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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Cure Fluttering Of Heart After TTE And Shock Treatment?

I am a 64 yr. old male, weight 238 lbs., 6-6 usually walk 3 miles daily. I have had about four bouts with afib in past two months. I take metropolol 25mg 2x and lisopril 10mg 1x. I recently was sent to emerg. room with afib and got the TTE and shock treatment. I was released and took the 28 shots of lovenox in the stomach and now on cumadien or warfarin. While on the medication I did have another spell which lasted 40 minutes but did not go back into afib. I can tell when this happens a warm flush will go up my face and then the heart rapid heartbeat. Are there anything I can do to help this? It seems like when I get exicited my heart jumps into a very quick fluttering. The TTE and Shock treatment was not fun!!!
Mon, 19 Jun 2017
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General & Family Physician,  's  Response
Hello,

Brief answer: Need another rhythm control drug, continue on anticoagulant.

Explanation: My opinion is that atrial fibrillation is a challenging condition, as it is difficult in lots of patients to control, in your case, you need to change the dose of metoprolol or add another rhythm control drug. As you are still experiencing arrhythmia attacks.

I suggest my patients the following: echocardiogram and if normal heart, add pill in pocket therapy which includes Propafenone to take when the fib start, continue anticoagulants according to the patient risk factors.

The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about: other risk factors you may have, age, hypertension, diabetes, etc.

Conclusion: I suggest you check with a cardiologist, meanwhile continue on anticoagulants.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Mahmmad Gamal
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How To Cure Fluttering Of Heart After TTE And Shock Treatment?

Hello, Brief answer: Need another rhythm control drug, continue on anticoagulant. Explanation: My opinion is that atrial fibrillation is a challenging condition, as it is difficult in lots of patients to control, in your case, you need to change the dose of metoprolol or add another rhythm control drug. As you are still experiencing arrhythmia attacks. I suggest my patients the following: echocardiogram and if normal heart, add pill in pocket therapy which includes Propafenone to take when the fib start, continue anticoagulants according to the patient risk factors. The information provided by you is not sufficient to provide a good opinion. If someone comes to me with this condition I would ask them about: other risk factors you may have, age, hypertension, diabetes, etc. Conclusion: I suggest you check with a cardiologist, meanwhile continue on anticoagulants. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Mahmmad Gamal