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Suggest Remedies For Arrhythmia

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Posted on Wed, 29 Nov 2017
Question: My father 70 had a anterioseptal MI had a episode of sustained VT within 48 hrs of MI his EF was then 40% it subsided with medical intervention within 4-5 hrs, after an echo after 6 days EF was 45% then he had a CABG and 3 weeks post it no other case of further arrhythmia, could this vtach happen again
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Answered by Dr. Bhanu Partap (1 hour later)
Brief Answer:
Yes the possibility is there

Detailed Answer:
Hello

After going through the medical details provided by you of your father I understand your concern for his health and I would like to tell you that VT that happens within 48 hrs of heart attack is mostly likely an ischemic VT and the most appropriate approach to its correction or treatment is doing reperfusion as early as possible in the form of either PCI or CABG which already has been done in his case.

The good prognostic factor in your father's case is that his EF is above 40% which makes his a suitable candidate for optimal medical management for Arrythmia prevention. However it's advisable to get an echo done after 40 days of CABG to know to EF again and then repeat after 6 months.

Although there is possibility of having an Arrythmia again but it's less as compared to patients who have EF less than 40%.

It's highly advisable that he should strictly take his medicines as advised by his cardiologist and take all necessary precautions. SMOKING IS STRICTLY PROHIBITED.

I Hope this information will be helpful and will guide you properly.

Kind regards
Dr Bhanu partap
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Bhanu Partap

Cardiologist

Practicing since :2010

Answered : 4758 Questions

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Suggest Remedies For Arrhythmia

Brief Answer: Yes the possibility is there Detailed Answer: Hello After going through the medical details provided by you of your father I understand your concern for his health and I would like to tell you that VT that happens within 48 hrs of heart attack is mostly likely an ischemic VT and the most appropriate approach to its correction or treatment is doing reperfusion as early as possible in the form of either PCI or CABG which already has been done in his case. The good prognostic factor in your father's case is that his EF is above 40% which makes his a suitable candidate for optimal medical management for Arrythmia prevention. However it's advisable to get an echo done after 40 days of CABG to know to EF again and then repeat after 6 months. Although there is possibility of having an Arrythmia again but it's less as compared to patients who have EF less than 40%. It's highly advisable that he should strictly take his medicines as advised by his cardiologist and take all necessary precautions. SMOKING IS STRICTLY PROHIBITED. I Hope this information will be helpful and will guide you properly. Kind regards Dr Bhanu partap