18. Can I have A-Fib when my heart rate stays between 50-60 BPM? My doctor tells me I have A-Fib, but I don’t always have a rapid heart rate.”
19. I’m in Chronic A-Fib. Can I improve my circulation, without having to undergo a Catheter Ablation or Surgery?”

20. “In one of your articles it said that having an ablation was better than living in A-Fib. I’ve been taking 75 mg of propafenone 3X/day for seven years and have only had 5 A-Fib attacks in 7 years. If your article means all types of A-Fib [including Paroxysmal], then I will consider an ablation.

21. “Both my uncles and my Dad have Atrial Fibrillation. I’m 50 years old and so far I don’t have A-Fib (yet), but I’m worried. How can I avoid developing A-Fib? Can dietary changes help? Or lifestyle changes?

22. In case I have a stroke, what does my family need to know to help me? (I’m already on a blood thinner.)  What can I do to improve my odds of surviving it?”

Last updated: Sunday, March 27, 2016
Return to Frequently Asked Questions

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FAQs Coping with A-Fib: Being Supportive

 FAQs Coping with A-Fib: Spouse Support

FAQs A-Fib afib10. “What can I do for my husband when he has an Atrial Fibrillation episode? How can I be supportive?”

First, determine if this episode is typical. If you both know from experience that this A-Fib attack will pass, you can help by getting him to sit or lay down and relax as much as possible. Maybe he needs to be reassured—remind him that this isn’t life threatening. That may help to keep you both calm and to get you through it. (I know how hard it is to “relax” when your heart feels like it’s going to jump out of your chest and is totally out of control.)

You might suggest he try one or more of these tips shared by other A-Fib patients:

•  Putting cold compresses or ice on the back of one’s neck.

•  Laying down and trying to relax in a darkened room.

•  Moderate exercise. For some, moderate exercise may help terminate an A-Fib attack. But for others, exercise may trigger or increase an A-Fib attack.

•  Deep breathing and holding one’s breathe while pressing down hard on the diaphragm.

•  A-Fib is sometimes triggered by body position—lying or leaning on the left side. Lying on one’s back and relaxing the chest may help terminate A-Fib episodes triggered by lying on the left side.

•  Putting one’s head between one’s legs and deep breathing.

If this episode is unusual and your spouse is in great discomfort with their heart beating very rapidly and irregularly, consider calling emergency services (dial 911 in the US.) or drive him to hospital emergency room. The emergency room staff can use a defibrillator and medications to electrically shock him back into normal sinus rhythm. Or convert him/her back to sinus rhythm using drugs.

Read more at: Why & How to Create Your ‘A-Fib Episode Action Plan’

Back to FAQs: Coping with Your A-Fib

FAQs Coping with A-Fib: Develop a Plan

FAQs Coping with A-Fib: An Action Plan

FAQs A-Fib afib7. “My husband’s A-Fib is getting worse. When should I call paramedics (911 in the US) and/or take him to the hospital? I’m petrified with fear for him. Our doctors say don’t worry unless he shows signs of a heart attack or stroke.”

Keep in mind, as bad as it feels, an A-Fib attack usually isn’t life threatening. (A-Fib doesn’t cause or lead to a heart attack.)

Develop an Action Plan: for your own peace of mind, you and your husband need to work out an ‘A-Fib action plan’ with his doctors.

You and your husband should know:

•  when to contact his doctor
•  your doctor’s cell number or email address for emergencies
•  when to go to the emergency room
•  whether or not to call your doctor from the ER
•  if your doctor will call and talk with the ER staff
•  when your husband should “just ride out” the episode
•  the signs of stroke, and what you should be watching for

You need specific steps and a specific plan of action. Having a plan is reassuring and helps you stay calm. When having an A-Fib attack, you and your husband will be confident you’re taking the right action.

If you feel your doctor isn’t working with you (to develop a specific action plan) and/or if your spouse is getting worse, it may be time to interview and change doctors.

Read more at: Why & How to Create Your ‘A-Fib Episode Action Plan’

Having a plan is reassuring and helps you stay calm… and be confident you’re taking the right action.

