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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Tests To Diagnose AFib While Treating High BP

low heart rate 48-51...high blood pressure. taking 50 mg atenolol for heart palps. tried cutting them in half and taking 1/2 twice a day. dosen t help with heart palp that way. dr says did you know you have a-fib? I ve been seeing him for 8 years since the heart palps started at commencement of menopause. what is a-fib and how is it affecting me.I feel congested...don t know any other way to discribe it. Not my lungs, my heart
Tue, 26 Mar 2019
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Internal Medicine Specialist 's  Response
Hi,

Atrial fibrillation (AF) is characterized by disorganized, rapid, and irregular atrial activation with loss of atrial contraction and with an irregular ventricular rate that is determined by AV nodal conduction.In lay-man'words your Atrium, i.e., small chambers of heart are beating rapidly and irregularly so that your ventricles or larger chambers are also beating rapidly & irregularly but conducting tissues between atrium and ventricle (atrio-ventricular node) can to some extent control the rate of ventricles beating by partly blocking conduction of electrical impulse.

Clinical consequences are related to rapid ventricular rates, loss of atrial contribution to ventricular filling, and predisposition to thrombus formation in the left atrial appendage with potential embolization.

Rate control of ventricles can be achieved with beta blockers like atenelol. The initial goal is a resting heart rate of less than 80 beats/min that increases to less than 100 beats/min with light exertion, such as walking. Some patients who remain in AF chronically, develop tachycardia-induced cardiomyopathy and consequent lung congestion.

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

Regards,
Dr. Tushar Kanti Biswas,
Internal Medicine Specialist
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Suggest Tests To Diagnose AFib While Treating High BP

Hi, Atrial fibrillation (AF) is characterized by disorganized, rapid, and irregular atrial activation with loss of atrial contraction and with an irregular ventricular rate that is determined by AV nodal conduction.In lay-man words your Atrium, i.e., small chambers of heart are beating rapidly and irregularly so that your ventricles or larger chambers are also beating rapidly & irregularly but conducting tissues between atrium and ventricle (atrio-ventricular node) can to some extent control the rate of ventricles beating by partly blocking conduction of electrical impulse. Clinical consequences are related to rapid ventricular rates, loss of atrial contribution to ventricular filling, and predisposition to thrombus formation in the left atrial appendage with potential embolization. Rate control of ventricles can be achieved with beta blockers like atenelol. The initial goal is a resting heart rate of less than 80 beats/min that increases to less than 100 beats/min with light exertion, such as walking. Some patients who remain in AF chronically, develop tachycardia-induced cardiomyopathy and consequent lung congestion. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Tushar Kanti Biswas, Internal Medicine Specialist