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Doctor insights on: I Have Atrial Fibrillation But Had No Success Controlling It Any Suggestions

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I have atrial fibrillation but had no success controlling it. Any suggestions?

I have atrial fibrillation but had no success controlling it. Any suggestions?

See a specialist: It sounds like you need some help from a cardiac electrophysiologist. There are several world leading cardiac electrophysiologists in the neighborhood of palo alto, and i suggest you consult one of them. ...Read more

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Fibrillation (Definition)

Fibrillation is the rapid, irregular, and unsynchronized contraction of muscle fibers. An important occurrence is with ...Read more


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I have atrial fibrillaiton and have no success controlling it. Im looking for advice on possible ablation?

I have atrial fibrillaiton and have no success controlling it. Im looking for advice on possible ablation?

Possibilities: Possibilities are av node ablation which is burning the av node with radio frequency, rf, ablation or ablation of the atrial fibrillation which requires scarring of the surrounding pulmonary vein. In some cases av node ablation may result in the need for a pacemaker. Atrial fibrillation ablation is more successful if the left atrium is less than 4.5cm and the duration of the af is less than 6 mos. ...Read more

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I've had a heart ablation in 2007 for WPW. I still have episodes but my heart doesn't go as fast. What are my other options that I can talk with my Dr?

I've had a heart ablation in 2007 for WPW. I still have episodes but my heart doesn't go as fast. What are my other options that I can talk with my Dr?

WPW still palp: Can use certain medications to reduce the heart's ability to respond to these episodes. Could consider another EP study and attempt at ablation. Best to talk to your Cardiologist, express your questions/concerns. Best of luck. ...Read more

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Having constant pvcs for days. On 2.5 bisoprolol. Not symptomatic just annoying. Any suggestions? I have pots.

Having constant pvcs for days. On 2.5 bisoprolol. Not symptomatic just annoying. Any suggestions? I have pots.

PVCs: If you have had a cardiac work up, speak to your doctor about using another beta blocker that might work better than the one you are on. ...Read more

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Can anyone tell me something about ectopic atrial tachycardia? I had an ablation for avnrt, but still have breakthrough episodes and doc says this.

Can anyone tell me something about ectopic atrial tachycardia? I had an ablation for avnrt, but still have breakthrough episodes and doc says this.

Ablation: you might be having recurrence of avnrt, another type of arrhythmia but first the episodes should be documented with tests like Holter, event recorder before jumping into conclusions. ...Read more

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I have palps and had an echocardiogram. It came back fine, but I didn't have palps during the echocardiogram.Is there any chance at all of atrial fib?

I have palps and had an echocardiogram. It came back fine, but I didn't have palps during the echocardiogram.Is there any chance at all of atrial fib?

Could be: An echocardiogram looks at cardiac structure and function, not specifically rhythm. There are cardiac abnormalities that make one more prone to cardiac arrhythmias. But your echo gave no clues. There are tests that can specifically look for arrhythmias that arevsimole to obtain. Discuss these with your doctor. ...Read more

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H/o sinus tach, afib, cva. I was told there is no treatment options for my pcos. Is that true? Or is there options despite my stated cardiac history?

H/o sinus tach, afib, cva. I was told there is no treatment options for my pcos. Is that true? Or is there options despite my stated cardiac history?

Yes: I would seek out a reproductive endocrinologist to discuss options given your risk factors, obvious the most common therapy ocps would not be a good option but there are other things you can try - provera, (medroxyprogesterone) Progesterone only pills etc---- but without an exam, and full history I am not sure if these other options are good alternatives for you. ...Read more

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I had congestive heart faliure in 8/2009. Will i always have congestive heart failure? I no longer have any symptoms. I can do all things. I did b4

I had congestive heart faliure in 8/2009. Will i always have congestive heart  failure?  I no longer have any symptoms. I can do all things. I did b4

Depends.: Will need to ask your doc. Some types of failure are completely reversible. Ps the reason we can't answer this question is that "heart failure" is not a diagnosis. It is the common end of multiple pathways. If we knew your diagnosis (for example viral myocarditis or ischemic cardiomyopathy) we could answer this better. ...Read more

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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 : 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

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Pvc and unspecified tachy, non-cardiac chest pain. But im not happy with diagnosis. I've had this 5 yrs and getting worse. They say not life threating.?

Pvc and unspecified tachy, non-cardiac chest pain. But im not happy with diagnosis. I've had this 5 yrs and getting worse. They say not life threating.?

Benign arrhythmias: Pvcs & tachycardias (<110) are common depending on your hx, age, and the recordings ( more specifics about the tachycardia and how often ( more then 5 PVC per min.)intervention may or may not be required. Worst escenario... Get a second opinion to review what has been done. Most anti arrhythmics are pro arrhythmics so drs try to avoid them. Drs. May consider beta blockers x u. ...Read more

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I have had psvt's with heart rate over 250 twice, but I have had cardiac ablation 4 yrs ago. What does this mean?

I have had psvt's with heart rate over 250 twice, but I have had cardiac ablation 4 yrs ago. What does this mean?

Repeat ablation?: Sometimes svt's require more than one ablation to cure them. Alternatively you could be having a different type of arrhythmia. I recommend getting back in with your ep for a full evaluation. ...Read more

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I have AFib. My Cardiologist has recommended an ablation. He says there are new procedures. I am seeing a thoracic surgeon. Any info on success rates?

I have AFib. My Cardiologist has recommended an ablation. He says there are new procedures. I am seeing a thoracic surgeon. Any info on success rates?

The success rate: is dependent on multiple factors. How long you have had fib. Is it persistent or paroxysmal. What is the size of your left atrium, How obese are you, do you have OSA, etc. A thoracic surgeon will be unlikely to give you information for anything other than MAZE procedures. You need to see and EP for an evaluation and discussion of your success rate. ...Read more

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I had CABG 11 months ago. The heart doctor said i would quit having hot flashes afterwards but i still have them. Is there an OTC med. For that?

I had CABG 11 months ago. The heart doctor said i would quit having hot flashes afterwards but i still have them. Is there an OTC med. For that?

Maybe: One thinks of post pericardiotomy syndrome (pps) here but hot flashes could also be something else. Ppsshould have resolved by now in the vast a majority if patients. A blood test and look for other causes by your cardiac surgeon or cardiologist is needed. ...Read more

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If I have a history of atrial fibrillation and tachycardia is it bad that my heart rate has been 144 all day?

If I have a history of atrial fibrillation and tachycardia is it bad that my heart rate has been 144 all day?

Yes.: If the heart rate is elevated for prolonged periods of time, there is a risk for tachycardia-induced cardiomyopathy - or weakening of the heart from rapid heart rates. This is usually reversible once the heart rate is corrected. You should see your cardiologist for evaluation. ...Read more

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I have WPW, I often have tachycardias I can control, I am having my heart slow down though, and can't control it. Is there a way to?

I have WPW, I often have tachycardias I can control, I am having my heart slow down though, and can't control it. Is there a way to?

Likely yes: As you probably know, WPW is a disorder of the electrical conduction system of the heart. I am assuming you have a cardiologist and he or she may have considered referring you to an electrophysiologist who may then consider ablation of the aberrant electrical pathway. He or she may also consider medical therapy with certain anti-arrhythmic drugs. You may wish to explore such options with your doc. ...Read more

Dr. John Garner
1,840 doctors shared insights

Atrial Fibrillation (Definition)

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