Back to FAQs: Coping with Your A-Fib

Free Report: Top 10 Questions Families Ask About Atrial Fibrillation from A-Fib.com

The Top 10 Questions Families Ask About Atrial Fibrillation from A-Fib.comFree Report: Answers to the ‘Top 10 Questions Families Ask About Atrial Fibrillation’

by Steve S. Ryan, PhD

When a patient is diagnosed with Atrial Fibrillation, family members often struggle to understand what their loved one is going through. A-Fib can be a life altering disease―yet people with A-Fib often don’t look sick

A-Fib not only impacts the patient’s health and quality of life but also the lives (and often livelihood) of their loved ones and co-workers.

Since 2002, we’ve fielded hundreds of questions from patients and answered the most common ones on our Frequently Asked Questions (FAQ) pages.

For National Atrial Fibrillation Awareness Month, we compiled the answers to the ten most often asked questions by families into a special Free Report: The Top 10 Questions Families Ask About Atrial Fibrillation.

Download the 5-page .PDF Report here-> The Top 10 Questions Families Ask About A-Fib. Print, or, to keep a copy, SAVE the PDF to your hard drive.

Back to FREE Offers and Downloads


Seven Ways to Reduce A-Fib Fear and Anxiety

7 Ways to Cope with the Fear and Anxiety of Atrial FibrillationCoping With the Fear and Anxiety of Atrial Fibrillation

by Steve S. Ryan, PhD

For a substantial portion of A-Fib patients, the impact on ‘quality of life’ extends beyond our beating heart. Atrial Fibrillation wreaks havoc with your head as well as your heart. Anxiety, fear, worry, confusion, frustration and depression. And at times, anger.

The psychological and emotional effects of Atrial Fibrillation can be debilitating. Recent research indicates that “psychological distress” worsens A-Fib symptoms’ severity.1

(Don’t expect much help from your heart doctors. They aren’t trained or often have little effective experience in dealing with the psychological and emotional aspects of A-Fib.)

Don’t be ashamed to admit how A-Fib makes you feel (especially if you’re a guy). Your psyche is just as important as your physical heart. Just acknowledging you have some or all of these symptoms is a step in the right direction.


1. Knowledge is Power and Control!

Read about your treatment options, learn about your A-Fib. Read how others have dealt with their A-Fib. Search the list of Personal Experiences published on his site. With over 80 stories, you’re sure to find a few patients with similar symptoms as yourself. Knowing others have beaten their A-Fib is a tremendous psychological relief. This helps replace fear with hope!

2. Anxiety Thought Log

Confront your A-Fib fears directly. Don’t let them mill around in your subconscious. Former A-Fib patient, Anthony Bladon, suggests you keep an ‘anxiety thoughts log.’ Write down word-for-word what the anxious thought was, when, and what was the trigger. Confront each fearful thought and try to re-state it in a more reasonable frame of mind, thereby reducing the anxiety. (See Anthony Bladon and his anxiety log.)

This may sound a bit bizarre, but try repeating anxious thoughts to yourself. Express a fear to yourself over and over. Let the monotony make your mind wander to more enjoyable thoughts. Or set aside a 20 minute worrying time during the day and refuse to think about troubling fears at any other time.

3. Yoga, Relaxation Techniques, Meditation and Walking 

In preliminary studies, Yoga has been demonstrated to improve A-Fib symptoms and to reduce A-Fib attacks, as well as improve quality of life, depression and anxiety.2 (See also FAQ #8 I do Yoga. It relaxes me and helps with my stress level. Is there any evidence on Yoga helping with other A-Fib symptoms?)

Relaxation techniques and meditation may also offer you relief from your anxieties.

A specific type of meditation called ‘Mindfulness’ is recommended by Harvard Pilgrim nurse case manager Linda Bixby. The technique is to ‘Observe and Feel the Physical Sensations’ of the A-Fib Episodes. At first this may seem counter-intuitive and may not work for you. The idea is to observe rather than resist or worry. You allow a frightening health event like an A-Fib attack to just run its course. For example, Neil Blanchette was diagnosed with A-Fib when he was 17. Meditation and “mindfulness” was a great help to him. “Just taking it in and letting myself feel the physical A-Fib experience was actually relaxing.”3(Thanks to David Holzman for calling our attention to this article.)

