Doctor insights on:
Metoprolol Dose For Atrial Fibrillation
Reverses Ht Failure: Toprol xl (specifically that formulation, not metoprolol tartrate) and Carvedilol (generic or Coreg (carvedilol) brand name) have been shown in large, well controlled clinical trials to slow and sometimes reverse the damage of heart failure. They operate by blocking a malfunctioning feedback loop of hormones and signaling molecules, ultimately by blocking the effect of adrenaline on the heart. Good question! ...Read more
Digoxin: we have used it for hundreds of years, recently it has been falling into disfavor. It needs to be used with great care and this may be why recent usage problems are seen. It is an ancient poison so it can't be taken lightly. ...Read more
Why do you take betapace, xocor, digoxin, and Coumadin (warfarin) with atrial fibrillation and sinus tachycardia?
Prevent stroke: Actually atrial fibrillation and sinus tachycardia are two completely different heart rhythms. None of these drugs would be of any use for sinus tachycardia. In atrial fibrillation, Betapace may restore a normal rhythm. Digoxin can help keep the heart rate down. Coumadin (warfarin) reduces the risk of stroke. Zocor also reduces stroke risk in some patients, but this is unrelated to the atrial fib. ...Read moreSee 1 more doctor answer
83 yrs f; stable diastolic hf; rate controlled a-fib. Meds: cardizem, coumadin, (warfarin) lasix, inderal, spiriva (mild copd). Would a cardioselective betablocker be better than inderal ?
Theoretically yes: In patients with COPD or asthma , cardioselective beta blockers like atenolol are felt to be superior to Inderal (propranolol) which also has possible harmful effects on the bronchial tree and could produce wheezing(bronchospasm). This may be a concern in someone like you who has copd. Your physician is best to advise you, however especially if you're doing well on inderal (propranolol). ...Read moreSee 1 more doctor answer
Is using flecanide with amiodarone effective incase of paroxysmal atrial fibrillation refractory to amiodarone 200 mg alone,what doses should be used?
Zero guarantees. All: the Type 1 antiarrhythmic agents, as documented in the CAST Trial & analysis of other trials, neither work for most individuals (CAST Trial selected out the minorities for which these agents did decrease arrhythmias by Holter) increased mortality event rates. These agents promoted for symptoms, not health. Focus on underlying issues wiser. See: https://www.healthtap.com/#user_questions/689879. ...Read more
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Do beta blockers such as toprol (metoprolol) help to prevent atrial and ventricular fibrillation?
Yes to an extent: More beneficial to prevent af than vf! ...Read more
Fibrillation: atrial fibrillation has normal left ventricular contractions put poor atrial function. Ventricular fibrillation has no real ventricular contractions so blood pumping essentially stops. Atrial fibrillation is a rhythm you can live with. Ventricular fibrillation is a rhythm you die with unless it is corrected quickly. ...Read more
On diltiazemCD, Flecainide, xarelto to prevent recurrence Afib. Atrial bigeminy at rest and sinus rhythm with any exertion.
Any concerns. Asymptomati?
Fib: Yes fib is a concerning disease. Follow your Drs suggestions. They know you best. ...Read more
For someone taking 50 mg of Beta Blocker Toprol (metoprolol) daily, is a resting heart rate of 52 to be concerned about?
Choices For Sinus Tachycardia Bisoprolol or Propranolol ?Tolerate both but bisoprolol is Cardioselective and metabolized in liver
If a72yr hypertensive with paroxysmal Afib kept in sinus rhythm by cordarone (amiodarone) 200(rh,control) take aspirin&plavix,is changing to anticoagulant amust?
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