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How should atrial fibrillation be managed in older adults?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

My grandfather is experiencing atrial fibrillation. He had stents placed 20 years ago.

Please help.
Answered by Dr. Sagar Ramesh Makode

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

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Hello,

Welcome to icliniq.com.

There is no need to worry about it. Atrial fibrillation is common in older adults and heart patients. There are two aspects to the treatment: one is to control the heart rhythm, which is already controlled according to the ECG (electrocardiography) report (attachment removed to protect patient identity), and the other is to use blood thinners to reduce the risk of stroke. Therefore, he should start taking blood thinners such as Dabigatran or Rivaroxaban to prevent a stroke, in addition to other blood thinners like Aspirin. Also, his printed ECG report shows a slow ventricular rate, so his medication should be adjusted to achieve a heart rate between 60 and 70 beats per minute. Otherwise, he may experience dizziness if the heart rate is too low. Please discuss these issues with your local doctor. Overall, with medication, this is usually not a cause for concern.

Thanks and regards.

Medically reviewed by Dr. K. Shobana
Published At October 23, 2018
Reviewed At November 8, 2024

Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

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Dr. Sagar Ramesh Makode

Cardiology

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Education:

MBBS

Professional Bio:

Dr. Sagar Ramesh Makode is a Consultant Cardiologist dedicated to diagnosing and managing various heart conditions with precision and care. He focuses on improving cardiovascular health through advanced treatments and preventive strategies. With expertise in providing personalized care, he strives to support patients in achieving better heart health, enhancing their quality of life, and reducing the risk of future cardiac complications.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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