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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What causes chest pain and blurred vision?

Query: Hello doctor, My father had PTMC twice. He had also undergone an MVR before 10 years. Unfortunately, his heart rate always seems to rise to 150 or 160. Two years back, he had a cardioversion and was fine with the drugs Renozex and Sotalex. After the MVR, he was on Warfarin and his INR was fine. Thi...  Read Full »


Dr. Rishu

Cardiologist

Answer: Hi, Welcome to icliniq.com. I have noted all your details. The Holter reports (attachment removed to protect patient identity) of your father reveal his baseline rhythm to be atrial fibrillation. The rapid heart rate associated with atrial fibrillation can result in chest pain or discomfort (angi...  Read Full »

Why has my mother's EF fallen since last year?

Query: Hi doctor, My mother was diagnosed with mitral valve regurge and atrial fibrillation before many years. She is taking Dilatrend twice a day with vitamins. She is 65 years old now and done an ECHO every six to nine months. For the past three years, she has the following ejection fraction. She had an...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Echocardiography is a subjective test and the results may vary between the observers and from time to time. Mitral regurgitation can occur due to ischemia or valvular pathology. In the case of secondary mitral regurgitation, if the heart muscle is viable, angioplasty he...  Read Full »

What are the side effects of implantable cardioverter-defibrillator?

Query: Hello doctor, I would like to know if an implantable cardioverter defibrillator can cause AFib. Please explain.  Read Full »


Dr. Rishu

Cardiologist

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

What causes chest trembling?

Query: Hi doctor, Occasionally, I feel the random trembling feel on the right side of the left breast nipple. It may occur once a day, but not on every day. There is no pain and it started a week ago. I do also feel pain in stomach and heartburn. I am currently on Pan 40 at night and Ecosprin once a week. ...  Read Full »


Dr. Anoop Mathew

Cardiologist

Answer: Hi, Welcome to icliniq.com. I understand that you are having palpitations. At your age, disturbances in heart rhythm are very common. About 1 out of 5 people in their 90's have this condition known as atrial fibrillation. Hence, we need to rule that out. If the condition does not resolve by ...  Read Full »

Why should one take beta blocker when blood pressure is already controlled?

Query: Hello doctor, My father is 66 years old, has hypertension since past 25 years, is on Olmark A 40 and hypothyroidism since past six years and taking Thyronorm 50 mcg. Recently, diagnosed with atrial fibrillation with controlled rate. He is taking Acitrom 3 mg now, his blood pressure is 120/80 mm of ...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Firstly, his INR (international normalized ratio) is not in range. It should be between 2 to 3. So, his Acitrom (Acenocoumarol) dose should be increased to 3 and 4 mg on alternate days (3 mg on one and 4 mg on the next day) and get his INR checked after one week. INR...  Read Full »

What are the causes of fast heartbeats?

Query: Hi doctor, I am 26 years old. I have noticed that sometimes I wake up with my heart beating too fast and can feel my heart. This first happened when I woke up and took a look at my little child and thought my child was not breathing. That time my heart rate increased strongly. After this, sometimes ...  Read Full »


Dr. Prashant Valecha

Cardiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. Please follow exercise and diet to reduce weight. Trivial MR - mitral regurgitation can progress and cause atrial fibrillation (irregular fast heart beat). So, for now check your thyroid functions (T3, T4 and TSH - thyroid-stimulating hormone), ECG (electrocardiogram...  Read Full »

Can fasting cause atrial fibrillation?

Query: Hello doctor, I have read several studies on the effect of autophagy on aterial fibrilation. I cannot understand most of the conclusions and need some help with this. I basically follow a regime where I eat every other day and fast at least 24 to 30 hours at a time. As I believe, autophagy is acti...  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. Firstly, there is no good evidence for or against this rigorous fasting. Studies atleast have shown no significant increase in atrial fibrillation with such fasting. Practically, we do not have good evidence for it. Now if we consider theoretically, then yes fasting ...  Read Full »

Will ablation helps to normalize the size of dilated atrium?

Query: Hello doctor, I have AF for six years. Tried DCC and got sinus rhythm for 12 months, then back to AF six months ago. My echo showed serious left atrium dilation (more than 200% i.e. 180 ml compared to the normal 60 ml) and mild ventricular dilation. 24 hour tape ranges from tachycardia of up to 12...  Read Full »


Dr. Naresh Kumar Monigari

General Medicine Physician, Internal Medicine Physician

Answer: Hello, Welcome to icliniq.com. I had gone through your query. So as ablation can prevent AF (atrial fibrillation) but the return of atrial size to normal is unlikely. The risk due to atrial dilation in AF is due to the formation of blood clots inside left atrial appendage and chance of embolism pr...  Read Full »

Father is suffering from pulmonary hypertension and varicose veins. Is anticoagulant a must?

Query: Hello doctor, My father is a 71-year-old male suffering from pulmonary hypertension and diabetic and varicose vein problem on both legs. I have attached the previous reports summary. Following medications are taken daily. 1. Tadalafil 1---0--0 2. Dytor 10 mg 1--0---0 3. Dytor plus 20 mg 0---1--0...  Read Full »


Dr. Parth R Goswami

Family Physician, General Practitioner, Hematologist, Pathologist

Answer: Hello, Welcome to the icliniq.com. Sorry for your father suffering from atrial fibrillation and pulmonary hypertension. I have read your concern and below is the answer to your question. The leg swelling could be due to irregular use of a diuretic pill that is Dytor. So I suggest not to stop this...  Read Full »

Will anyone get recurrent stroke while on medications?

Query: Hello doctor, My mom had a stroke two years ago related to AFib. They put her on Eliquis, maximum dose. Last week she had another stroke, and they believe it is heart-related. They are still puzzled though and have added a baby Aspirin a day on top of the Eliquis. Has anyone heard of a recurrent st...  Read Full »


Dr. Hitesh Kumar

Neurologist

Answer: Hello, Welcome to icliniq.com. Recurrent strokes are very common. As your mom have atrial fibrillation, she must be on regular anticoagulants for prevention of stroke. But as now she has developed new stroke while taking anticoagulants, Its right decision to add ecosprin for further prevention of ...  Read Full »

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