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.
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.
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).
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.
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.
Answer:I would not worry so much about it, but the echo makes sense. Good luck.
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.
Answer:I don\'t understand your question. A pacemaker will not treat a fib. Your friend should discuss with her cardiologist.
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.
Answer:PACs are benign and a common cause of palpitations.