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Doctor insights on: Norpace Rhythm Control Agent

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Is using flecanide with amiodarone effective incase of paroxysmal atrial fibrillation refractory to amiodarone 200 mg alone,what doses should be used?

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 (Definition)

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


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How effective is digoxin (Lanoxin) for managing atrial fibrillation?

How effective is digoxin (Lanoxin) for managing atrial fibrillation?

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

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How effective is diltiazem (Cardizem) for managing atrial fibrillation?

How effective is diltiazem (Cardizem) for managing atrial fibrillation?

Effective: Controlling the heart rate is an important part of treating atrial fibrillation. This can be done with a calcium channel blocker, such as diltiazem or verapamil, or a beta-blocker. Also important is anticoagulation, and consideration of restoring sinus rhythm. ...Read more

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If a72yr hypertensive with paroxysmal Afib kept in sinus rhythm by cordarone (amiodarone) 200(rh,control) take aspirin&plavix,is changing to anticoagulant amust?

If a72yr hypertensive with paroxysmal Afib kept in sinus rhythm by cordarone (amiodarone) 200(rh,control) take aspirin&plavix,is changing to anticoagulant amust?

Atrial Fibrillation: The rationale for anticoagulating a patient with Afib is to reduce the chance of having a "stroke" or cerebrovascular accident. Generally, a patient with medical problems or a high "CHADS" score will benefit from anticoagulation. ...Read more

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Can AF (without an anti-arrhythmic drug) lead to VF. Does effective rate control prevent VF?

Can AF (without an anti-arrhythmic drug) lead to VF. Does effective rate control prevent VF?

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 more

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Which treatments control atrial fibrillation?

Which treatments control atrial fibrillation?

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 more

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How effective is an implantable cardioverter-defibrillator for treating cardiac arrest?

How effective is an implantable cardioverter-defibrillator for treating cardiac arrest?

ICD: The ICD is probably the most effective treatment for cardiac arrest as it is in place and monitoring for a shockable ventricular tachyarrhythmia. It is the fastest way to accomplish defibrillation. ...Read more

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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

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How effective is verapamil (Calan) for managing atrial fibrillation?

How effective is verapamil (Calan) for managing atrial fibrillation?

Verapamil: it helps control rate in afib but because it causes vasodilation must be used with care especially in the geriatric patients ...Read more

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How effective is amiodarone (Nexterone) for treating cardiac arrest?

How effective is amiodarone (Nexterone) for treating cardiac arrest?

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

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Rhythm method while on the birth control pill improve prevention rate?

Rhythm method while on the birth control pill improve prevention rate?

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

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How effective is cardiac monitoring for managing atrial fibrillation?

How effective is cardiac monitoring for managing atrial fibrillation?

Afib: when you are dealing with afib monitoring can tell you the rhythm and rate pattern of the heart. This is a great help in decision making ...Read more

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How does quinidine, procainamide, and disopyramide treat atrial fibrillation?

How does quinidine, procainamide, and disopyramide treat atrial fibrillation?

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 more

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Bradycardia the use of rythmol (propafenone)?

Bradycardia the use of rythmol (propafenone)?

More info needed: Are you asking about side effects, contraindications, usage? ...Read more

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Is these medicines effect diabetes in any way? (bisoprolol, furosemide, dronedaone, diován, spironolactone)

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

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Can beta blockers such as propranolol or toprol (metoprolol) help prevent ventricular fibrillation in susceptible individuals?

Can beta blockers such as propranolol or toprol (metoprolol) help prevent ventricular fibrillation in susceptible individuals?

Beta Blockers: Yes. Beta blockers are antiarrythmic medications as well as an anti-hypertensive medication. It counteracts the effects of catacholamines like Epinephrine which can cause tachycardia, hypertension and in susceptible individuals ventricular fibrillation. ...Read more

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(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?

(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 more

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Dr. Corey Clay
8 doctors shared insights

Disopyramide Phosphate (Definition)

Disopyramide phosphate is a rhythm control agent which is a ...Read more


Dr. Kayvon Javid
8 doctors shared insights

Norpace (Definition)

Norpace is a rhythm control agent which is a ...Read more