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Doctor insights on: Atrial Trigeminy Treatment

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1 have atrial trigeminy since about 3 months , what the prognosis?

1 have atrial trigeminy since about 3 months , what the prognosis?

Depends: This depends on the etiology of the atrial arrhythmia and its projected management. Some patients must be maintained on anticoagulants so that it reduces chances of embolization. Some people can have electrocardiologic conversions, etc. See a good cardiologist. ...Read more

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Dr. Arnon Rubin
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Dr. Arnon Rubin
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Cardiomyopathy-EFnow40-45;dec holter isolatedAPDs(17);Jan holter-isolatedAPDs1 couplet,occasionalVPDs-562& 5 trigeminy events&16trig beats;treatment?

Cardiomyopathy-EFnow40-45;dec holter isolatedAPDs(17);Jan holter-isolatedAPDs1 couplet,occasionalVPDs-562& 5 trigeminy events&16trig beats;treatment?

Meds: take for the cardiomyopathy including beta blockers and ace inhibitors. Dunno why you keep getting monitors but there's nothing concerning based on what you described. ...Read more

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Does anyone have atrial tachycardia treatment?

Does anyone have atrial tachycardia treatment?

Yes: Yes, atrial tachycardia can be well treated either by medications or catheter ablation. See your electrophysiologist to discuss. ...Read more

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There are drugs for treatment of vagal atrial fibrillation?

There are drugs for treatment of vagal atrial fibrillation?

Yes: Vagal-mediated atrial fibrillation typically occurs at night while people are sleeping or may occur when drinking something cold or going to the bathroom. An antiarrhythmic called norpace, or disopyramide, works well in this situation, as it has anti-vagal properties. ...Read more

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Can Diastolic Dsyfunction cause Atrial Fib with symptoms ? Can it cause Bradycardia with symptoms ? What is the best Treatment plan for these types

Can Diastolic Dsyfunction cause Atrial Fib  with symptoms ?  Can it cause Bradycardia with symptoms  ? What is the best Treatment plan for these types

Yes: Diastolic LV dysfunction can cause atrial fibrillation particularly if the left atrium becomes enlarged. Diastolic dysfunction cannot cause bradycardia per se. Often the best treatments of diastolic dysfunction can cause bradycardia; such as beta blockers or calcium channel blockers. We do not have any real good treatment specifically for diastolic dysfunction. Ranolazine has shown some promise ...Read more

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Could you suggest treatment for congenital heart disease with atrial septial defect for a man aged 39?

Could you suggest treatment for congenital heart disease with atrial septial defect for a man aged 39?

Depending on size: Treatment of (ASD) is dependent on its size, whether there is significant flow across it, and the location within the atrial septum. If it's a significant defect then treatment is either surgical with open heart surgery, or transcatheter device closure if the defect meets the required criteria. If it's a small defect with no right heart chamber dilatation then typically no treatment is needed. ...Read more

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Taking 200 mg of Flecainide daily and still having episodes of atrial Fibrillation and PVCs. What should the next course of treatment be? Thanks

Taking 200 mg of Flecainide daily and still having episodes of atrial Fibrillation and PVCs. What should the next course of treatment be?
Thanks

Follow your MD lead: You need to be patient and stick to the treatment offered by your cardiologist or electro physiologist and discuss your options and doubts with them. Do NOT over read or look for answers on the internet. This can be harmful when the arrhythmia, in general, is not. ...Read more

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What meds can I use to control my a fib? What are the risks and side effects of medications to control my atrial fibrillation or to reduce the risk of stroke? What are the risks/benefits of other treatment options?

The : The treatment of atrial fibrillation has two important components: 1) treating the rhythm, and 2) preventing stroke. There are two strategies for treating the rhythm. The first is called the rate control strategy, and involves using medicines to prevent the heart rate from going too fast. These medicines do not prevent atrial fibrillation episodes, but are generally effective at preventing fast rhythms and also tend to have few side effects. This is a good strategy for people who do not have severe symptoms from atrial fibrillation, such as older less active people. The second strategy is called the rhythm control strategy, and involves using medications that are designed to maintain normal sinus rhythm and prevent episodes of atrial fibrillation. This strategy may be more desirable for people who are vey symptomatic when in atrial fibrillation such as young, active people. Unfortunately, this strategy tends to be less successful because recurrence of atrial fibrillation is common. The rhythm control medications also tend to have more side effects than the rate control medicines, and in some cases the side effects can be severe. Neither strategy is better than the other at preventing stroke. For stroke prevention, warfarin (also called coumadin) is typically used for people at moderate or high risk. This medication has been shown to be superior in preventing stroke, but it also increases the risk of dangerous bleeding because it is a blood thinner. Patients at lower risk for stroke may just take an Aspirin tablet daily. This has a lower bleeding risk than warfarin. Lastly, some people are candidates for surgical or catheter-based ablation procedures. These procedures can cure atrial fibrillation, but are not always successful and not all people are good candidates. ...Read more

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Dr. Arnon Rubin
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