A 36-year-old female asked:
diagnosed with avnrt (among other abnormalities) doc prescribed tambocor (flecainide). other non-pill options available? he doesn't want to ablate
4 doctor answers
Dr. Robert Pearson-Martinez answered
19 years experience Pediatric Cardiology
Usually meds: Avnrt will usually require medical treatment, if not ablation, though other options compared to tambocor (flecainide) would include beta blockers, calcium channel blockers or digoxin. Lifestyle changes may help--avoiding smoking, drug or alcohol abuse, avoiding caffeine & other stimulants, minimizing stress & anxiety, getting enough sleep, using relaxation or meditation techniques...These may all help.
Answered on Sep 28, 2016
Dr. Bennett Werner answered
43 years experience Cardiology
No : There are no effective options except medication or ablation. The only other option is to accept paroxysms of svt. Tambocor (flecainide) is highly effective, but sometimes, just a beta blocker alone (like atenolol or metoprolol) is all you need. Have you tried that yet?
Answered on Sep 8, 2013
Dr. Volkan Tuzcu answered
30 years experience Pediatric Cardiology
Avnrt: best to ask your doc why he did not recommend ablation. Especially with cryoablation, ablation of AVNRT is very safe and very successful, we rarely use meds. However, you may have some other specific situation why your doc does not want you to have ablation. If you want you can consult me if you need more specific recommendations based on your situation. heathtap.com/volkantuzcu
Answered on Jul 11, 2015
Dr. Miguel Salazar answered
16 years experience Cardiac Electrophysiology
Seek a second op: There are risks associated with an ablation. The main risk is damaging the Av node which leads to a pacemaker implantation. However, this complication is rare under experienced hands. I favor ablation and so do the guidelines. Get a second opinion because you are too young to take tambocor (flecainide) for the rest of your life.
Answered on Sep 27, 2016
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