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Doctor Q&A for Dr. Jay Dinerman

A 61-year-old female asked:
Dr. Jay Dinerman
Cardiac Electrophysiology 34 years experience
Not sure : Not sure how an ECG can show hardening of heart muscle. It could show signs that may be related to previous damage of heart muscle. Damage of heart muscle can cause arrhythmia. Most arrhythmias, unless left uncontrolled for long periods of time do dot cause heart damage.
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A 30-year-old male asked:
Dr. Jay Dinerman
Cardiac Electrophysiology 34 years experience
Not necessarily : If you only have a left bundle branch block, particularly if it is not new and there are no other heart electrical impulse conduction problems a pacemaker does not seem necessary.
A 58-year-old male asked:
Dr. Jay Dinerman
Cardiac Electrophysiology 34 years experience
Depends: In order to safely prescribe medication for a fib it is important to know more about your heart, specifically whether there are any abnormalities. There are drugs other than amiodarone and tikosyn (dofetilide) but the do not have the same efficacy (success rate ).
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A 19-year-old female asked:
Dr. Jay Dinerman
Cardiac Electrophysiology 34 years experience
Don't know: Although chest pain is a symptom of a heart attack it is impossible to know what is going on without doing testing such as an ECG and blood work.
A 44-year-old male asked:
Dr. Jay Dinerman
Cardiac Electrophysiology 34 years experience
Could be: Anything that increases sympathetic tone (adrenaline like responses) such as pain or discomfort could increase the frequency of pvcs.
A 66-year-old member asked:
Dr. Jay Dinerman
Cardiac Electrophysiology 34 years experience
No: Although it theoretically makes sense to use anti arrhythmic medications which target the parasympathetic (vagal) nervous system, studies don't seem to show a difference in success using this approach.
A 43-year-old male asked:
Dr. Jay Dinerman
Cardiac Electrophysiology 34 years experience
Ablation: Catheter ablation (pulmonary vein isolation) can be curative. Although not curative, an av node ablation in combination with a pacemaker or defibrillator can usually eliminate the symptoms of atrial fibrillation. If you have obstructive sleep apnea using CPAP can greatly improve atrial fibrillation.
A 23-year-old male asked:
Dr. Jay Dinerman
Cardiac Electrophysiology 34 years experience
Depends: Usually these are extra beats from the upper or lower chambers of the heart. However, this symptom could represent other heart rhythm abnormalities. If the heart is otherwise normal they are usually benign. A holter monitor or event recorder can help capture your heart rhythm during symptoms to precisely determine the cause of palpitations.
A 49-year-old female asked:
Dr. Jay Dinerman
Cardiac Electrophysiology 34 years experience
Yes: An event recorder will allow your ECG to be recorded during symptoms. This will help determine if your symptoms are caused by an abnormal heart rhythm.
A 43-year-old male asked:
Dr. Jay Dinerman
Cardiac Electrophysiology 34 years experience
Yes: Amiodarone can cause slowing of the heart beat. Since you are concerned about your heart rate you may want to consider contacting a physician, preferably the one that prescribed the amiodarone to further check this out. An electrocardiogram might be very helpful.
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