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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Chest Pain , Headaches, Breath Shortness, Nausea With Missed Heart Beats

I am 70 yrs old female, fairly healthy, with Lone A Fib. I am 70 yrs old female, fairly healthy, with Lone A Fib which i get every few weeks. sometimes weekly. I suffer chest pain , headaches, breath shortness, nausea . I have been told my heart is ok.Recently I have lots of missed beats and my heart beats really slow. I take FLECAINIDE (which I hate) and Asprin. I feel exhausted most of the time. Can I improve anything and if yes how?
Sat, 7 Jul 2012
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Ayurveda Specialist,  's  Response
Hello
Thanks for writing in at HCM
I have read your question and as a jr. to great Cardiologist I would like to hilp you out. In your case our first target is to convert your heart rhythm to a regular sinus rhythm by medication such as beta-blockers or Calcium channel blockers but if you are noticing slow heart rate then your must go for Holter examination which records your 24 hours heart beats as ECG pattern. By this be are able to know how fast or slow your heart rate is? If it is slower or rhythm is not converted to sinus by medication than last option which we have is to go for Pacemaker Implantation (PPI) or ICD implantation which controls your slow and fast Heart rate. Please consult your Cardiologist for better options and investigations
Best Wishes
Dr. Dinesh Kumar Bhatia
Health Care Magic
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General & Family Physician,  Dr. Jagdish's  Response
Hi. Welcome to Healthcaremagic

I will suggest you change the medicines. The FLECAINIDE may not be correcting your rhythm.

Simultaneously check your heart rate and control the heart rate with beta blockers (Metoprolol) or calcium channel blockers (Verapamil).



Regards, Dr. Jagdish
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General & Family Physician,  Dr. Mukesh Porwal's  Response
change flecainide to carvedilol
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Note: For further follow-up it is advisable to consult an emergency medicine specialist. Click here.
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Chest Pain , Headaches, Breath Shortness, Nausea With Missed Heart Beats

Hello Thanks for writing in at HCM I have read your question and as a jr. to great Cardiologist I would like to hilp you out. In your case our first target is to convert your heart rhythm to a regular sinus rhythm by medication such as beta-blockers or Calcium channel blockers but if you are noticing slow heart rate then your must go for Holter examination which records your 24 hours heart beats as ECG pattern. By this be are able to know how fast or slow your heart rate is? If it is slower or rhythm is not converted to sinus by medication than last option which we have is to go for Pacemaker Implantation (PPI) or ICD implantation which controls your slow and fast Heart rate. Please consult your Cardiologist for better options and investigations Best Wishes Dr. Dinesh Kumar Bhatia Health Care Magic