
Rapid Heart Beat. Done With Stress And Echo Tests. Prescribed Verapamil. Was In Atrial Fibrillation

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Detailed Answer:
Respected Sir
1. Atrial fibrillation (AF) in old age with possible high blood pressure is more likely to stay (or come back again) rather than converting permanently to normal rhythm. It depends on many factors though. Left atrial size/ degree of left ventricular hypertrophy/ age are few of them.
2. AF definitely contributes to shortness of breath by various mechanisms.
3. Yes. Since you have persistent shortness of breath without relief you should seek a second opinion. I would like you to be evaluated for restrictive heart diseases (a group which is often missed by many echocardiographers).
4. Beside lung and heart, systemic causes for shortness of breath should be looked into. These are low hemoglobin, low iron, deranged kidney functions, muscular weakness, obesity etc.
Hope this helps.Feel free to discuss further for more clarifications.
Sincerely
Sukhvinder


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Detailed Answer:
Respected Sir
1. If your left ventricle is larger than normal ? That has an entirely different meaning. Please upload your ECHO report (right hand top of the page) because I sincerely feel that something is missing.
2. The decision for cardioversion depends upon many factors. Your treating doctor will be the best judge. I will provide you insight & better understanding of the things.
3. Restrictive heart diseases is a group of cardiac diseases where relax-ability of heart is reduced. This presents with AF and shortness of breath at times. Your ECHO doctor and your clinical cardiologist can evaluate for this. ECHO will be diagnostic to a large extent. Beside AF, patient will have valvular regurgitation, enlarge atrias and normally functioning small ventricles.
4. No, polio of leg will not effects your breathing now at this age.
Hope this helps. I am waiting for your ECHO report. Please do write if there is anything else in your mind.
Sincerely
Sukhvinder Singh


I do very much appreciate your trying to help me but I don't know where to go from here. As I said I am scheduled to see my cardiologist on Sept 23rd.
Thank you.
please see details.
Detailed Answer:
Respected ma'm
1. A large left ventricle can belong to 2 different disease processes; with normal pumping function and with decreased pumping function. Causes for enlargement with normal functions are mainly severe valve leakage, congenital holes and causes of hyperdynamic circulation (like anemia or hyperthyroidism). Causes for decrease pumping function with enlargement can be many (a large number of cardiac diseases like anginal heart disease, valve related diseases etc.). This category literally means heart failure.
2. At times our patient confuse thickening of heart wall with enlargement of ventricle! be sure that it was enlargement of ventricle only.
3. AF definitely needs a good understanding of disease process on part of your doctor or any doctor including me. If you feel he is trying to understand things and is able to convince you too, its fine. Else seek a second opinion.
4. At times when heart rate is too high or too low (which can happen in AF) you may feel lightheaded for a while.
I really apologize that in absence of ECHO reports I will not be able to throw more light on disease process. However You are most welcome to discuss about your illness any time in future with more details.
Sincerely
Sukhvinder

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