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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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

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 »

Is it safe to change the dosage of heart medicines to once every two days?

Query: Hi doctor,I am a 49 year old male. Five years ago, I got two stents on the left. Actually, my heart was good only 30 % block. I take Vitoryn and Aspirin until now. I started having arrhythmia two years ago. AF comes out once every one and a half months for two to four hours. When AF attacks, I canno...  Read Full »


Dr. Muhammad Majid Hanif

Answer: Hello, Welcome to icliniq.com. I have reviewed your health query and can well understand you are worried about your heart health. I would not say to stop Xarelto (Rivaroxaban) and/or Cordarone (Amiodarone) as these are very important medications and you need them. For stent patients, Xarelto reduc...  Read Full »

Are pounding heart and skipped heartbeat signs of atrial fibrillation?

Query: Hello doctor, I am a 46-year-old female. My blood pressure is low and normal. I have never had any heart issues except palpitations when pregnant 10 years ago. They did a cardiac ultrasound at that time, which was normal. Just over a week ago, I started feeling, intermittently during the day, as if ...  Read Full »


Dr. Rishu Sharma

Answer: Hello, Welcome to icliniq.com. I have gone through your detailed narration and understand your concerns. The ECG (electrocardiogram) recordings are clearly suggestive of atrial fibrillation (AF) and there is no doubt about it. The P-wave is absent and the rhythm is irregular. Both are suggestive o...  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. Goswami Parth Rajendragiri

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 »

Could alcohol drinking cause AF?

Query: Hi doctor, I am 23 years old. I had alcohol induced AF after consuming vodka. I consumed roughly the same amount two nights before. AF seemed to start after vomiting. I was cardioverted after 12 hours. I was informed by the doctor that this was alcohol induced. He advised me to avoid alcohol for a m...  Read Full »


Dr. Amiya Kumar Chattopadhyay

Answer: Hi, Welcome to icliniq.com. You were told by the attending cardiologist who did cardioversion, a life-saving measure, to avoid alcohol as it precipitates another AF (atrial fibrillation) especially after vomiting. Please say no to alcohol as AF can recur again and not safe for you. It is unlikely t...  Read Full »

No more painful bouts of AFib. Can this be due to the stopping of Bisoprolol?

Query: Hello doctor, I am a 65-year-old male who has, until recently, been playing tennis regularly. I have been on beta blockers for about 15 years, first on 50 mg of Atenolol and then on 10 mg of Bisoprolol. They lowered my pulse rate to about 60 but then, about three years ago, I started to get AFib. Th...  Read Full »


Dr. Rishu Sharma

Answer: Hello, Welcome to icliniq.com. Atrial fibrillation (also called AFib or AF) is a quivering or irregular heartbeat (arrhythmia) that can lead to blood clots, stroke, heart failure, and other heart-related complications. Normally, your heart contracts and relaxes to a regular beat. In atrial fibrill...  Read Full »

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. This...  Read Full »


Dr. Rishu Sharma

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 (angin...  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

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 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 itself, w...  Read Full »

I suffer from atrial fibrillation. Will cardioversion be detrimental if one is in sinus rhythm?

Query: Hello doctor, I have been on Atenolol 50 milligrams twice daily for the past few days to treat atrial fibrillation. But when I drank a glass of cold water, it appeared to trigger atrial fibrillation. Why so? Also, will cardioversion be detrimental if one is in sinus rhythm? Please help.  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I went through your query and understood your concern. Cardioversion will not be more detrimental if one is in sinus rhythm, but its benefits are doubtful. Cardioversion is for conversion to sinus rhythm, but I suggest it will not help significantly in maintaining a...  Read Full »

There is no improvement in my father's cough. What to do?

Query: Hi doctor, My father is 67 years old. His past history included pneumonia several years ago, leg cramps once in every two weeks or so and vitamin B helps with it and minor daily coughing of unsure cause. He never smoked and does not drink alcohol. Three and a half weeks ago, he went to the ER due to...  Read Full »


Dr. Aditi Gupta

Answer: Hi, Welcome to icliniq.com. It is good to hear that you are concerned and participating in treating your father's health issues. From your description, it looks like he has congestive heart failure. It means the fluid around his heart is causing the Atrial fibrillation and the cough. This is typic...  Read Full »

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