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Doctor insights on: What Willa Pacemaker And Defibrillator Do For Atrial Fib

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Please explain how a pacemaker does/do not control atrial fib. Also, other than heart cath, how can plaque be detected? Thanks these questions are in regard to my father's health. He has a pacemaker to control low heart rate, but pacemaker output has

Please explain how a pacemaker does/do not control atrial fib. Also, other than heart cath, how can plaque be detected? Thanks these questions are in regard to my father's health.  He has a pacemaker to control low heart rate, but pacemaker output has

Yes, : Yes, there are other options for treating atrial fibrillation as well as other diagnostic tests that can be performed to detect clots int the heart.
Atrial fibrillation is an arrythmia where the person is a high risk for developing clots within the heart because the heart is unable to effectively pump blood to the body, leading to pooling of blood in the heart. Atrial fibrillation can be treated with medication or ablation, which work to get the heart's primary pacemaker to resume function. Another procedure that can be done is cardioversion. In a cardioversion, an electric shock is delivered to the heart to 'shock' the heart back to the person's normal rhythm. This procedure can be done for a person with a pacemaker, however the doctor must take measures to ensure no damage to the device.

There are imaging tests, such as an echocardiogram, that can help a physician to determine the presence of clots in your heart. Echocardiography uses sound waves to create pictures of your heart. This test can detect areas of the heart where blood is not flowing properly, indicating a possible clot or blockage. Also, this test is useful for identifying parts of the heart that are not contracting well. ...Read more

Dr. Neigatha Graney
2 doctors shared insights

Pacemaker (Definition)

A pacemaker is a device which sends electrical signals to the heart triggering heartbeats when needed. There are many ways to implant and configure a pacemaker; it may beat the top chambers (atria), lower chambers (ventricles) or both. Some systems stimulate both the left and right ventricles together. Pacemakers generally treat abnormally slow heart rhythms and certain ...Read more


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Could i be having congestive heart failure I had a pacemaker put in last year because of atrial fib I take diltiazem which was just increased to 360 mg from 240 mg for the last few days and nights I am short of breath I wake up short of breath seems t

Could i be having congestive heart failure I had a pacemaker put in last year because of atrial fib I take diltiazem which was just increased to 360 mg from 240 mg for the last few days and nights I am short of breath I wake up short of breath seems t

If : If you are experiencing shortness of breath and difficulty breathing when laying down, these are signs of congestive heart failure, and more specifically left heart failure. In left heart failure, fluid builds up in the lungs causing shortness of breath and difficulty breathing when laying down. Fatigue is also a sign that your heart may be working too hard. See a doctor sooner than your appointment. Go to the emergency room to be assessed if you can not get in right away to see your cardiologist. ...Read more

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Beside taking arrhythmia medicines, what are other option for atrial fibrillation? Does a pace maker or defibrillator cure a fib?

Beside taking arrhythmia medicines, what are other option for atrial fibrillation?  Does a pace maker or defibrillator cure a fib?

Ablation: Catheter ablation (pulmonary vein isolation) can be curative. Although not curative, an av node ablation in combination with a pacemaker or defibrillator can usually eliminate the symptoms of atrial fibrillation. If you have obstructive sleep apnea using CPAP can greatly improve atrial fibrillation. ...Read more

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What should I do if my atrial fib intermittent?

See your cardilogist: An intermittent atrial fib can be dangerous because of its unpredictability. ...Read more

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How can my husband (in permanent Atrial Fib) reduce excessive sweating?

How can my husband (in permanent Atrial Fib) reduce excessive sweating?

Sweating: Do not delay but take him his cardiologist as soon as you can. If that does not control his sweating he will need some extra labs and possibly a referral to another specialist well versed in sweating. ...Read more

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How many times can cardioversion be performed on an individual to revert atrial fib to normal sinus rhythm?

How many times can cardioversion be performed on an individual to revert atrial fib to normal sinus rhythm?

There is : No specific number or limit, however, if multiple cardioversions are needed it might be time to consider ablation or a change in medical therapy. ...Read more

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Is it common for teenagers to have atrial fib?

Is it common for teenagers to have atrial fib?

No.: Af is a disease that become more common after age 50. It is unusual, but not especially rare, to have af before this age. Often other conditions can be found that trigger af in young people — like hyperthyroidism, caffeine, alcohol, valve disease, etc. Sometimes af can occur "out of the blue" in young people — usually referred to as "lone af". ...Read more

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Can anxiety cause atrial fib?

