Doctor insights on:
Norpace Rhythm Control Agent
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
Rhythm "any regular recurring motion, symmetry may be generally defined as a movement marked by the regulated succession of strong and weak elements, or of opposite or different conditions, this general meaning of regular recurrence or pattern in time may be applied to a wide variety of cyclical natural phenomena having a periodicity or frequency of anything microseconds ...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
If a72yr hypertensive with paroxysmal Afib kept in sinus rhythm by cordarone (amiodarone) 200(rh,control) take aspirin&plavix,is changing to anticoagulant amust?
Unlikely: Atrial fibrillation does not usually lead to VF unless the person also has WPW syndrome. If one has not been diagnosed with WPW, the chances of atrial fibrillation going into ventricular fibrillation is very low. Of course, if one has a fast heart rate for a long time, one can develop CHF and then possibly VF, but not because of the AF. Rate control prevents CHF or retards its development. ...Read moreSee 5 more doctor answers
It Varies: The most important treatment is stroke prevention, which is usually done by medications (aspirin or warfarin). Sometimes rate control medications are used, like metoprolol. If the af is severe enough, stronger anti-arrhythmic medications are used, like propafenone. If these do not work, catheter ablation may be recommended. Pacemaker and av-node ablation may be used as a last resort. ...Read moreSee 1 more doctor answer
Which drug has less proarythmic effect,less negative inotropic effect , more effective for paroxysmal Afib cordarone (amiodarone) or flecanide?
Which anti-arrhythmic medication is best to control frequent, non-sustained, monomorphic ventricular arrhythmias with a structurally NORMAL heart ?
May need nothing: Unless causing symptoms or a cardiologist finds some.underlying abnormality what you describe does not need treatment. Caffeine, lack of sleep, stress, alcohol and decongestants like pseudofed, and energy drinks will all exacerbate the problem. If it needs treatment a beta blocker like Metoprolol or Coreg (carvedilol) are good choices Too much thyroid medication can bring this out as well. ...Read more
Cardiac arrest: Cardiac arrest means you're dead and the heart isn't contracting, amiodarone doesn't help that. It can sometimes convert vtach or stabilize the cardiac rhythm after electrical conversion of ventricular fibrillation but once VFib is converted the arrest is over and you're treating instablility. The only drug that may help arrest is epinephrine. ...Read more
Yes it will: Oral contraceptive pills provide a very good rate of pregnancy prevention. The rhythm method unfortunately is not as successful. Combining the two where taking the oral contraceptive pills as directed and not having sexual contact midcycle starting approximately day nine of the cycle through day 18 of the cycle will prevent conception even more. ...Read more
Variable: These medications are older antiarrythmics that have been around for decades and may suppress af. They must be used very cautiously and only by very experienced cardiologists, due to their potential to actually cause potentailly life threatening ventricular arrythmias in certain patients - called a pro-arrthymic effect..Newer medications have been shown to be both safer and more effective. ...Read moreSee 1 more doctor answer
Is these medicines effect diabetes in any way? (bisoprolol, furosemide, dronedaone, diován, spironolactone)
Diabetes and meds: Adding spironolactone to a regimen that includes maximal ace inhibition improves renoprotection (r) in patients with diabetic nephropathy. Diovan (valsartan) is also a r agent as it lowers both blood pressure and protein in the urine of patients with diabetes. The other drugs have no r protect effect in diabetes, other than lowering blood pressure. Speak to your physician for more information in your case. ...Read more
Can beta blockers such as propranolol or toprol (metoprolol) help prevent ventricular fibrillation in susceptible individuals?
(1) Is bisoprolol used to treat atrial fibrillation? (2) If a person becomes hypotensive e.g.102/55, 102/68, & 106/63 should he stop using bisoprolol?
Yes: This beta blocker is used to treat or control the ventricular response to atrial fibrillation. It can lower blood pressure and, of course, slow the ventricular rate too much(below 60). If you're experiencing side effects, discuss this with your physician or cardiologist who may lower the dose of prescribe another beta blocker or even switch to digoxin although this medication is less popular now. ...Read moreSee 1 more doctor answer
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