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As i have periods of atrial fibrillation. Atrial fibrillation occurs for every few days and the usual symptoms being a fluttering and irregular heartbeat, a catch in my throat, some breathlessness, shaky legs and loss of energy. I have not taken Warfin about a week instructed by my surgeon because of having a hernia operation tomorrow. However, for the past 8 hours I have had AF quite strongly, IS there any possibility of having another TLA or stroke, as my blood is presumably more likely to clot than usual. Thank You.
Answered By : Dr. Johannes Brachmann,MD

Answer:

it depends of how much high is your CHADS2 score (thromboembolic risk score). Are you taking in the meanwhile some subcutaneous heparin?

Hello Doctor, I am suffering from blood pressure for about 30 years. I am on medical treatment. I am on medical treatment because Last three months ago I have an atrial fibrillation and with a left atrium appendage. I am taking digoxin of 0.125 mg and walfarin. Today I was a little bit worrying and when I check my blood pressure it was 157/80, pulse 80. I need your suggestion.
Answered By : Dr. Johannes Brachmann,MD

Answer:

Which drugs are you taking for blood pressure? The diastolic pressure was 80 and that\'s good, but the systolic was a little bit too high.

Hi Doctor, My son is having Atrial Flutter and he is having 8 months. He was born 6 weeks early. By birth itself baby having Atrial Flutter and he was hospitalized and lightly his forehead is so cold like sweat. Temperature is about 74.2, is this normal temperature? Is he ok? Was there any problem for my son? Thank you.
Answered By : Dr. Johannes Brachmann,MD

Answer:

Hallo. A baby having atrial flutter should be evaluated by a pediatric cardiologist and an echocardiogram should be made. Many different causes can be related to atrial flutter and an echocardiogram can help the diagnosis. A temperature of 74 F is too low.

Hello Dr! I have persistent Afib for last 5 months first time ever diagnosed, cannot tell I am in it. Sleep Apnea (treated CPAP) , Venus insufficiency for years, shortness of breath when I exercise last year or two, though typical oxy level is 98. Normal blood pressure with use of Lisenopril HCTZ 10/12.5 and Metaprolol 25 daily, most of the time.Echo said three regurgitating heart valves, two mild and mitral valve is a moderate leak. I am 69 and overweight .. Caridiologist didn\'t schedule me for 6 months for followup, handed me a brochure on electrical cardio conversion, put me on Warfarin which I have checked at his coumadin clinic every month and struggle to get to 2.0 INR with my love of greens and good for me foods.. I take warfarin 2.5 three days and 3.75 4 days a week. I would love to take Eloquis but it is not covered in my insurance at an affordable rate. Do I need to purchase a blood pressure monitor which shows irregular heartbeats? Will an oxi/pulseometer work instead? I scheduled myself to see an EP but soonest appt was Feb 6. Ablation for a person like me? Good chance (or not) for getting me out of Afib and staying out with this heart valve issue? Need surgeries for back hip leg pain, need to get OUT of AFIB!! Percentage of people with my situation who have ablation who get out and stay out of Afib for a good period of time? Note: I ride a recumbent tricycle 20 miles about 4 or 5 days a week for exercise, but limited mobility due to back pain. I appreciate you trying to answer some of my questions. Thanks. Charlotte
Answered By : Dr. Johannes Brachmann,MD

Answer:

Dear Charlotte, I think ablation could be an option. Need to have more details about your heart disease to assess chances of procedure. Eliquis is very expensive, Warfarin is ok of INR 2-3.

Hello Doctor, Thanks-I had only been diagnosed less than a year ago. I have had my second cardioversion for my A-fib and, from what I can tell myself, I think my correct rhythum is back, which I keep checking with a stethoscope. I am still taking coumadin. However I am taking, per my cardiologist RX, 400 mg of Multaq twice a day. I’m not scheduled to be checked again not until July!!.Do you think this is normal to still be taking Multaq and only being seen every six months? Please suggest me
Answered By : Dr. Thorsten Lewalter,MD, PhD, FESC

Answer:

checking intervals vary, but I would recommend to have an ECG 3 months post cardioversion at the latest

Hello Doctor, My husband had a mild heart attack and doctors diagnosed him with water on the heart. He is taking quite a bit of ibuprofen a day but still has a headache. He is also getting bloated and gassy. The doctor put him on asthmatic meds too but as soon as the meds wear off he\'s back to feeling lousy. Any advice?
Answered By : Dr. Thorsten Lewalter,MD, PhD, FESC

Answer:

This is complex, you need a cardiac and pneumo work up; you have to clarify the reason for water on the heart; is it myocarditis? is it heart failure due to impaired left ventricular pump function?..no good advice without knowing that

Hi Dr. Lewalter, I had an RF ablation procedure 3 weeks ago for a paroxysmal (lone) Afib, and would like to know after how many weeks can I know for sure if ablation was successful, and what should be the best success criteria to assess (monitor) success. Thanks much
Answered By : Dr. Thorsten Lewalter,MD, PhD, FESC

Answer:

Please wait a minimum of 6 weeks (other say even 3 months) until you start to evaluate the clinical outcome. Please use your symptoms on one hand (can be combined with an external event recorder) and a Holter ECG (24 h or up to 7 days)

I am 20, i weigh 144lbs.I have experienced pain in the left side of my chest and pain in my left arm. I consult to the doctor and he measured my blood pressure (BP) it was 110/80 and he listened to my heartbeat. He told me it was inflamed cartilage in between my ribs. My question is can a person with a BP like mine (110/80) have a heart attack?
Answered By : Dr. Thorsten Lewalter,MD, PhD, FESC

Answer:

You can have heart attacks at any blood pressure; but the likilyhodd for you being 20 with normal blood pressure is extremely low..dont worry

Hello Doctor, I am 20, and have normal blood pressure and cholesterol. I have anxiety. I used to smoke marijuana very often and it would help with my anxiety but now it seems to induce me worrying that it may cause a heart attack. Does marijuana causes heart attack?
Answered By : Dr. Thorsten Lewalter,MD, PhD, FESC

Answer:

When you are young and otherwise healthy, marijuana is not inducing heat attacks

Hello Doctor, i have had extreme bloating chest pain in center of chest and I have cardiovascular issues my extremities go numb. Blood pressure is low but only time i get sensation back is after hot shower has been happening some time think blood pressure is to low back neck pain all subside with heat. Doctors just keep saying better low than high tight clothes even socks cut blood flow have had disiness headaces loss short term memory have smoked many years pumping myself good food vitamins. When i rest food goes straight through me have taken detox live on gavascon. Please give me a suggestion to me.
Answered By : Dr. Thorsten Lewalter,MD, PhD, FESC

Answer:

You need a cardiac work up to make sure that nothing serious is behind! If it is \"only low blood pressure\" then you need a lot of fluid and vasoconstriction (caffeine).

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