Can anxiety cause atrial fib?

Yes: Anxiety/stress may be associated with catecholamine excess (adrenalin) which increases automaticity of the heart (irritability) which can encourage the development of afib. ...Read more

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Is there a relationship between heavyweight lifting and atrial fib?

Is there a relationship between heavyweight lifting and atrial fib?

Possibly: Heavy exertion is one known inciting agent to cause a paroxysm of atrial fibrillation in people prone to it. ...Read more

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Should I be concerned about a little chest pressure if I have atrial fib?

Should I be concerned about a little chest pressure if I have atrial fib?

CP: Chest pressure with a fib. If your heart rate is below 100, if do not have any other symptoms, you probably need not be concerned. If you continue to have chest pressure, you may have to get checked for coronary artery diseases. ...Read more

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I suffer from debilitating (don't leave house) anxiety and depression. All started when I was diagnosed with atrial fib and had a few bad attacks.?

I suffer from debilitating (don't leave house) anxiety and depression. All started when I was diagnosed with atrial fib and had a few bad attacks.?

NOT UNUSUAL: It is natural to have anxiety after being diagnoses with atrial fibrillation especially at such a young age. Anxiety symptoms can mimic cardiac and vice versa. So make sure the atrial fibrillation is being treated and then see if you can work on the anxiety with a therapist or psychiatrist. Can use deep breathing/relaxation or consider medications. ...Read more

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Is thier a cure for atrial fib? Are betta blockers the only choice? Always irregular never in sinus rhythm. Have had this for most life. Thank you

Cure: a Strong Word: There are options. Many patients maintain sinus rhythm (normal rhythm) on certain meds called antiarrhythmics of which there are many types. There are also catheter-based ablation procedures which can provide symptom relief and even elimination of fib in a relatively young man like you. Talk to a cardiac electrophysiologist about your options. ...Read more

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I have palps and had an echocardiogram. It came back fine, but I didn't have palps during the echocardiogram. Is there any chance at all of atrial fib?

I have palps and had an echocardiogram. It came back fine, but I didn't have palps during the echocardiogram. Is there any chance at all of atrial fib?

Could be: An echocardiogram looks at cardiac structure and function, not specifically rhythm. There are cardiac abnormalities that make one more prone to cardiac arrhythmias. But your echo gave no clues. There are tests that can specifically look for arrhythmias that arevsimole to obtain. Discuss these with your doctor. ...Read more

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Is an irregular heart beat always atrial fib?

Is an irregular heart beat always atrial fib?

No: It could be PVC, PAC, different hear blocks to name a few. Then best thing is to get an ECG to identify the exact rhythm to identify the cause. ...Read more

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Role of arixtra in the prevention of stroke in patients with atrial fib?

Role of arixtra in the prevention of stroke in patients with atrial fib?

Clot prevention: Arixtra is a blood thinner that reduces the chance for blood clots to form and cause a stroke. Not a chronic treatment choice though. ...Read more

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Is using vit e oil on a scar a problem for someone taking warfarin for atrial fib?

Is using vit e oil on a scar a problem for someone taking warfarin for atrial fib?

Vitamin K: Vitamin k is what you need to be cautious of with coumadin (warfarin). ...Read more

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What causes atrial fib?

What causes atrial fib?

Many causes: There are many factors that can lead to atrial fibrillation. Common predisposing conditions include hypertension, heart failure, sleep apnea, and genetic predisposition. ...Read more

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Can you tell by taking a person's pulse if they have atrial fib?

Can you tell by taking a person's pulse if they have atrial fib?

Yes: Atrial fibrillation, by definition, is an irregularity in the heartbeat, and therefore is detectable by manual palpation of someone's pulse. It should always be confirmed with an EKG tracing, because there are other causes of pulse irregularity which occasionally can be difficult to distinguish on physical exam, and which have different implications for therapy from atrial fib. ...Read more

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How safe is revlimid (lenalidomide) tx in a patient with atrial fib?

How safe is revlimid (lenalidomide) tx in a patient with atrial fib?

