A-Fib Affecting Scores

I have permanent A-Fib. Does this negatively affect my "stress" and "sleep quality" scores?

  • I don't know but I guess it shouldn't. As long as you take medications, and things are under control, your heart should mimic that of a normal heart, so it should not affect your stress or sleep quality. But certain medications can affect your sleep quality, so you have to check what medication you are taking and how it affects or changes your heart readings with time (because many medications are taken after dinner, and before sleep). I can be so wrong here. But this is an interesting question.

    Stress indication of Garmin is so accurate in my opinion. Every time I have a high stress at night, I get a fever the immediate afternoon or evening, I have no idea how Garmin does that, but it is so accurate for me. I have been monitoring it since 2019 or so and every single time it warned me with a high stress, ok tomorrow you are going to have a rough day. It also happened after I took the Covid vaccine. 

  • There are two types of A-Fib. Paroxysmal (intermittent) and Permanent. The meds commonly used are: 1) blood thinner to help prevent clots 2) beta blocker to stop heart rate from going too high.

    These do not change the abnormal heart rythmn (sinus). My query is- if the Garmin is presented with an abnormal rythmn either occasionally, or constantly.... does it affect stress and sleep scores?

    I don't necessarily feel stressed or having experienced a stressful sleep. Being warned of a potential "rough" day may, in fact, be erroneous as it's based on an algorithm that doesn't take A-Fib into account.

    I'd be interested in any medical opinions on this.

  • Again, in my opinion it shouldn't. Abnormal rhythm doesn't elevate your heart rate, so it should not result in higher stress (especially while being idle). The exact mechanism of calculating stress from HR is not well known to the common public. Is your watch showing as high stress most of the time, even during sleep? It would be nice to see your data (if you don't mind sharing). But on a serious note, I would recommend chatting with a Garmin specialist to get know better.

    Edit: I think the factor that would most matter is turning on or off abnormal HR alerts. This is something that you need to discuss with the Garmin specialist.