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 want advice on for Xarelto atrial fibrillation. Please help.

Query: Hello doctor,I have heard about Xarelto as a treatment option for atrial fibrillation. I am interested in learning more. Can you provide information on the safety and efficacy of Xarelto in preventing stroke and blood clots in individuals with atrial fibrillation? Additionally, are specific lifestyl...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. I have read your query, and I can understand your concern. Xarelto (Rivaroxaban) is an anticoagulant used to prevent stroke and blood clots in individuals with atrial fibrillation (AFib). It works by inhibiting the blood clotting factor Xa. Studies have shown its ef...  Read Full »

Should I be on beta blocker if I am diagnosed with AFib?

Query: Hello doctor, I was diagnosed with AFib four months back. My heart rate was not elevated. I had controlled AFib. I went on blood thinner Eliquis for four weeks and had a successful cardioversion. I stayed on Eliquis until I met my doctor 20 days back. He took me off blood thinners and put me on bet...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. I guess you must have undergone echo in order to find out the cause of atrial fibrillation. Now, regarding your doubt, as such the risk of stroke is not high in you so blood thinners are not absolutely necessary for you. Now, if AFib is of less than 48 hours durati...  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 icliniq.com. 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 I reduce the dosage of Amiodarone? Please suggest.

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 »

Seeking help for asymptomatic AF and vascular dementia.

Query: Hello doctor, I have asymptomatic AF and vascular dementia.  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Please attach your ECG (electrocardiogram). Revert with more information to a cardiologist online.  Read Full »

What is the extra heartbeat in my father after the stroke?

Query: Hello doctor, I have a question about my father. He is 75 years old, eats healthy, and drinks at least two liters of water daily. He has had atrial fibrillation for the past five years, and for that, he takes Xarelto 15 mg and Amlodipine accord 5 mg. He takes them in the morning, and that is always ...  Read Full »


Dr. Ambekar Sudheer

Answer: Hello, Welcome to icliniq.com. In atrial fibrillation, the heart beats can vary in frequency and height (amplitude). What is more important in these patients is that the rate needs to be controlled and not above 100 beats per minute. Also, one must make sure that no clot forms in the heart due to th...  Read Full »

Why do I wake up with a pounding heart?

Query: Hello doctor,My friend recently told me that she found out she had AFib and had to stop drinking hard liquor as it is a trigger. Listening to her I wondered if I was having the same issue. At night I sometimes wake up with a pounding heart. I always chalked it up to scary dreams as the heart-poundin...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. Yes, it is possible to have AFib (atrial fibrillation), but truly speaking symptoms may be very similar. However, during AFib one would be having a high heart rate, with irregular heartbeats and usually associated with shortness of breath, dizziness or chest pain. It...  Read Full »

Why do I have irregular heart rhythms?

Query: Hello doctor, I am 68 years old with a weight of 167 pounds and a height of 5 feet 9 inches. I had a bypass surgery seven years ago. I used to walk 45 minutes daily. I feel completely fit and fine. A week ago, I felt that my heart rhythm was irregular. After going through a Holter test, I found that...  Read Full »


Dr. Sapkal Ganeshrao Patilba

Answer: Hello, Welcome to icliniq.com. I have gone through the first page of the Holter report (attachment removed to protect patient identity). You seem to have supraventricular tachycardia episodes likely atrial fibrillation or flutter. You have sinus pauses and sinus arrest suggesting sinus node dysfun...  Read Full »

No AFib episodes since stopping bisoprolol. Why?

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 »

I am worried about frequent heart beat skips. Please help.

Query: Hello doctor, I am experiencing frequent skipping of my heartbeat currently. It happens up to five times in one minute, around three to five times a day. Earlier, it would happen occasionally, maybe once per month and sometimes once per week, but since last month, it gradually started to increase an...  Read Full »


Dr. Muhammad Zohaib Siddiq

Answer: Hello, Welcome to icliniq.com. I have read your query thoroughly and understand your concern. All things appear good except your frequent palpitations or skipped beats, and the apparent cause seems to be alcohol and anxiety. Further workup is needed, but I would like to suggest at least stopping alc...  Read Full »

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