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St. Jude Medical

August 29th, 2015
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What role, if any, should benzodiazepines (including clonazepam) play in controlling or ameliorating symptomatic atrial flutter or atrial fibrillation?

2015-08-28 Answered By : Dr. Edward P. Gerstenfeld,MD

Answer:None. These medications are used for anxiety, and if this is a trigger for your AF it may help. But they are not useful for treating AF, in general.

20 yrs. ago diagnosed with Lone Im a 49 year old male. During this period of time I have been hospitalized on average once every 4-5 years but always changed with meds. about two years ago I was on 100mg of Atenonol per day for years until my last episode.put me on 800 mg of multaq per day my Cardiologist but which is very costly.on our health we can't keep a price, I know that but I do not like the side effects eventhough I am not having any experienced on them.during heart failure, chance to get death . in the lungs developing scar tissue and lungs of hardening is not mention liver damage. is there a better med In your opinion with less side effects? to consider an ablasion? is it a good idea.

2015-08-28 Answered By : Dr. Edward P. Gerstenfeld,MD

Answer:Yes you have many other options. There are many other medication options - flecainide, propafenone, dofetilide to name a few. Ablation is also an option. I can\'t comment on which is best for you. You should discuss this with your cardiologist or seek an opinion from an electrophysiologist.

i am 40yrs young women ,recently i had an EKG it's showed sinus rythem a left atrial enlargement borderline ECG normal but finally my doc is sending me for a echocardiagram.and had full blood work done it's came back fine . am worried soo much about that.

2015-08-28 Answered By : Dr. Edward P. Gerstenfeld,MD

Answer:I would not worry so much about it, but the echo makes sense. Good luck.

when am lying horizontally and any day in the early morning between 4:30 and 6:00 AM.I have repeated attackes of atrial fibrillation.and also when I had any alcohol such as a single glass of wine It is generally worse when on my left side.

2015-08-28 Answered By : Dr. Edward P. Gerstenfeld,MD

Answer:This is a common complaint. Alcohol is a common AF trigger, and many patients develop AF at night or when lying on the left side. I would avoid alcohol and see a cardiologist.

one friend of mine has a atrial fib, that one day she said to me and she has told that a pacemaker would fix the problem.she said to me today still she having a heart attak or stoke if she has a pacemaker and no matter she i'l keep on her heart beating what?

2015-08-28 Answered By : Dr. Edward P. Gerstenfeld,MD

Answer:I don\'t understand your question. A pacemaker will not treat a fib. Your friend should discuss with her cardiologist.

My 86 year old father. for atrial fibrulation ,Which one is the normal course of treatment ( think that is what it is called) It is where the heart rate high up considerably for no confirm reason. my father has this couple of times and he was hospitalised once to monitor it, once where his heart rate shot up to 154 beats per minute. what the usual treatment is for this condition?

2015-08-28 Answered By : Dr. Edward P. Gerstenfeld,MD

Answer:There are several medications that can slow down the heart rate in a fib, beta-blockers, calcium channels or digoxin. If the AF persists then cardioversion or anti arrhythmic medications can be used. Good luck.

i am working in cardiologist office and they said test me out there ECAT,i did. they said to me I had a couplet and I have PACs . lately am having weird palpitations. if I should go see a cardiologist and what was the cause for the PACs.really i was wonder.

2015-08-28 Answered By : Dr. Edward P. Gerstenfeld,MD

Answer:PACs are benign and a common cause of palpitations.

my sis is 46 years old. at age of 10 in 1976 she had a atrial septal defect repaired she has a LVEF of 7..atrial fibrillation which was not detected and caused cardiomyopathy.Now she is being seen through University of Washington and is planned for an atrial ablation question is after this procedure and which types can occur? which chances of get another arrythmia. if she will be a candidate for pacemaker/ICD/, is it possible transplant.

2015-08-28 Answered By : Dr. Edward P. Gerstenfeld,MD

Answer:This is too involved a question to answer without more records on your sister. She should discuss these questions with her cardiologists at Univ Washington.

Good morning Dr. Gerstenfeld. I have read several articles and studies regarding persistent A-Fib. I read the Star AF2 clinical trials. Has there been a follow up study to this? Is this standard used for ablation for persistent A-Fib? Also I read a study on this site regarding flecanide use after cardioversion. Is this also used successfully after ablation. Lastly, for persistent A-Fib individuals what would be your suggested ablation treatment plan. Thank you very much for your professional advice.

2015-08-28 Answered By : Dr. Edward P. Gerstenfeld,MD

Answer:Star AF2 was just recently published in NEJM and confirmed several smaller studies. I know of no follow-up planned yet. In all honesty the ablation approach for persistent AF depends on the center and electrophysiologist. I do believe the STAR AF2 results and mainly focus on wide astral PVI, ablation of any induced macro reentrant flutters, and ablation of nonPV triggers for persistent AF. I don\'t believe empiric linear or CFAE ablation has a role any more (or ever did), but others may feel differently. Flecainide is an anti arrhythmic medication used to treat AF - it can be used in many situations if you have no coronary artery disease.

After a successful CTI abalation for typical aflutter, what are the chances that a patient (with no pre-abaltion documented episode of afib) will be stricken with afib? What are the triggers for post-CTI ablation afib? Can the CTI abaltion itself trigger afib?

2015-08-23 Answered By : Dr. Edward P. Gerstenfeld,MD

Answer:The incidence of AF after atrial flutter ablation varies in the literature, but in general the incidence of AF is about 50% at 5 years, and may be even higher. The CTI ablation does not trigger AF. It is that atrial flutter typically starts with a brief episode of afib that then organizes and sustains as atrial flutter. Ablation of atrial flutter eliminates the sustained atrial flutter circuit, but the afib triggers remain present and will often manifest over time. The most common triggers for afib are alcohol and stress.

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No.of Questions Asked in All Sessions: 1045
No.of Questions Answered in All Sessions: 1045

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