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Answer:
Based on what you describe on your EKG you have LBBB with PVCs and PACs. LBBB is a conduction system abnormality. Added to your symptoms of shortness of breath - you need to get this further evaluated. Cardiomyopathy is a common cause of LBBB. Get this further evaluated and make sure you are not dealing with one.
Answer:
Flecainide is an antiarrhythmic drug that does give the side effects you have described in your question. Looks like you are intolerant to this medicine. You should ask your cardiologist to change you to a different drug or consider an ablation procedure so that you don\'t have to be on drugs for ever with a great compromise in your quality of life. Ablation can be salvation here!!
Answer:
Looks like you have slightly higher baseline heart rate. A lot of factors go into higher baseline heart rates - being out of shape/ obese/ lung disorders/anemia etc. Without knowing your clinical situation I can\'t make any guesses why you have higher baseline heart rate. Get it checked since you are getting short of breath. See a doctor
Answer:
Exercising alone is not going to cure your Atrial tachycardia - atrial fibrillation. consider getting a consultation with an electrophysiologist and get on a drug therapy or move forwards with ablation
Answer:
Dear Annet In majority of people the AF is mostly disorganized and irregular with symptoms of irregular heart beat, fluttering etc. Sometimes AF can be more organized into a flutter where instead of irregular heart beat you may have a rapid regular racing heart beat or pulse. People who have AF may also have Atrial flutter, atrial tachycardia and sometimes simple atrial and ventricular premature beats that can also give you irregularity. The alteration in cardiac physiology when you are in arrhythmias is what gives you shortness of breath. You should seek your doctors opinion and make sure you are on appropriate treatment in terms of stroke prevention, rate and rhythm control Good Luck DL
Answer:
Sorry to hear about your uncle. People with weak heart otherwise known as cardiomyopathy have poor pumping function. By LCD you meant Left Ventricular Ejection Fraction, I assume. Low ejection fraction is one of the big predictors of sudden cardiac death. He could have been considered for implantable defibrillator therapy to prevent the complications he is currently facing. Cardiac arrest is a resultant of a sudden electrical storm inside the heart called ventricular tachycardia or fibrillation, where the heart ceases to pump sufficient amounts of blood to the rest of the organs. Of all the organs brain is the most sensitive to lack of blood supply. My suspicion is he suffered significant brain injury that is also affecting his respiratory center and higher brain functions. Tracheostomy is one way of managing his airway and ventilation for long term. Overall prognosis is guarded. You should talk to the attending physician regarding the prognosis and appropriate decisions regarding termination or continuation of care can be made based on your uncle\'s will.
Answer:
It is not uncommon to have recurrences after tachycardia ablation. the rates of recurrences are different for different types of tachycardias. Especially after AF ablation it is relatively common to have a few episodes of AF or other atrial arrhythmias as the tissue heals. Most of the times these settle down over the next 8-12 weeks. In some it is a sign that there are areas that might reconnected and reinitiating the arrhythmias. Contact the physician who performed the ablation and ask about next plan - medications or repeat ablation? Sometimes it takes more than one ablation to get the problem fixed. Based on what you describe slow heart beat is not issue. Heart rates can be as low as 40-50 bpm with out being symptomatic. Good luck.
Answer:
Ablation for paroxysmal AFib is more successful than the non paroxysmal Afib. However, the 5 year recurrence rates are higher. So you should undergo periodic monitoring either using external or implantable monitor. Decisions regarding your oral anticoagulation should be made on your baseline stroke risk. If your stroke risk is high you should stay on the anticoagulation. Maintaining appropriate weight, regular exercise, minimizing alcohol, better control of your blood pressures and diabetes and sleep apnea can all be helpful to preventing recurrences.
Answer:
It is hard to judge his EKG alone and give you a diagnosis. Based on the finding you describe on the EKG there seems to be no immediate concern. He has premature ventricular complexes if they are more frequent and symptomatic you should seek a consultation with a cardiologist.
Answer:
Again I cannot give you a consultation on EKG findings. Your clinical picture is equally important. Contact your doctor or cardiologist to discuss your EKG findings and their relevance to your situation.
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