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
ECG Result: Vent Rate 115, Atrial Rate 115, P-RInt 128ms, QRS dur 096ms, QTint 326ms, P-R-T Axes 068 081-01 degrees, QTc Int 450ms. Anything abnormal?
Tachycardia: The ekg demonstrates sinus tachycardia as the normal resting heart rate should be less than 90. In addition the qtc interval appears prolonged but the regular qt interval is within normal range. There is no description of morphology in this report and I wonder what the overall conclusion by the ekg reader was. Have a cardiologist read the ekg for you. ...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
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
I have a pacemaker for bradycardia but over the past two months my pacemaker has been reading a high rate of atrial tachycardia should I be worried?
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