Pulmonologist: If you have any predisposition to atrial tachyarrhythmias by virtue of your mitral valve abnormality you must be cautious with the use of any bronchdilator medications as they all can cause atrial irritability. My advice is to consult a pulmonologist who can prescribe the bronchodilator with the least propensity to cause tachyarrhythmias. In my experience Xopenex is favored in this regard.
Answered 11/28/2017
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