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October 06th, 2015
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my heart rate increases at bedtime and after i go to bed. what cuses it

2015-09-27 Answered By : Dr. Moussa Mansour,MD, PhD

Answer:Dear Patient, There many reasons for increased heart rate at night, and it can be normal in some situations. The first step in finding the cause is to determine if this is a normal or abnormal rhythm, by getting an event monitor.

Help my head is spinning. I am 60 yrs old with persistent AF...many test tell us there are no other problems with heart or health. I take Pradaxa and metoprolol. Had no symptoms until I received a cardioversion in March. Had a severe case of bronchitis last Oct . Symptoms first appeared when taking antibiotics but they went away. Ran 2 miles yesterday and thought I was going to die...chest pain, shortness of breath I have these type symptoms often. I have been to 4 doctors with many options. WHAT WOULD YOU DO IF YOU HAD THESE ISSUES. I would rather hire a doctor i only pay for advice not financial gain other than opinion. Are you available or can you suggest someone? Best option seems to be a hybrid type ablation but I need to have details of all the best tools and devices doctor should use and have available during the procedure. PLEASE HELP. I live in Maryland and Florida.

2015-09-06 Answered By : Dr. Edward P. Gerstenfeld,MD

Answer:You should definitely see an electrophysiologist to get an opinion. There are many options, depending on how long your AF has been \"persistent.\" Probably starting with a cardioversion and anti-arrhythmic drug such as dofetilide makes sense, to see how much better you feel in normal rhythm. If you feel better then ablation is an option. Standard catheter ablation may be fine, depending on how long you have had AF and how enlarged your atrium is. Near Maryland I can suggest the following: Timm Dickfield at Univ of Maryland, Hugh Calkins or Ron Berger at Johns Hopkins, Frank Marchlinski, Matt Hutchinson or Sanjay Dixit at Penn. Good luck. Let me know if I can be of further help.

Last year I had three attacks of persistent af I noted that 20 hrs before I drank some wine two glasses 4-5 units total By the time I went into af the alchohol had left my body Is it plausible that the alcholol was the cause

2015-09-06 Answered By : Dr. Edward P. Gerstenfeld,MD

Answer:Yes - alcohol is a common AF trigger. It is hard to know if yours was temporally related, but many patients feel that alcohol can trigger AF (even hours later).

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.

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No.of Questions Answered in All Sessions: 1048

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