Answer:It is not normal to have such pain after stent implantation. You should see your doctor and check what is going on. It is possible to get a heart attack after a stent implantation, as for example when there is a clot in the stent.
Answer:The slow heart rate could be due to medications that are used after a heart attack (beta blockers) or due to dysfunction of the sinus node (the generator of the heart beat). You should tell your doctor about it.
Answer:It should be OK, there is no problem if you don\'t have ischemia in your tests (for instance during a treadmill test).
Answer:Can\'t give you advice on how to proceed in terms of where to have the tests done. Maybe your doctor can better help.
Answer:It seems prudent to contact your cardiologist and tell him about these symptoms. They might be normal but also may represent some sort of residual ischemia.
Answer:Defitely the best time to have the ablation done is when you are still in paroxysmal AF, even more so if left atrium not enlarged. So, this may be the window of opportunity to have the procedure done.
Answer:Usually AF that mostly happens during sleep is due to a strong influence of the Vagus nerve. I am not aware of any proved benefits (or of a potential harm) of Melatonin or of any other influences on the sleeping pattern.
Answer:The medications you are on are intended only to control the heart rate once it goes in AF and not to prevent AF from happening. You should talk to your doctor and ask if your case is suitable for an Antiarrhythmic Drug (could be Sotalol, Flecainide, Amiodarone).
Answer:If your valve has a severe leaking, then this could aggravate the AF and the skipped beats. Otherwise I don\'t believe there is a strong influence. It is hard to tell, since the AF can be progressing and more commonly you notice the skipped beats, irrespective of the vale leak.
Answer:Amiodarone is the most effective antiarrhythmic drug to control AF. It is not only used for life threatening arrhythmias. However, it is also the one with the most worrisome side effects over the long run, with many organs involved, mainly the Thyroid, Liver, Eye, Lungs and Peripheral Nerves. You should talk to your doctor and weight the risks and benefits of such a treatment and consider also alternatives such as catheter ablation.