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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Single Bypass RCA, Arterial Fib Corrected, Intolerant To Beta Blockers. Dilitazem, Lasix And Microk Advised. Suggestion To Reduce Heart Rate?

I am 68 yr old male, 8 weeks post AVR single bypass RCA. Complications - atrial fib ( corrected), left lung pleural effusion drained twice, and persisiting pulse rate of 118 per minute average. I am intolerant to beta blockers and am on Dilitazem 120 mg CR daily, Lasix and MicroK, iron, ASA, Warfarin, Crestor. What other meds do you suggest to reduce my heart rate. My BP averages 124/82
Wed, 12 Jun 2013
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Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

There are several choices –
Tackling the cause – probably aggressive control of failure in this situation – will control the rate.
- The dose of diltiazem can be stepped up.
- Amiodarone may supplement or supplant the diliazem
- Digoxin is useful, if there is fibrillation
- There are also others - a few other anti-arrhythmic agents from class I...

Your treating doctor will be the best judge...

Take care
Wishing speedy recovery
God bless
Good luck
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Single Bypass RCA, Arterial Fib Corrected, Intolerant To Beta Blockers. Dilitazem, Lasix And Microk Advised. Suggestion To Reduce Heart Rate?

Hi friend, Welcome to Health Care Magic There are several choices – Tackling the cause – probably aggressive control of failure in this situation – will control the rate. - The dose of diltiazem can be stepped up. - Amiodarone may supplement or supplant the diliazem - Digoxin is useful, if there is fibrillation - There are also others - a few other anti-arrhythmic agents from class I... Your treating doctor will be the best judge... Take care Wishing speedy recovery God bless Good luck