Answer:Exercising alone is not going to cure your Atrial tachycardia - atrial fibrillation. consider getting a consultation with an electrophysiologist and get on a drug therapy or move forwards with ablation
Answer:Looks like you have slightly higher baseline heart rate. A lot of factors go into higher baseline heart rates - being out of shape/ obese/ lung disorders/anemia etc. Without knowing your clinical situation I can\'t make any guesses why you have higher baseline heart rate. Get it checked since you are getting short of breath. See a doctor
Answer:Flecainide is an antiarrhythmic drug that does give the side effects you have described in your question. Looks like you are intolerant to this medicine. You should ask your cardiologist to change you to a different drug or consider an ablation procedure so that you don\'t have to be on drugs for ever with a great compromise in your quality of life. Ablation can be salvation here!!
Answer:Based on what you describe on your EKG you have LBBB with PVCs and PACs. LBBB is a conduction system abnormality. Added to your symptoms of shortness of breath - you need to get this further evaluated. Cardiomyopathy is a common cause of LBBB. Get this further evaluated and make sure you are not dealing with one.
Answer:I am a little bit confused about your supine hypertension that is brought on by antihypertensive therapy. the details of your case are incomplete for me to make any recommendations. Please see a cardiologist or an electrophysiologist locally
Answer:Looks like you have reached a point where Ablation seems to be the next thing to do. Based on your question I did not get which country you are in. Bordeaux is a great place where a lot of good work gets done. Follow up is critically important. You need a good center where you have easy access to the doc and subsequently if you need a redo. If Bordeaux fits that profile then you should definitely consider that. If not then try to find a good center around you. Please email me at dlakkireddy at kumc.edu with further questions
Answer:AF is a chronic disease. If you developed AF once the likelihood of you developing AF again is high. Watch for symptoms and get checked periodically. the simplest thing you can do is to check your pulse and make sure it is not rapid or irregular. Your risk factor profile needs to be appropriately addressed - BP control/diabetes/ sleep apnea/ weight/ alcohol intake etc needs to be taken care of.
Answer:Amlodipine doesn\'t have any direct effect of congestive heart failure. It decreases BP and positively affect HTN which in turn can help patients with CHF. His new onset HF needs to be evaluated. Rule out CAD or intermittent episodes of silent AF that is rapid which could cause tachycardia induced cardiomyopathy. I am sure his cardiologist is working him through for these issues. You can discuss about the work up with him during his next visit. Make sure he is appropriately anticoagulated since he is asymptomatic his overall AF burden could be underestimated and perhaps under treated.
Answer:In paroxysmal AF patients LAA seems to play a much bigger role in arrhythmogenesis. Ablating around the LAA from inside seems to be appealing - there are technical and anatomic difficulties in getting the job done. Complete electrical isolation of the LAA is very difficult and oftentimes they reconnect much faster. When it is isolated it looses its contractile function - despite rhythm control there will be significant stasis of blood resulting in the clots and higher risk of stroke. often times the area around the LAA osmium is paper thin and has pits that can lead to perforation and major complications. So removing it either by ligating or clipping it eliminates the arrhythmia source also reduces the effective LA volume and we believe also results in the alteration of the sympathetic systems to result in better AFib control. In most of the people the other parts of the heart and body compensate for the acute loss of atrial natriuretic peptide. So that is not something we should worry about.
Answer:Alcohol is frequent trigger for AFib. It alters the physiology of the heart muscle and is notoriously associated with occurrence of AFib. My advice to you is to stop drinking Alcohol and get yourselves periodically checked. Read this article for more information on the link between alcohol use and AFib http://www.ncbi.nlm.nih.gov/pubmed/25707748