You have some chronotropic incompetence without symptoms. You may be perfusing your body well with this heart rate during exercise so you do not feel tired. Nothing to worry for now. If you start feeling tired in the future and your heart rate does not speed up with exercise, then a pacemaker will help.
There is usually no connection. Sometime frequent urination can occur after an episode of atrial fibrillation abates. It happens because in some people, there may be fluied retention during atrial fibrillation.
Dr. Mirakia, there are different techniques for atrial fibrillation. It also varies among the types of atrial fibrillation. At present the standard practice is single catheter ablation with another Lasso (circular catheter used to evaluate the pulmonary vein potentials via the left atrium. Success rate is very good in young patients. The risk for esophageal fistula is rare and is avoided by localizing the part of the left atrium adjacent to the esophagus by intracardiac ultrasound or putting a probe in esophagus during the procedure. We generally deceiver less energy in that region.
In some people afib can be provoked by vagal reaction which can manifest as a slow heart rate. You may discuss this issue with your cardiologist and may try off bisoprolol if your heart rate is not too fast during afib.
Atenolol slows the resting heart rate. However, you are taking a relatively low dose of atenolol. The purpose of atenolol therapy is to slow the heart rate during atrial fibrillation. During exercise, you may not achieve the target heart rate, but all the advantages of exercise remains essentially the same. You should also take one aspirin a day.
You should consult your primary physician. You may have mild anxiety, you should not loose muscle mass due heart disease you are describing. Other symptoms are do not seem to be of heart disease. Please let me know if your symptoms continue after you are evaluated by an internist.
Hyperthyroidism is a common cause of atrial fibrillation and there is a good chance that with correction of your hyperthyroidism, your atrial fibrillation will resolve. I think it is wise for you to follow the advice of your cardiologist. The thyroid problem remains the underlying cause, most likely, and so you should do everything they suggest to get that taken care of first. I think there is a good chance that you will not need to take all of these medicines in the long run once your thyroid problem is corrected. Surgery can be undertaken under proper medical guidance even if you are in atrial fibrillation.
Dr. Andrea Natale
Dr. Andrea Natale is a board certified electrophysiology expert and practices at executive medical director of the Texas Cardiac Arrhythmia Institute at St. David's Medical Center in Austin, Texas. Dr. Natale also is the Senior Medical Director at Pacific Atrial Fib and Arrhythmia Center in San Francisco. He visits MetroHealth in Cleveland, and Akron General, Ohio. He has pioneered a new circumferential ultrasound vein-ablation system to correct atrial fibrillation and performed the procedure on the world's first five patients. For further details Please visit :Link
Dr. Dhanunjaya Lakkireddy
Dr. Dhanunjaya Lakkireddy, MD, F.A.C.C, FHRS. is a board certified electrophysiology expert and practices at Mid-America Cardiology and The University of Kansas Hospital Clinics in Kansas City, KS, USA. He has several distinctions in clinical and research career to his credit and serves as an associate editor for Journal of Atrial Fibrillation.For further details Please visit :Link
Dr. Dhanunjay Lakkireddy, MD, F.A.C.C, FHRS, The Kansas City Heart Rhythm Institute (KCHRI), KS, USA.
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