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Doctor insights on: Sotalol Vs Metoprolol Atrial Fibrillation

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If atrial fibrillation, after aortic valve replacement (in female 79), how is this usually corrected? Bisoprolol, metoprolol , sotalol already tried.

If atrial fibrillation, after aortic valve replacement (in female 79), how is this usually corrected? Bisoprolol, metoprolol , sotalol already tried.

Cardioversion?: Initially with rate control and anti-coagulation. If the atrial fibrillation is causing you symptoms, then a controlled and timed shock to the heart, called cardioversion, can be administrated tito regulate your heart. This is an outpatient procedure. Discuss with your doctor. ...Read more

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Dr. Prakash Deedwania
720 doctors shared insights

Metoprolol (Definition)

Metoprolol belongs to the calss of medications know as beta-blockers. It has many functions, including lowering pulse and blood pressure. It can also be used in people who have weak heart muscles to stop/slow the progression of the disease and perhaps even ...Read more


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Which is better and more safe in general for treating hypertension and atrial fibrillation metoprolol succinate or bisoprololesp. If s.creatinine1.56 ?

Which is better and more safe in general for treating hypertension and atrial fibrillation metoprolol succinate or bisoprololesp. If s.creatinine1.56
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Neither. In clinical: trials, carvedilol has significantly better outcomes than either metoprolol (e.g. 3%/yr lower mortality rates continuing for many years) or bisoprolol. Creatinine is quite another issue, produced by all muscle cells, yet used to crudely estimate renal filtering function, not the 4 known responses to carvedilol. Yet the clinical trial data for all the Beta blockers is as augmenters to ACEI agents. ...Read more

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Could you tell me if person has atrial fibrillation, is taking metoprolol , Valium as needed .Also now require second medication for high blood pressure which one can go with Valium above.

Could you tell me  if person has atrial fibrillation, is taking metoprolol , Valium as needed .Also now require second medication for high blood pressure which one can go with Valium  above.

Diuretic: Hydrochlorothiazide would be inexpensive, once a day, free of side effects for most people, safe and effective if kidney function is normal and one is not allergic to the med. It would go well with metoprolol and valium. ...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 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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Can atrial fibrillation cause ed?

Can atrial fibrillation cause ed?

No: Afib cannot directly cause ed. Medicines used to treat afib can impair erections and conditions associated with afib such as heart failure, coronary disease also can cause ed. ...Read more

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Can atrial fibrillation affect ed?

Can atrial fibrillation affect ed?

Maybe: Afib can be a symptom of multiple medical problems that can affect sexual function. Metoprolol and other beta-blockers are common medications for afib that have negative impact on erections. ...Read more

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What can cause atrial fibrillation?

Atrial fibrillation: Atrial fibrillation , or afib, is a very common rhythm disturbance, the most common in this country. It is most often associated with hypertension, but can also be associated with valvular disease specifically mitral valve disease. It can be treated with either rate control or converting back to the normal sinus rhythm. Patient are often placed on blood thinners to prevent complications. ...Read more

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What does atrial fibrillation means?

What does atrial fibrillation means?

Irregular heart beat: Atrial fibrillation is a type of irregular heart beat that results in a fluttering (fibrillating) of the top portion of the heart. ...Read more

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Who is at risk for atrial fibrillation?

Read...: As per epocrates: CAD (coronary disease) hypertension, heart failure, valvular disease, pericardial and pleural diseases, diabetes, thyroid disorders, disorders of the lung, and advanced age are known risk factors for the development of acute af. However, af may occur in the absence of any underlying cardiac or noncardiac diseases, for example, as a result of heavy alcohol intake. ...Read more

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Can atrial fibrillation resolve itself?

Can atrial fibrillation resolve itself?

Sometimes: Sometimes it may resolve on it's own. This is especially true if it was caused by some single event, like an operation, illness, caffeine or alcohol. ...Read more

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How can someone stop atrial fibrillation?

Depends: New onset atrial fibrillation is often self limited, going away by itself. But the cause dictates the subsequent course. Thus treating things like high blood pressure, heart valve disease, heart failure, over active thyroid hormones, coronary disease, and avoiding alcohol may be important. Some drugs are useful to maintain rate and rhythm. If needed, electric shock (cardioversion) is effective. ...Read more

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Dr. Irv Loh Dr. Loh
2 doctors agreed:
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What is atrial fibrillation? Is it serious?

Dr. Irv Loh Dr. Loh
2 doctors agreed:
What is atrial fibrillation? Is it serious?

Depends: Atrial fibrillation is a very common arrhythmia, often unclear in origin, but usually due to enlarged upper heart chambers (atria). High blood pressure, heart valve problems, heart failure, hyperthyroidism, coronary disease, alcohol, or even spontaneous in normal people. Some drop in energy may be noted, but one can live normally with it. Blood thinners to minimize strokes important if persists. ...Read more

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What medicine is good for atrial fibrillation?

What medicine is good for atrial fibrillation?

Digoxin,coumadin (warfarin) or : To prevent stroke we need to use Coumadin (warfarin) or pradaxa, for rapid atrial fibrillation we can use digoxin, beta blockers and antoarrythmic drugs or calcium channel blockers. ...Read more

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Can atrial fibrillation be triggered by flying?

Atrial fibrillation: Flying in a commercial aircraft pressurizes to about 8000ft, this level doesn't cause hypoxia so unlikely to be a trigger unless something else like anxiety or other stress supervenes. If something goes on stressful in the aircraft, one could imagine a trigger possibility. I have seen patients get a gas bubble in their GI tract at altitude and be anxious for instance. ...Read more

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What medicines are best for atrial fibrillation?

Atrial fibrillation: We have a variety of medications we use for afib. First we need to diagnose that its there and why before we choose medications. We have anticoagulants, rate control medications and rhythm modulating medications. There are multiple choices for each with advantages and disadvantages to each. There is no one 'best', we choose depending on the patient's status and individualize for each. ...Read more

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Which medicines are good for atrial fibrillation?

Rate or rhythm? : Some meds are good to control the heart rate in af, others are to try to control the rhythm and maintain normal sinus rhythm. In addition, blood thinners (anticoagulant meds) need to be considered for some people. So, there is not an easy answer. If this applies to you and you are only 40, you should also consider a curative ablation procedure. ...Read more

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Which medicines are good for atrial fibrillation?

Atrial fibrillation: We have a lot of medicines we use with specific reasons for each. Your doctor can explain why he/she is using what is prescribed. ...Read more

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Has anyone successfully cured atrial fibrillation?

Has anyone successfully cured atrial fibrillation?

Define cured: Atrial fibrillation is a degenerative disease of the upper chamber which results in deposition of microscopic amounts of scar tissue, a generally irreversible process. However, certain procedures such as a surgical maze or catheter ablation can prevent patients from developing the rhythm of atrial fibrillation, or, barring that, the symptoms from the arrhythmia with up to ~70% success. ...Read more

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Dr. John Garner
1,823 doctors shared insights

Atrial Fibrillation (Definition)

A heart condition, in which the electrical activity of the heart is abnormal. This abnormal electrical signal causes the heart muscle to contract when it is not supposed to and thus blood is ...Read more


Fibrillation (Definition)

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