
Your AFib Questions, Answered
Short, plain answers to the questions people ask most about AFib. For anything about your own care, call 904.493.3333 and talk with the team.
The basics
What is AFib? The most common rhythm problem of the heart. The top chambers twitch very fast instead of beating in a regular pattern, which makes the heartbeat irregular.
How would I notice it? An irregular pulse, a racing or fluttering heartbeat, shortness of breath, or an irregular heartbeat warning on your home blood pressure machine. Some people have no symptoms.
Is it dangerous? Most people tolerate it well. But it can lead to a stroke from a blood clot or weaken the heart muscle and cause heart failure. That is why it should be managed by a doctor.
Who treats it? A cardiologist, and often an electrophysiologist, which is a heart doctor who focuses on rhythm problems. FCCI has two: Dr. Firas El Sabbagh and Dr. Deepak Kumar Pasupula.

Treatment questions
What are the treatment options? Blood thinners, medicines to control rate and rhythm, a sleep apnea evaluation, weight loss when needed, ablation, and for some people left atrial appendage closure (Watchman or Amulet).
Can AFib be cured? FCCI says ablation can potentially cure it in certain patients.
Should I stop my blood thinner before a procedure? Only if your doctor tells you to. Never stop or change it on your own.
What is Watchman? A device that seals off a small pouch in the heart where AFib clots often form. It may be an option for certain patients.
How long is the hospital stay for ablation? FCCI notes it usually requires one night in the hospital.
Ask your doctor which options fit you.
When it's an emergency
Emergency? Some questions can't wait for an answer here. Chest pain, fainting, trouble breathing, or stroke signs (face drooping, arm weakness, slurred speech) mean call 911 immediately.
For urgent but non-emergency questions, FCCI asks patients to call the office during business hours, 8AM to 5PM, at 904.493.3333.
Does FCCI cover hospitals? Yes. FCCI provides coverage at HCA Florida Memorial Hospital Jacksonville, HCA Florida Orange Park Hospital, HCA Florida Putnam Hospital and HCA Memorial Satilla 24 hours a day, 7 days a week. If you are admitted, you can ask for an FCCI physician.
Keep this list handy for family members too.
When you are unsure, call 911. It is always OK to be checked.
Talk with a specialist.
New patients are welcome. Call 904.493.3333, Mon to Fri, 8am to 5pm, or request a visit online.
Is AFib hereditary?
Ask your doctor about your own family history. Bring it to your visit.
Can I exercise with AFib?
Ask your heart rhythm doctor what level of activity is safe for you.
Do I need a referral?
Some insurance plans require one. Call 904.493.3333 to check.
Does FCCI see new patients?
Yes. FCCI welcomes new patients. Call 904.493.3333.