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Answer:
With a normal heart and good exercise tolerance, your risk is considered low, but heart rhythm problems are occasionally seen in people with normal hearts. I would suggest seeing a rhythm specialist, who will likely order two types of monitors. One to see what your are feeling at night and another (which could be implanted under the skin) to see if you have any rhythm problems during episodes of passing out. Otherwise, the most common cause of passing out is simple fainting (vasovagal syncope).
Answer:
Beta blockers have many potential benefits that promote beneficial remodeling including reduction in cardiac response to stress hormones. They also have some effects directly on cells such as fibroblasts, but they are better known for blocking the signals that promote such activity.
Answer:
In general, exercise 5 times a week for 40 minutes getting your heart rate up to about 70% predicted for that period. Walking, jogging, biking, and gym equipment are reasonable. Also consider adding in low weights. Most importantly, find something you enjoy (group exercise, hiking, whatever).
Answer:
Some of it depends on things like your left atrial size and presence of other cardiac issues, but studies generally show that a first ablation success is about 50-60%. Even if unsuccessful most patients are better (controlled on drugs, become paroxysmal, etc.) After more than one ablation, your success could be up to about 85 percent.
Answer:
Diazepam is not a heart medication. It is a medication used for anxiety or seizures. I do not prescribe it for afib. Some will give it for anxiety associated with rhythm disorders, but this is best done under the care of a psychiatric specialist.
Answer:
There is no particular cause for afib, but there are risks for developing it. People with any heart disease, including slow heart rates requiring pacemaker are at risk for developing a fib. There are also many triggers (alcohol, exercise, stress), but these are fairly individual.
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