Walking curbs anxiety. Try to walk outdoors at approximately the same time each day. Breathing fresh air and having an established routine enhance the calming and relaxing effects of walking. But even if you can’t walk at the same time or outdoors, 20 minutes of walking daily reduces anxiety.

4. Natural Remedies:

Lavender Oil Aromatherapy: the light, soothing fragrance of lavender oil has long been used to ease anxiety (and insomnia). One example of many is Nature’s Way Calm Aid. “It contains Silexan, a type of lavender oil shown in clinical studies to ease anxiety as effectively as the benzodiazepine drug lorazepam (Ativan).”4

PharmaGABA: is a bioidentical form of GABA (gamma-ami­nobutyric acid), which serves as a critical calming agent in the central nervous system, works on the same chemical pathways as Xanax, Valium, and other drugs—without all the negative side effects; helps combat stress and anxiousness.5 One example is Natural Factors PharmaGABA

Relora: a blend of two botanical extracts (Magnolia officinalis and Phellodendron amurense) that helps reduce cortisol levels and promotes feelings of relaxation.6

Chamomile: “calms the nerves, reduces irritability and lessens the muscle spasms, headache and abdominal pain that can accompany anxiousness.” Substitute chamomile tea for caffeinated beverages, or take 60 drops of chamomile tincture in two ounces of water four times a day before or after meals, or add two drops of concentrated chamomile essential oil to a hot bath at night.7

Gotu Kola: restores health to brain and nerve cells by promoting blood circulation to the brain which has a calming effect.8


5. Counseling and Meds

Recognize that you may need professional help. Don’t be embarrassed to seek counseling. In addition, discuss if anxiety medication would be appropriate or helpful. (See Jay Teresi’s story, “Anxiety the Greatest Challenge” and Kelly Teresi’s story “A Young Wife Copes with Husband’s A-Fib” in my book, Beat Your A-Fib, pgs. 101-105)

6. Our A-Fib Support Volunteers

It might calm your fears to talk with or email someone who knows first-hand how A-Fib makes you feel. Each of our A-Fib Support Volunteers has gone through a lot to be cured of their A-Fib. They were helped along the way and now they want to return the favor by offering you support and hope. Learn more on our A-Fib Support Volunteers page (under Resources and Links).

7. Enlist Support From Your Loved Ones

Recognize that A-Fib can have significant consequences on your social interactions with your family and colleagues. Sit down and have a talk with your significant other, your friends and co-workers. Explain what A-Fib is, how it affects you and how it makes you feel. Ask for their understanding. They will want to help you, so be prepared to answer their questions.

Takeaway: Fight your fears! Ambush your anxiety! Atrial Fibrillation may be in your heart but it doesn’t have to be in your head. Seek your freedom from anxiety and improve the quality of your life.

Other ideas? If you have suggestions or programs that helped reduce your A-Fib-related anxiety, please email me and let me know.

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Return to Dealing with A-Fib

Last updated: Sunday, February 7, 2016

References    (↵ returns to text)
  1. Gehi AK at al. Psychopathology and symptoms of atrial fibrillation: implications for therapy. J Cardiovasc Electrophysiol. 2012 May;23(5):473-8. doi: 10.1111/j.1540-8167.2011.02264.x. Epub 2012 Mar 19. http://www.ncbi.nlm.nih.gov/pubmed/22429764
  2. Neale, T. Yoga May Calm Afib. MedscapeToday.com. Jan 23, 2013. Last accessed Jan 23, 2014. URL:http://www.medpagetoday.com/Cardiology/Arrhythmias/37121
  3. Harvard Pilgrim Health Care. Your Health, Fall 2014.
  4. Lucile, H. (DrHollyLucille.com) Natural remedy for anxiety, Bottom Line Health, April, 2014, p. 16.
  5. Whitaker, J. PharmaGABA Chewables for Immediate Stress Relief. Whitaker Wellness Institute website. Last accessed March 29, 2014. URL: http://www.whitakerwellness.com/pharmagaba/
  6. Whitaker, J. Innovations in Wellness Medicine, Natural Solutions for Stress Relief. Dr. Whitaker’s Health & Healing, March 2015, Vol. 25, No. 3.
  7. Starbuck, Jamison. The Natural Way/No More Drugs for Anxiety. Bottom Line Health, Volume 29, Number 10, October 2015, p. 10.
  8. Ibid.

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