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

Query: My mother has had mitral valve regurge and AF for many years now and her treatment has essentially just been dilatrend twice a day + vitamins. She is 65 now and and has had ECHOs every 6-9 months. For the past 3 years the following has happened:EF: Went from 55 (two years back), peaked at 73 last ye...  Read Full »


Dr. Muhammad Zohaib Siddiq

Cardiologist, General Practitioner

Answer: Thanks for the query Echocardiography is a subjective test in which results may vary a little between observer to observer and from time to time. Main thing is whether Mitral regurgitation is due to ischemia (secondary MR) or due to valvular pathology (primary MR). In case of secondary MR, if h...  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 »

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 K Sahu

Cardiologist

Answer: Hello, Welcome to icliniq.com. 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 »

Do I need to stay on Metocard and Pradaxa lifelong?

Query: Hi doctor, I am a non-diabetic 52 years old male. I was diagnosed with Afib one year ago and since then I have been taking Metocard-XL 100 mg od, Pradaxa 150 mg twice daily, Valzaar SM for hypertension. I have been taking various medicines for BP over the last 10 years. After taking Metocard for abo...  Read Full »


Dr. Prashant Valecha

Cardiologist, General Practitioner

Answer: Hi, Welcome to icliniq.com. I have read your query and seen the reports (attachment removed to protect patient identity). According to Holter there is no atrial fibrillation. Your echo is normal with few hypertensive changes and TSH (thyroid stimulating hormone) is normal. Metocard - Metoprolol not ...  Read Full »

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