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Doctor insights on: Remedies For Left Atrial Enlargement

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Dr. Jesus Yap Dr. Yap
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What is best treatment for atrial fibrilation medical or cautry?

Dr. Jesus Yap Dr. Yap
1 doctor agreed:
What is best treatment for atrial fibrilation medical or cautry?

Depends: The current indication for ablation for is failure of medical therapy to control atrial fib by drugs or intolerance to drugs and continued significant symptoms. ...Read more

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What is the treatment for atrial flutter?

What is the treatment for atrial flutter?

Depends... : Treatment of a flutter depends on the type of flutter (typical or atypical), whether it's the 1st episode, the age of the patient, the presence or absence of underlying heart disease, and patient's personal preferences (more medications vs. Procedural approach (ablation). Ablation is an excellent option for typical flutter. You should discuss this with your doctor or an electrophysiologist. ...Read more

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Are there any better and newer treatment for atrial fibrilations and chf?

Are there any better and newer treatment for atrial fibrilations and chf?

Atrial fibrillation: Medications are still the first line of treatment of atrial fibrillation. Ablation is reserved for those who fail medical treatment. ...Read more

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Without treatment, is atrial fibrillation deadly?

Without treatment, is atrial fibrillation deadly?

Depends : it depends on how many other diseases you have. For the people with the highest risk, it can cause strokes, which can be deadly. Anyone with this condition needs to see a Cardiologist. ...Read more

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Which is the preferred atrial fibrillation (afib) treatment?

Afib: Treatment of afib is tailored to the patient. The treatment that gives the individual the best results varies. ...Read more

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These days what's the medical treatment for atrial fibrillation?

These days what's the medical treatment for atrial fibrillation?

Atrial fibrillation: Afib is a rapid irregular heart rhythm which can decrease heart efficiency as much as 20% in some patients. It can also be associated with clotting and clots travelling around the body to cause stroke or other problems. Some people have atrial fibrillation as their normal rhythm. We use drugs to control rate, rhythm and if not successful, ablation therapy by electrophysiologist. ...Read more

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Are there any side effects or risks to treatment of atrial septal defects?

Are there any side effects or risks to treatment of atrial septal defects?

ASD: Surgical treatment of ASD has typical surgical risks, catheter based treatment has catheterization risks these are fairly standard. ...Read more

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There are drugs for treatment of vagal atrial fibrillation?

Yes: Vagal-mediated atrial fibrillation typically occurs at night while people are sleeping or may occur when drinking something cold or going to the bathroom. An antiarrhythmic called norpace, or disopyramide, works well in this situation, as it has anti-vagal properties. ...Read more

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Is ablation is better than medical treatment of atrial fibrilation knowing that im controlled on multaq?

Is ablation is better than medical treatment of atrial fibrilation knowing that im controlled on multaq?

Both are effective: Catheter ablation for atrial fibrillation is reserved for the management of patients who have breakthrough atrial fibrillation spells despite treatment with arrhythmia meds like multaq. Atrial fibrillation is a disease of aging, and it is not unusual for patients who are controlled on medications for months or years to eventually require an ablation procedure. ...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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Hoping you can tell me, is minimally invasive treatment for atrial fibrillation available?

Yes: All catheter-based techniques are considered minimally invasive. Conventional techniques are up to 75% effective though multiple procedures are frequently required. There is a mini-thoracotomy procedure they can do with slightly improved efficacy over this but it involves making a lot of scar tissue around the left atrium; we usually reserve that for people needing other procedures in the chest. ...Read more

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May atrial flutter can be normal for forever with shock cardioversion treatment? or it just temporaly?

May atrial flutter can be normal for forever with shock cardioversion treatment? or it just temporaly?

Either: After cardioversion you may have regular rhythm for a long time, unless the reason for your atrial flutter is still present. Not one standard answer. It depends if your MD found a reason for it and/or prescribed medicines to keep in sinus rhythm. Ask your doctor (again) ...Read more

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Mobile echodensity visualized on the right atrial lead, adjacent to insertion into the right atrial appendage.Would this be a thrombus? Treatment?

Mobile echodensity visualized on the right atrial lead, adjacent to insertion into the right atrial appendage.Would this be a thrombus? Treatment?

Very likely; see doc: From the sounds of it, the "atrial lead" is from a pacemaker, indicating some prior problem with the heart rhythm. Mobile echodensity, which is the usual description of a thrombus, can arise in RAA from arrhythmias. Usual treatment is blood thinners & careful observation (in case stroke symptoms develop). Talk to your cardiologist to see if surgery is possible. Use HealthTap Prime for specifics.GL ...Read more

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Do you think Atrial Fibrillation would improve with an ablation? Only remedy so far is cardioversion

Yes: RF ablation for atrial fibrillation and/or atrial flutter in good hands ought to be curative. Factors that determine success: electrophysiologists experience and record of success, duration of AF; size and function of Left atrium. Good luck! ...Read more

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Could you suggest treatment for congenital heart disease with atrial septial defect for a man aged 39?

Could you suggest treatment for congenital heart disease with atrial septial defect for a man aged 39?

Depending on size: Treatment of (ASD) is dependent on its size, whether there is significant flow across it, and the location within the atrial septum. If it's a significant defect then treatment is either surgical with open heart surgery, or transcatheter device closure if the defect meets the required criteria. If it's a small defect with no right heart chamber dilatation then typically no treatment is needed. ...Read more