Doctor insights on:
Atrial Trigeminy Treatment
• 1 have been diagnosed as atrial trigeminy 6 months ago, occurred most of the time, one month ago, it alternates with atrial bigeminy. • I am a 45?
While premature: Atrial contractions may be bothersome in creating palpitations they are benign. ...Read more
Investigate further: Get a multifunction cardiogram! Http://en. M.Wikipedia. Org/wiki/multifunction_cardiogram. ...Read more
Cardiomyopathy-EFnow40-45;dec holter isolatedAPDs (17);Jan holter-isolatedAPDs1 couplet, occasionalVPDs-562& 5 trigeminy events&16trig beats;treatment?
Depends...: Treatment of a flutter depends on the type of flutter (typical or atypical), whether it's the 1st episode, the age of the patient, the presence or absence of underlying heart disease, and patient's personal preferences (more medications vs. Procedural approach (ablation). Ablation is an excellent option for typical flutter. You should discuss this with your doctor or an electrophysiologist. ...Read more
Atrial flutter what effective treatment do you advice also with left brendle branch block thank you?
Meds: Many meds can be effective -- talk with your cardiologist -- you also may need to be on anticoagulation. ...Read more
Anticoag + rate cont: Anticoagulation and rate control with PO meds. ...Read more
Atrial fibrillation: Afib is a rapid irregular heart rhythm which can decrease heart efficiency as much as 20% in some patients. It can also be associated with clotting and clots travelling around the body to cause stroke or other problems. Some people have atrial fibrillation as their normal rhythm. We use drugs to control rate, rhythm and if not successful, ablation therapy by electrophysiologist. ...Read more
ASD: Surgical treatment of ASD has typical surgical risks, catheter based treatment has catheterization risks these are fairly standard. ...Read more
Yes: All catheter-based techniques are considered minimally invasive. Conventional techniques are up to 75% effective though multiple procedures are frequently required. There is a mini-thoracotomy procedure they can do with slightly improved efficacy over this but it involves making a lot of scar tissue around the left atrium; we usually reserve that for people needing other procedures in the chest. ...Read more
Depends: It depends on how many other diseases you have. For the people with the highest risk, it can cause strokes, which can be deadly. Anyone with this condition needs to see a Cardiologist. ...Read more
Afib: Treatment of afib is tailored to the patient. The treatment that gives the individual the best results varies. ...Read more
May atrial flutter can be normal for forever with shock cardioversion treatment? Or it just temporaly?
Is ablation is better than medical treatment of atrial fibrilation knowing that im controlled on multaq?
Both are effective: Catheter ablation for atrial fibrillation is reserved for the management of patients who have breakthrough atrial fibrillation spells despite treatment with arrhythmia meds like multaq. Atrial fibrillation is a disease of aging, and it is not unusual for patients who are controlled on medications for months or years to eventually require an ablation procedure. ...Read more
Mobile echodensity visualized on the right atrial lead, adjacent to insertion into the right atrial appendage. Would this be a thrombus? Treatment?
Very likely; see doc: From the sounds of it, the "atrial lead" is from a pacemaker, indicating some prior problem with the heart rhythm. Mobile echodensity, which is the usual description of a thrombus, can arise in RAA from arrhythmias. Usual treatment is blood thinners & careful observation (in case stroke symptoms develop). Talk to your cardiologist to see if surgery is possible. Use HealthTap Prime for specifics. GL ...Read more
What do you suggest if my mother suffer with left atrial myxoma size is 30.25*20. 80 what is the best treatment?
Only 1 treatment: There is only one treatment - surgical resection. Period. ...Read more
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
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
Can I use biflace sildenafil 50 mg. If I have had or if I am in the middle of a treatment for atrial fibrillation taking xarelto of 20 mg? Cialis?
Discuss w cardiac Dr: S/he is the person to ask. Would be medically unethical to give you advice. ...Read more
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
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 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
Atrial fib with aberrancy during stess test with rate over 200. What does it mean and what is recommended treatment? Digoxin and to repeat test. Next?
Cardiology: If you are back to sinus rhythm after stress test would suggest a Holter monitor or a cardiac event monitor in order to understand if this is a paroxysmal recurrent type of arrhythmia. Would not treat yet, unless you remained in atrial fibrillation with rapid ventricular response. Ultimately a cardio consult, ideally by a cardiologist specializing in electrophysiology/ arrhythmia will be required. ...Read more
If atrial fibrillation with sick sinus syndrome changes from intermittent to continuous, is further treatment needed? Taking Coversyl & Pradaxa now.
AF: This discussion should be with your doctor who knows you and your entire situation. In general if maintaining sinus rhythm is no longer realistic, we still need to continue rate control and usually anticoagulation. These treatments however need to be patient specific. ...Read more
I have been to the ER for a rapid heartbeat. Sometimes it's diagnosed as sinus tachycardia and sometimes atrial fibrillation. I have tried cardyzeme and metopral without much success. What happens if I don't seek treatment next time?
I agree with dr. Guyton's excellent and thorough answer and would like to emphasize that with atrial fibrillation there are two main issues:
1) heart rate - a fast heart rate is typically what most people present with, and typically can be managed with medications to control heart rate such as the two you described, although there are others. Sustained high heart rates are not good for the heart, but as long as you are not having chest pain, shortness of breath, dizziness, or loss of consciousness then you can call your physician before rushing to the er.
2) stroke - afib presents a very real increase risk of stroke if not properly treated. For this reason, an accurate diagnosis is a must, and if it is indeed afib the you should discuss with your physician whether you are high enough risk to require blood thinners such as Coumadin (warfarin) or pradaxa. This is a long term risk so can be discussed in the outpatient setting with your docotor or a cardiologist. ...Read more
Atrial Fibrillation: Atrial fibrllation is an irregular heart rhythm of the heart that predisposes patients to stroke. There are a lot of treament options but it depends on the patient's clinical situation. Generally, treatment includes medications to control rate and rhythm, blood thinner and sometimes cardiologist offer ablation. Discuss these options with your physician. ...Read more