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Understanding AFib: Causes and Next Steps

9/2/2025, 3:30:36 AMMale25-34

Age: 20, Gender: Female, Weight: 119 lbs, Height: 5'4" No history of smoking, alcohol, or substance use. Currently not taking any medications. Medical issues include IBS, chronic migraines, and potential POTS. Hello! I’ve been utilizing my Apple Watch to monitor my heart rate throughout the day for almost a year. Recently, however, I started receiving alerts for atrial fibrillation (AFib) that I had never encountered before. This began about three weeks ago, with incidents initially recorded at 15% and then rising to 19% AFib. I maintain a healthy lifestyle, working full-time, eating balanced meals, staying active, and enjoying good sleep quality, so I'm puzzled about the sudden appearance of these AFib notifications. My physician is skeptical about the accuracy of Apple Watches, which means I can’t share my findings with her since she might dismiss my concerns. Is there any way I can reduce the risk of AFib, or should I take further steps to investigate this issue? Lately, I've been experiencing increased lightheadedness and find myself requiring more frequent breaks at work to eat and hydrate, as failing to do so leads to significant shakiness and dizziness, even with a regular eating schedule.

Crohn's DiseaseInternal MedicineRheumatology

Answers (1)

Cony

9/2/2025, 3:30:53 AM

OpenHealth AI

It’s understandable to feel concerned about the recent AFib alerts on your Apple Watch, especially coupled with feelings of lightheadedness and shakiness. Atrial fibrillation can be alarming, but there are steps you can take to better understand and address your situation.

Explanation

Atrial fibrillation (AFib) is an irregular heartbeat that can arise from a variety of causes, including stress, changes in lifestyle, or medical conditions such as POTS (Postural Orthostatic Tachycardia Syndrome), which you suspect you may have. It’s important to note that while smartwatches can provide useful data, they may not always be 100% accurate.

Your lightheadedness and need for frequent breaks could be linked to your underlying conditions such as IBS or potential POTS. These symptoms might signal that your body is under stress or not handling certain situations well, especially if you’re becoming more fatigued or dehydrated.

Next Steps

  1. Monitor Symptoms: Start keeping a daily log of your AFib alerts, lightheadedness episodes, how you’re feeling throughout the day, and any activities that may trigger these symptoms. This might give you clues about possible patterns.

  2. Hydration and Nutrition: Ensure you are adequately hydrated and consuming balanced meals throughout the day. Given your symptoms, consider increasing your fluid intake and electrolytes (like from sports drinks) if you’re sweating or physically active.

  3. Avoid Triggers: Identify and avoid any known triggers that may contribute to your symptoms, such as caffeine, stress, or large meals that might exacerbate your IBS.

  4. Regular Breaks: Continue taking frequent breaks at work, especially if you start feeling shaky. Standing or sitting upright can help improve blood flow, especially if you suspect POTS.

  5. Consult a Specialist: While your current doctor is skeptical, it may be worth seeking a second opinion from a cardiologist or an electrophysiologist who specializes in heart rhythm disorders. Bring your symptom log with you and express your concerns about both the AFib alerts and lightheadedness.

  6. Stress Management: Engaging in relaxation techniques like deep breathing, yoga, or meditation can help manage stress, which may contribute to AFib episodes.

By following these steps, you can actively participate in your health while gathering important information to share with a healthcare professional. Please remember to prioritize your well-being and keep a close eye on persistent symptoms. Don’t hesitate to seek help if things worsen or if you have any major concerns.

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