Answer:We generally recommend taking AV node blockers (beta blockers) or calcium channel blockers with Flecainide even when using it a PIP to prevent the risk of 1:1 conduction. Having said that, if you are having resting bradycardia, and if your heart rates are not in the tachycardia range when you are in Afib, the likelihood of you going into flutter with 1:1 conduction is very low. Since its only PIP approach, it would generally safer to take at least one dose of a low dose, short acting AV node blocker and it should not be impacting your rates for too long.
Answer:Typically yes for the first 2-3 months. Immediately post ablation, due to irritability of the heart, pts tend to have atrial arrhtymias which may or may not mean a whole lot in the long term. So we generally continue antiarrhythmics (Tikosyn) in your case for at least 2-3 months. After that based on how you do, we generally discontinue it. Eliquis is typically continued for the first 4-6 months. Long term Eliquis would be based on you stroke risk as defined by CHADS2Vasc or CHADS2 score.
Answer:Im sorry about how you are feeling. AFib is the most common arrhythmia and athletes have a slightly higher risk of having it. You clearly have symptoms from Afib. Your cardiologist did what we normally do for evaluation and treatment. Typical management includes short term and long term. For short term we recommend cardioversion. But since you may have a blood clot in your atrium, we do one of the 2 things. 1) we anticoagulate for 3 weeks and consider outpatient cardioversion. 2) We can consider TEE (ultrasound through the food pipe; an invasive procedure like an upper GI endoscopy) and cardioversion to make sure you do not have a blood clot. This can be done sooner than 3 weeks. Long term management would be based on how enlarged your atrium is and how likely you will have recurrent AFib. If your LA is enlarged, you are at a higher risk to have it again and may benefit from anti-arrhythmics which you have to be for long term (to decrease recurrent AFib). Other option is to consider AFib ablation. Sometimes this can be considered prior to failing any arrhythmic drugs also. However the risk benefit supports the procedure only if you have recurrent symptomatic AFib. Discuss with your cardiologist the long term options for your Afib.
Answer:Typically its does not dehydrate you. Its a natural response to you going into AFib. Afib increases pressure in your hearts upper chambers (atria) which releases hormones controlling the fluid levels in your body/blood vessels (called atrial naturetic peptide) and as a result you end up urinating more. Generally you urinate the extra fluid you retained when you go into Afib. So you are less likely that you are getting dehydrated. Its how your body controls fluid retention.
Answer:with this information i cant help you.
Answer:I need more information to help you.
Answer:As long as you take your anticoagulation you will be protected from a Stroke.
Answer:a 24h Holter will provide your doctor with more information
Answer:if she takes her anticoagulation she will be protected froma stroke. Ask your doctor.
Answer:sorry i can only give you advice on european centers. but the website http://www.stopafib.org/ has all relevant informations. Best of Luck!