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Doctor insights on: A Fib Vs A Flutter Treatment

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A fib definition?

A fib definition?

Irregular heart : A fib is a common arrhythmia in older adults. It is an irregularity of the pacing part of the heart. It increases symptoms like shortness of breath and palpitations. It is often due to hypertension or underlying heart disease. Meds can control the heart rate and reduce the risk of stroke. You should be evaluated by a physician. ...Read more

Flutter (Definition)

Atrial flutter is an abnormal heart rhythm in the top of the heart in which the top of the heart beats very fast but very regularly (as opposed to atrial fibrillation which is always irregular) and can lead to a rapid heart rate and ...Read more


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Which is better for an atrial flutter: cardioversion or ablation?

Which is better for an atrial flutter: cardioversion or ablation?

Define better please: What does better mean? Initial atrial flutter ablation success rates run around 80-85%. This for the typical flutter variety. A form of atrial flutter called atypical atrial flutter has a much lower success rate. But ablation is invasive, meaning there is inherent risk such as perforation of the heart, pericardial effusion, need for permanent pacemaker implantation, etc. Such risks are very rare ...Read more

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Beside taking arrhythmia medicines, what are other option for atrial fibrillation? Does a pace maker or defibrillator cure a fib?

Beside taking arrhythmia medicines, what are other option for atrial fibrillation?  Does a pace maker or defibrillator cure a fib?

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. ...Read more

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What is a nursing intervention for atrial fibrillation?

What is a nursing intervention for atrial fibrillation?

Watch and Report: If acute, recognize irregular irregularity if rhythm and rapid rate and report. If chronic report rapid rates or signs oe symptoms of chf. ...Read more

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Is cardioversion or ablation more effective for treating an atrial flutter?

Cardioversion/ablati: Cardioversion is used to treat individual episodes if they don't recurr frequency, if chronic or recurrent atrial flutter is present, then ablation attempts to prevent the rhythm from recurring long term hopefully permanently. ...Read more

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Does a patient in v-tach, v-fib have a pulse?

Does a patient in v-tach, v-fib have a pulse?

Vtach/Vfib...: A person in ventricular tachycardia may have a pulse (or might not!) whereas a person in ventricular fibrillation never has a pulse. A monitor is needed to identify the heart rhythmn. ...Read more

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Could an episode of a fib have a strong heart beat.?

Could an episode of a fib have a strong heart beat.?

Subjective: It commonly feels that way even though the actual amount of blood pumped is a little less than normal. ...Read more

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Will having had serious femoral pseudoaneurysm be a consideration in getting a cardiac ablation for atril fibrilation?

Will having had serious femoral pseudoaneurysm be a consideration in getting a cardiac ablation for     atril fibrilation?

Maybe: If site has healed there should be no problem. If recent thrombin injection or recent surgical repair, access should be gained in other groin. ...Read more

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Treatment for a small supra effusion on a knee?

Treatment for a small supra effusion on a knee?

? Cause: ? Supra effusion. If you have an intraarticular effusion( fluid in knee joint ) often the fluid will 'go' where there is the most space( suprapatellar pouch). Depends on what is causing this swelling... And it has to be distinguished from bursal ( extraarticular) fluid.Small joint swellings often dissipate on their own. If persists or recurs ; see ors. Best of luck! ...Read more

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How common is a serous complication such as a DVT/PE, cardiac tamponade or death from an EP study for evaluation of NSVT??

How common is a serous complication such as a DVT/PE, cardiac tamponade or death from an EP study for evaluation of NSVT??

Do you drive?: Nothing is 100% safe, however, EP studies are safe, probably safer than driving a car. You may visit this site for more information. https://www.ucsfhealth.org/education/electrophysiology_study_and_catheter_ablation/index.html ...Read more

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Electrophysiologist: what would indicate the need for a substrate catheter ablation for some one who is only a paroxysmal afibber? Thanks

Electrophysiologist: what would indicate the need for a substrate catheter ablation for some one who is only a paroxysmal afibber? Thanks

Depends : It all depends on what is driving and or triggering your atrial fibrillation. The standard approach for someone with paroxysmal afib is a pulmonary vein isolation. However, if these patients are put into atrial fibrillation and then ablated with complex fractionated electro gram (CFAE) ablations - sometimes the triggers and substrate for afib are not localized to the region of the pulmonary veins. ...Read more

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Cardiology #: What is the significance of benign tachycardia with a heart rate of 100? What could be a treatment for it, if one is needed?

Cardiology #: What is the significance of benign tachycardia with a heart rate of 100? What could be a treatment for it, if one is needed?

Tachycardia: Normal heart rate usually run for 60-100, although there is some variance in 'normal.' If you have a sustained rate above 100 I would suggest getting it checked. There are many underlying causes of tachycardia, many of which can be serious. Don't necessarily worry about treatment to reduce the rate until you get it checked out. ...Read more

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Is an EKG a definitive test for vascular damage for a patient with chest pain?

Is an EKG a definitive test for vascular damage for a patient with chest pain?

Not definitive: Ecg can be completely normal unless you had a previous infarct or are currently having an acute coronary syndrome. There are signs suggesting ischemic heart disease but they re not definitive. A stress test is the next line of testing followed by cardiac catheterization which is truly definitive. ...Read more

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What is the treatment for a heart murmur? Surgery?

What is the treatment for a heart murmur? Surgery?

Murmur: Heart murmur is just noise. If the noise is caused by a significant heart blood flow problem, that is what you need to know. Ask your doc what is going on. ...Read more

Dr. John Garner
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Atrial Fibrillation (Definition)

A quivering or irregular heartbeat that can lead to blood clots, stroke, heart failure, ...Read more