Atrial Fibrillation

Atrial fibrillation is when the upper two heart chambers (atria) beat very rapidly and not in coordination with the lower two chambers (ventricles) of the heart. The symptoms of atrial fibrillation are palpitations, dizziness, sweating, shortness of breath, tiredness, etc. It increases one's risk of stroke, heart failure, and other heart problems.

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I have problems urinating after sex or ejaculation. Can it be prostate enlargement or UTI?

Query: Hello doctor, I was recently diagnosed with a heart rhythm issue and atrial fibrillation and am scheduled to have a catheter ablation in a little over two weeks. I am currently taking the following medicines: Tablet Multaq 400 mg, one in the morning and one in the evening. Tablet Diltiazem 240 mg i...  Read Full »

Dr. Samer S J Altawil

Answer: Hello, Welcome to I read your query and can understand your concern. From your history, I suppose it is prostate enlargement, and symptoms get more pronounced when you ejaculate as this sex gland enlarges further, causing urinary retention. I suggest you get evaluated with the follo...  Read Full »

How to treat atrial fibrillation, thick spot, and fluid in the heart?

Query: Hello doctor, What medications would you prescribe if someone has a part of their heart that is not working, AFib, an EF of 25, a thick spot in the heart and is having fluid build up? Is medication the only hope?  Read Full »

Dr. Vivek Pillai

Answer: Hi, Welcome to From your query, it appears as if the patient has severe LV dysfunction and on top of that atrial fibrillation. Hence, I would prescribe drugs like beta blockers, ACE inhibitors, aldosterone antagonists and also Amiodarone if the atrial fibrillation is running at a fast r...  Read Full »

What number of APCs are normal for a 24 year old female?

Query: Hello doctor, I had a 24-hour heart monitor on for tracing palpitations. Results showed nothing but 700 pacs. No runs. I am a 24 year old female and this number worries me. What is the amount of pacs a person my age would usually have? And how many pacs is too many? I fear of it leading to afib.  Read Full »

Dr. Hafiz Muhammad Hassan Shoukat

Answer: Hi, Welcome to I can understand you may have Holter monitor or loop recorder. First of all, if you are reading from a machine, it is not accurate every time, a doctor needs to check the rhythms if your machine recorded something. PACs as you said, are premature atrial contractions, mo...  Read Full »

What are the side effects of implantable cardioverter-defibrillator?

Query: Hello doctor, Could you let me know if an implantable cardioverter-defibrillator can cause AFib? Please explain.  Read Full »

Dr. Rishu

Answer: Hi, Welcome to Implantable defibrillators are implanted to terminate an episode of atrial arrhythmia. AFib (atrial fibrillation) is also a type of atrial arrhythmia. The ICD (implantable cardioverter defibrillator) not only provides treatment for atrial arrhythmias but also for ven...  Read Full »

Are my breathlessness and heaviness in the chest due to atrial fibrillation diagnosed in my late thirties?

Query: Hi doctor, I was born with a hole in my heart (ventricular septal defect) and a murmur. I never had it closed, and the hole is small now. In my late thirties, I was diagnosed with atrial fibrillation, as my heart kept suddenly speeding up (it took a while because it was not constant, so I had a loop...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome back to I understand your concern. It seems you have episodes of paroxysmal atrial fibrillation as per your history. It will have been better if you have uploaded ECG (electrocardiogram). Tablet Flecainide is used for paroxysmal atrial fibrillation in an otherwise normal hea...  Read Full »

I have asymptomatic AF and vascular dementia. Please advise.

Query: Hello doctor, I have asymptomatic AF vascular dementia.  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Please attach your ECGs. Revert with more information to a cardiologist online.  Read Full »

I had an episode of atrial fibrillation recently. Am I at risk of getting a stroke?

Query: Hello doctor, I am a 34-year-old female. Last night I experienced an episode of atrial fibrillation. My heartbeat was fluttering, and my heart rate was high. I read on the internet that alcohol can contribute to this, and I had been drinking throughout the previous day. My periods is also delayed. C...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to Yes, alcohol can cause adverse health effects in the body and affect the liver, heart, and brain. It can also cause atrial fibrillation. In addition, anxiety can increase heart rate and cause palpitations. I suggest the following. 1. Stop alcohol immediately. 2. G...  Read Full »

Why is the heart having rapid, uncontrollable pounding?

Query: Hi doctor, I am 24 years old, and my heart is having episodes of rapid, uncontrollable pounding which is giving me shortness of breath and faintness. This has only started recently with my first episode giving me tunnel vision. What should I do?  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to This can be a cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes, and one has dizziness, fainting, blackouts, some...  Read Full »

Suddenly, I start feeling dizziness, pressure in the chest, and weakness. Why?

Query: Hi doctor, I am 33. Sometimes, out of nowhere, I start feeling dizzy, pressure in the chest with heavy breathing and weak legs and hands. Sometimes, I have headaches. No arm or chest pain. It was happening to me when I lay down and now it happens when I am standing too. I took medicine for acid refl...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to This can be cardiac arrhythmia like PSVT (paroxysmal supraventricular tachycardia) or atrial fibrillation, in which heart rate suddenly goes up and also suddenly decreases. Blood pressure falls during these episodes and one has dizziness, fainting, chest pain or disc...  Read Full »

Is my dad's heart weakening after having a stuttering stroke?

Query: Hello doctor, I have a question about my father. He is 75 years old, eats healthy, and drinks at least two liters of water daily. He has had atrial fibrillation for the past five years, and for that, he takes Xarelto 15 mg and Amlodipine accord 5 mg. He takes them in the morning, and that is always ...  Read Full »

Dr. Ambekar Sudheer

Answer: Hello, Welcome to In atrial fibrillation, the heart beats can vary in frequency and height (amplitude). What is more important in these patients is that the rate needs to be controlled and not above 100 beats per minute. Also, one must make sure that no clot forms in the heart due to ...  Read Full »

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