heart flutters are something most experience from time to time. I have had heart flutters for decades so obviously not a big deal... and i don't drink coffee so it is not due to caffeine. But sometimes these flutters actually make me feel faint. So does this pose a problem for the procedure?
the impact of MS on the autonomic nervous system is well known. While other autonomic dysfunctions, such as bladder, bowel and sweating disorders, are more common, or more commonly recognized, effects on cardiac rhythm are well known. The first case of atrial fibrillation during an exacerbation of MS was reported in 1986.
First thing to do when this happens is to make sure it is not chest wall spasms or other things that might cause the feeling of a fluttery heart.
So rest quietly for a few minutes and then measure your pulse rate for one minute. The wrist pulse is most commonly used but gently pressing on the pulse in your neck might be easier. Count each pulsation and try to judge whether the pulses are uniform in timing or erratic, and whether each pulse is of similar strength.
normal pulse rate is regular and between 60-90 beats per minute.
If you are getting light headed, it would suggest that you might be having bouts of irregular or hyperfast heart rhythm (such as atrial fibrillation) caused by either MS's effect on your autonomic nervous system, or one of the many causes of abnormal hearth rhythm that we all are prone to, including heart disease, thyroid problems etc. Remember: not all medical problems you have are caused by your MS.
The only complication my patients have had during liberations i have performed (it seems in another lifetime before I got more heavily involved as a writer
) was a young man in early 30s who developed atrial fibrillation immediately after liberation. I suspected a profound change in his autonomic nervous system occured during liberation. the AF reverted to normal within 12 hours but he has been the only patient to need unplanned admission.
hope this helps