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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Enlarged Heart

I am a 54 year old male with an enlarged heart due to genetics. Here lately it has been going a-fib a lot more often, and staying longer. I was taken to the hospital with Congestive Heart Failure last Monday. It is May, and my ablation surgery isn't until August at the earliest. I am taking amiodarone, lisinopril (zestril), metoprolol (lopressor), and am on warfarin (coumadin) bloodthinners. I have been coughing a lot with the CHF, which causes me to go into and out of A-fib. Is there anything I can do to get back into sinus rhythm?
Thu, 19 Jan 2017
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Cardiologist,  's  Response
Hello,

First the reversibility depends upon on size of Atria, if they are extensively enlarged then there is less possibility that you will maintain sinus rhythm for long. If not then other drugs like flecainide etc can be tried. You can discuss with your local doctor. Also, regarding ccf, I think you also need to be on diuretics like torsemide and spironolactone, which are important in ccf. So you can discuss both these issues. In general you, you restrict your fluid and salt intake.

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

Regards,
Dr. Sagar Makode
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Suggest Treatment For Enlarged Heart

Hello, First the reversibility depends upon on size of Atria, if they are extensively enlarged then there is less possibility that you will maintain sinus rhythm for long. If not then other drugs like flecainide etc can be tried. You can discuss with your local doctor. Also, regarding ccf, I think you also need to be on diuretics like torsemide and spironolactone, which are important in ccf. So you can discuss both these issues. In general you, you restrict your fluid and salt intake. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sagar Makode