It depends...: Revlimid (lenalidomide) is an important treatment for myelodysplastic syndromes. Not treating these syndromes may be more dangerous than being on revlimid (lenalidomide). That said, I would be particulary concerned about blood clot formation. Both a. Fib and Revlimid (lenalidomide) increase your tendency to form blood clots in your heart. Talk to your doc about whether you need to be on anticoagulants w/ revlimid (lenalidomide). ...Read more

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At rest laid down, I get Premature Atrial Contractions now and again, usually a few times per day. I had 3 in a row, I have a ECG. Is that Atrial Fib?

At rest laid down, I get Premature Atrial Contractions now and again, usually a few times per day. I had 3 in a row, I have a ECG. Is that Atrial Fib?

Here are some...: Premature heart beat is common but its clinical significance to individuals widely varies among the affected. To address your concern more appropriately, it would be most logical for yo to refer this question to your treating doctor who is expected to possess more clinical pertinence about you than anyone online. So, ask her/him timely. Further online inquiry may induce more unnecessary confusion. ...Read more

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Is it dangerous to travel to high elevation.10000 if have atrial fib and hi B.P. well controlled?

Altitude: Altitude sickness can be severe unless appropriately acclimatized, Hypertension and AF if controlled are not specific contraindications to higher altitude travel ...Read more

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I've just started taking amiodarone for atrial fib. I was cardioverted back to rhythm and now I'm out again. Is it wise to discontinue the ami?

I've just started taking amiodarone for atrial fib. I was cardioverted back to rhythm and now I'm out again. Is it wise to discontinue the ami?

Amiodarone: Amiodarone is one of the most effective antiarrhythmics in cardiology. It stays in your system up to 12 weeks. Please do not discontinue amiodarone or any other medication without speaking to your doctor. Even though you are back in afib the amiodarone is holding your rate lower than if you were not taking it. ...Read more

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I have atrial fib. And knee pain due to osteoarthritis. Now have swollen elbows with pain?

I have atrial fib.  And knee pain due to osteoarthritis. Now have swollen elbows with pain?

Varies: There are multiple potential cause of painful, swollen elbows in a patient with no injury; not likely related directly to your atrial fibrillation or bad knees. Most common causes are usually arthritic or inflammatory such as gout or an ilex rankin bursitis for example. Don't hesitate to be seen for an accurate diagnosis and discussion of treatment options. ...Read more

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My husband has mitral valve prolapse moderate, with atrial fib events reqiring cardio version about yearly. Should he have it fixed?

My husband has mitral valve prolapse moderate, with atrial fib events reqiring cardio version about yearly. Should he have it fixed?

Regarding the valve,: Mitral regurgitation with complications like a- fibr, shortness of breath or any decrease in ejection fraction of 60% or less, should be addressed if the patient can tolerate surgery. Once symptoms develop, surgery should be considered and in low risk patient, and may be considered before symptoms if there is any decline in heart function if repair is more likely than replacement. ...Read more

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I woke up with severe facial pain. MD said atrial fib in my sleep. Given Metoprolol but the pain is still severe. I am prone to bleeding. What can I?

I woke up with severe facial pain. MD said atrial fib in my sleep. Given Metoprolol but the pain is still severe. I am prone to bleeding. What can I?

Miscommunication : Atrial fib, while a potentially serious issue if left untreated, should not cause pain. I think there was a miscommunication between you and your doctor regarding the cause of your facial pain. Neuralgia can result from many things, but not atrial fib. ...Read more

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Did I have Atrial Fib. Or Heart Trouble? I'm SCARED. My heart/chest vibrated, I felt weird, & cold flush. Was this a panic attack, or a heart problem?

Did I have Atrial Fib. Or Heart Trouble? I'm SCARED. My heart/chest vibrated, I felt weird, & cold flush. Was this a panic attack, or a heart problem?

Usual suspect: Anxiety is the likely suspect. Especially at your age w/ your medical history. If youthful cardiovascular problems are in your family history you'd know and should be examined, or if it's part of a syndrome you suffer — like Marfan's — you'd be being monitored for heart issues regularly already. It's a good idea to consider CBT therapy for skills in dealing w/ issues like anxiety, OCD. It works! ...Read more

Dr. Bradford Patt
1 doctor shared a insight

Defibrillator (Definition)

Defibrillation is a common treatment for life-threatening cardiac dysrhythmias, ventricular fibrillation, and pulseless ventricular tachycardia. Defibrillation consists of delivering a therapeutic dose of electrical energy to the affected heart with a ...Read more