Question: To make a long story short my 88yr old mother was in otherwise good health till March of 2016 been on water pill since. No diabetes, nonsmoker, little bit of cholesterol so she been taking simvastatin. she does take a vit e, d, cq10, ginko biloba, cosamin asu. Supplements. Anyway she had issues with her heart she had to have a TAVR put in last oct 2016 then in March 2017 done the mitral clip. She been in Afib and when she went to ER last march of 2016 they found her with afib. Didn't know she had this before and no symptoms till then. Anyway this Afib is be the reason she been on metoprolol and warfarin. April 2017 the cardiologist said that a cardioversion would help with her shortness of breath, fluid in feet and tiredness. She was afraid of doing it but finally did it just yesterday Friday and now she on amiodarone. On Friday 7/21 when she did the cardioversion her heart went to sinus rhythm but like with in a hour it was going back and forth every so often to sinus and afib. Doc decided to put her on amiodarone I read some bad side effects and organ issues with amiodarone. What can I do to prevent side effect issues moving forward? It seems like every step of the way its one step forward then back two. She did the cardiac rehab last month and I seen little bit improvement with breathing but she still gets tired. Any other alternatives to these medicines especially with amiodarone before its completely in her system?

I uploaded the Echocardiography report which was at the 30 day follow up with the Cardiology surgeon who did Mitral clip. The blood work that was done on July 3 was with her cardiologist and the only thing he recommended based on the blood work was to lower the potasium to one 10 MQ pill. and lately the dose of the water pill been 40 mg morning and 20 mg after lunch. but she been intermittent with the 40 mg and sometimes doing 20 mg in the mornings depending on her weight and swelling in her feet. I don't know why but I was asked if my mom has kidney issues 3 different times by three different people right before the cardioversion. should I be worried because I didnt know how to reply as far as I knew she is okj, They asked be if the water pill is working and her body is responding to the water pill. should I have her primary care doctor do kidney blood test to make sure nothing is wrong? Or is there a way to check kidney function at home?

Thank you for your guidance Dr.
With your point 1 above, AF cause, is the medication she just started will she be back in sinus rhythm full time in your opinion and the info you have? it seems when she sits upright and does breathing exercises that helps then she relaxes and feels better. Sleep has been intermittent though prior to cardioversion. She had a real good night sleep the first night after cardioversion. I don't think she had the same the second night. I know it still early since she had the cardioversion just two days ago. is there any best sleep position so she can sleep best, it seems the position of the heart makes her feel things in chest or lungs breathing etc. In the condition she in maybe you know the best sleep position.
With point 5 about kidneys I do remember back in march 2017 she did become dehydrated because of the water pill dosing was twice what she was getting now. She had trouble breathing and the cardiologist then tried to see if this would help but a week of that we had her admitted to ER. Before she could get the mitral clip they had her off the water pill for 4 days because they told me her kidneys needed a rest. What is your advice on How much water and other forms of liquids is optimum without it causing issue with current balance of 20mg morning and 20mg after lunch water pill?
It was recommended to continue some of the things she was doing in cardiac rehab in exercises at home. I did get a fingertip pulse oximeter with plethysmograph and perfusion index and an Omron 5 series upper arm bp monitor to help keep an eye on things. That oximeter seems the best I seen.