Doctor insights on:
Calculating Atrial Rate
What is the success rate for the "firm" procedure for atrial fibrillation and are there any additional risks having it done over a normal ablation
Alternate technique: My understanding is that FIRM (focal impulse and rotor modulation) ablation is, perhaps, a more advanced ablation system using a very sophisticated catheter that, purportedly, maps locations/rotors that seemingly could trigger & sustain AF. Success up to 80% in controlling AF for 2 years is reported, better than with standard ablation. Risks should be similar. Careful case selection is important! ...Read moreSee 1 more doctor answer
Atrial Tachy (AT): It depends on the frequency/duration of the at. Infrequent episodes - follow or treat with meds - av nodal or antiarrhythmic drugs. Frequent episodes consider ablation if meds fail. Sometimes difficult to induce at ep study and cannot ablate due to need to MAP out the arrhythmia. Success rates in the area of 70-80% if frequent and not multifocal - coming from multiple areas. Ep md. ...Read moreSee 1 more doctor answer
I have atrial fibrillation for a couple of hours each month should I ask my doctor for rate control drugs-there seems to be different opinions.Thanks?
Lots of options: You're correct, there are a lot of options, and a lot of it comes down to your preferences and discussions with your doctor. For atrial fibrillation we think of three things: minimizing risk of stroke with anticoagulation, controlling the heart rate, and managing symptoms. If you are feeling ok, a few hours a month of afib symptoms could be ok and may not necessarily need a change in strategy. ...Read more
Actually, it does: The p wave reflects activation of the atria (upper chambers), but in atrial flutter, the atria activity is reflected in a "sawtooth" pattern ripping along at about 300 beats per minute, which also represents the atrial activation but from another source and conduction pattern. The important clinical item is the ventricular rate, dependent on the av node which is the controlling "relay station". ...Read moreSee 1 more doctor answer
Can atrial tachycardia start all of a sudden or have i had it all my life or can someone just develop a fast heart rate i'm f 30 no history of heart?
It can start suddenl: It is unlikely that you had it all your life without a doctor noticing it and without you knowing it. ...Read more
I had done ecg.my pulse rate is 120. Fast pulse rate .they suspect left atrial enlargement. 2nd time ecg done. Only fast pulse rate found.im pregnent.
May be physiologic: Since a large left atrium is suspect have your physician have you see a cardiologist. WE call this a tachycardia but it may be normal depending on you physical status. Your evaluation will clarify the situation. ...Read more
Yes: atrial fibrillation is when the atrium is beating not in coordination with the ventricle. It beats around 200 beats a minute. If the ventricular rate is controlled it beats 60-100 beats a minute. Since the are not synchronized there is a higher risk of blood clots in the heart which then can be thrown to the brain causing a stroke.n that is why we use blood thinners. ...Read more
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