Common "Atrial Fibrillation" queries answered by top doctors | iCliniq

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 am getting new symptoms in the ECG tracing. Please help.

Query: Hi doctor, I am getting arrhythmia since when I was 15 years old. It is usually brought on by exercise and emotions. Now I am 34 and getting a new symptom in the ECG tracing at rest. Mild to moderate pulmonary valve leaking is seen. Can I get an opinion on the tests attached and my ECG? Kindly give...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to What is your weight? Do you have any history of snoring, interrupted sleep, excessive daytime sleepiness? I went through your reports (attachments removed to protect the patient's identity). In the tracing, the initial and last part shows sinus rhythm, while in the m...  Read Full »

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 tablet Multaq 400 mg, one in the morning and one in the evening, tablet Diltiazem 240 mg in the morning, tablet Eliq...  Read Full »

Dr. Samer Sameer Juma Ali 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 ultrasound KUB (kidney, ur...  Read Full »

Is the heaviness in my chest due to atrial fibrillation?

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 h...  Read Full »

I underwent ECG. Please review my reports.

Query: Hi doctor, I want to know about my ECG report. I have attached it. Please suggest.  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hi, Welcome to I have gone through the attachment (attachment removed to protect patient identity). There is an irregular rhythm called atrial fibrillation, which is usually not life-threatening but needs evaluation for the cause. Also, there are Q waves in the inferior leads which su...  Read Full »

Can Food Allergies Cause Palpitations? Taking Concor 5 For Heart Palpitations.

Query: Hello doctor,I had my first heart palpitations two years ago. One doctor prescribed me Ciplar LA 20 and Ecospirin 75 for three months. The doctor also suggested Dilzem or Flecarite on SOS basis. I got palpitation even after having the above medicines. Dilzem worked on as needed basis but since it wa...  Read Full »

Dr. Sanjib Kumar Sahu

Answer: Hello, Welcome to You are suffering from paroxysmal atrial fibrillation and intermittent ectopic. Food allergies will not cause this problem but if you take spicy food, have lack of sleep, mental or physical stress can aggravate the problem. Usually, these medicines have no or little ...  Read Full »

I have atrial fibrillation, and my heart rate ranges between 48 and 60 beats per minute. Is this acceptable?

Query: Hello doctor, I was diagnosed with atrial fibrillation (a-fib) two months back. I take Apixaban and Atenolol. However, with a heart rate between 48 and 60 beats per minute, my heart seemed to spontaneously switch to the sinus rhythm after approximately a month. Is a heart rate this low acceptable? I...  Read Full »

Dr. Sapkal Ganeshrao Patilba

Answer: Hello, Welcome to I read your query and can understand your concern. A heart rate between 48 and 60 beats per minute is ok. This can happen as many patients have intermittent atrial fibrillation (a-fib). A low rate is due to medicines. It can go into atrial fibrillation (a-fib) again...  Read Full »

How long to continue taking anticoagulant after open heart surgery?

Query: Hi doctor, If I have had an open heart surgery, how long should I take Warfarin for?  Read Full »

Dr. Sukhvinder Singh

Answer: Hi, Welcome to It depends upon the cause for which the surgery is being done, and what open heart surgery is being done. And if you have any indication for long-term anticoagulation like atrial fibrillation (abnormal heartbeat). I can provide you more insights only after knowing the...  Read Full »

I have developed A-fib and hyperthyroidism. Please help.

Query: Hello doctor,I am a 54-year-old man. Three years after looking after a senior parent 24/7, I developed A-fib. I was on Amiodarone and Bisoprolol before I had a cardioconversion. I remained A-fib-free for three years while on 100 mg of Amiodarone. In the fall of last year, my parents' health signific...  Read Full »

Dr. Vivek S Narayan Pillai

Answer: Hello, Welcome to I thoroughly read your query and understand your concern. Well, the ceiling dose of Flecainide is 300 mg, and you are a man who is very tall and well-built, so you would have a large body surface area. So it should be fine to take 300 mg daily in divided doses. The p...  Read Full »

I want to know more about atrial fibrillation. Please guide.

Query: Hello doctor, I am worried about my heart health as I am getting closer to 50, especially because my father has a history of atrial fibrillation. I am aware that atrial fibrillation is a kind of cardiac arrhythmia that, if untreated, can result in major consequences. I am interested in finding out m...  Read Full »

Dr. Vivek S Narayan Pillai

Answer: Hello, Welcome to Atrial fibrillation can be idiopathic without any known causes, or secondary to diseases like hypertension, valvular heart disease, disorders of the thyroid gland, sleep disorders like (obstructive sleep apnea) and obesity (being overweight). It is also divided into pa...  Read Full »

My father is advised medication though his BP is normal. Why?

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 H...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to 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....  Read Full »

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