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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Atrial Fibrillation In An Elderly Person

Thank you At 87,and female, I had PAT for 10 years developing AF in 9/13. I am on atenolol, warfarin and vasotec In 2014 I had 3 cardioversions, I ve seen 3 cardiologists for AFib and tachy-brady symptoms, I have not passed out, fainted, and live alone. One cardi. thought AV node ablation and a pacemaker was the best option, the second cardi recommended more cardioversions, and third insisted I have a biventricular pacermaker because a HR in the 40 and 50 s meant heart failure. I have no pedal edema in brady, the HR is 49-54, no SOB with O2 of 98%, no fainting. Your opinion would be welcome.
Tue, 26 Jun 2018
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General & Family Physician,  's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

I would suggest a rate control rather than rhythm control. If you were my patient I would like to See a 24-48h ECG holter monitoring to see for severe beadicardia or pauses over 3 seconds,which is not very possible since you didn't have any symptoms. If the holter is ok, I recommend you to keep the medical treatment with rate control and blood thinner meds. If pauses are detected you may need a Pacemaker which will give heart rate in pauses or severe beadicardia.

Hope I have answered your query. Let me know if I can assist you further.
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Suggest Treatment For Atrial Fibrillation In An Elderly Person

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. I would suggest a rate control rather than rhythm control. If you were my patient I would like to See a 24-48h ECG holter monitoring to see for severe beadicardia or pauses over 3 seconds,which is not very possible since you didn t have any symptoms. If the holter is ok, I recommend you to keep the medical treatment with rate control and blood thinner meds. If pauses are detected you may need a Pacemaker which will give heart rate in pauses or severe beadicardia. Hope I have answered your query. Let me know if I can assist you further.