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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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

Answer: Hello, Welcome to 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 »

My mother has atrial fibrillation and is taking the medicine Pradaxa. Can she have the vaccine?

Query: Hello doctor,My mother has atrial fibrillation, and she has been prescribed Pradaxa. She is 65 years old, and I doubt if she could take the vaccine or not. Kindly help me. She is not taking medicines for any other conditions. Also, kindly tell me is there any cure for atrial fibrillation. What shoul...  Read Full »

Dr. Shubadeep Debabrata Sinha

Answer: Hello, Welcome to I am not sure what you meant by the vaccine. If it is a COVID-19 vaccine, it is best to be given since persons with risk factors such as heart disease, immune-compromised states, cardiovascular diseases, and diabetes mellitus are prone to develop serious COVID-19, an...  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 a...  Read Full »

Dr. Muhammad Majid Hanif

Answer: Hello, Welcome to 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 »

Can I go to the gym and do body-building exercises after being diagnosed with atrial fibrillation three years ago?

Query: Hello doctor, Three years ago, I was diagnosed with atrial fibrillation. Presently, I have no problem, and my heart rhythm is normal. Can I go to the gym and do bodybuilding exercises? If not, then which sport can I play? I want to stay fit and healthy for the rest of my life. Kindly suggest.   Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to I understand your concern. You can go to the gym. However, I suggest you get an ECG (electrocardiogram) and echocardiography. Also, do you have any symptoms of AF (atrial fibrillation)? What are the medicines that you are taking? Some rate-limiting medicines can nega...  Read Full »

Why do I suddenly experience heart flutters and skipped beats while exercising?

Query: Hi doctor, I am a 24 year old male, who is 5.9 feet tall and weighs 160 lbs. I have been experiencing weird heart flutters and skipped beats. It mostly happens when I am at the gym lifting weight, and taking a deep breath in while doing so. I have always exercised without experiencing such feelin...  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to You are probably having PVCs (premature ventricular contractions), which are extra beats and most of the time are benign and not worrisome. The other possibility is atrial fibrillation, especially, if you have episodes of rapid heart beat. Usually, at this young age, i...  Read Full »

My wife's BNP value was high when tested. Is it necessary to take an ECG?

Query: Hello doctor,My 72- year- old wife was diagnosed with permanent atrial fibrillation about eight years back. She had one echocardiogram four years ago, which showed mild chamber enlargement with normal ventricular function. I hope doctors will catch CHF or indications of remodeling or valvular issues...  Read Full »

Dr. Muhammad Zohaib Siddiq

Answer: Hi, Welcome to Echocardiography done four years ago showed normal lv (left ventricular) function?. So yes, echocardiography should be ordered to see lv function, valvular structure, and chamber sizes. Moreover, if there is lv dysfunction so medicines may need to be modified, especially ...  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 w...  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 littl...  Read Full »

I feel fatigued, and my heart skips beats at times, and I am a chronic drinker. Kindly help.

Query: Hi Doctor, I feel fatigued almost all the time, and at times I feel a pinch in my heart( or at least I think it is the heart). Every few weeks, I might experience a heartbeat skip. At times, it is mild, and rarely it is strong. I drink heavily, and I do not exercise. I quit smoking a few years ago....  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to Heavy drinking in the long term will be detrimental to the liver and the heart. Moreover, it can certainly reduce your life expectancy, so gradually try to reduce alcohol consumption. It can cause atrial fibrillation in the early stages, which you got earlier. You mi...  Read Full »

Is it fine to not get an angiogram done before having a breast surgery in a 75-year-old female?

Query: Hi doctor, My mother is 75 years old, and she has atrial fibrillation and is on medications. She is moderately active and is on hypertensives and blood thinners. She got recently diagnosed with a breast mass. She was told to get cardiac clearance for surgery, and the cardiologist suggested doing a c...  Read Full »

Dr. Prashant Valecha

Answer: Hi, Welcome to Cardiac clearance is needed for risk stratification for any surgery. What we need are: 1) Patient history - whether she has chest pain or breathing difficulty on exertion. 2) ECG (echocardiogram). 3) Echo, and if a patient can do it, then TMT (treadmill test). Or we can a...  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 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 heart...  Read Full »

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