Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Atrial Fibrillation
Question: My husband has been diagnosed with asymptomatic afib He is 73 years old with NO medical risk factors. Good B/p great pulse good aic --no thyroid abnormalities--no sleep apnea . He has had echoes--valves OK-- nuclear stress test--coronary arteries fine. He exercises regularly -moderately. It was during a routine exam. Please advise
Brief Answer:
I'm waiting for the requested data to be uploaded!
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
Patients with atrial fibrillation may be asymptomatic, but this doesn't decrease the risk of cardiac events (including stroke, pulmonary edema or even death). This is why it's important that your husband be treated properly.
If he was my patients I would have used the following medications:
- Betablockers and Digoxin to keep his HR below 100 bpm
- Xarelto 20 mg to prevent stroke or TIA
However, before giving more accurate suggestions I would like to check by my self all his medical data. Can you please upload the requested data for me?
I'm waiting for the requested data to be uploaded!
Wish you health!
Dr. Shehu
I'm waiting for the requested data to be uploaded!
Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.
Patients with atrial fibrillation may be asymptomatic, but this doesn't decrease the risk of cardiac events (including stroke, pulmonary edema or even death). This is why it's important that your husband be treated properly.
If he was my patients I would have used the following medications:
- Betablockers and Digoxin to keep his HR below 100 bpm
- Xarelto 20 mg to prevent stroke or TIA
However, before giving more accurate suggestions I would like to check by my self all his medical data. Can you please upload the requested data for me?
I'm waiting for the requested data to be uploaded!
Wish you health!
Dr. Shehu
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
His heart rate is between 50 and 60 and his bp is 115/70
Brief Answer:
Following advice
Detailed Answer:
Hi back,
Since his HR is within the normal range (between 50-60 b.p.m) there's no need for betablockers and digoxin to control his HR.
The only treatment he needs is Xarelto 20 mg to prevent stroke and other life threatening situation.
However, since xarelto is a medication which may have unwanted effects you should discuss with your physician about starting it.
Wish you and your family health!
Dr. Shehu
Following advice
Detailed Answer:
Hi back,
Since his HR is within the normal range (between 50-60 b.p.m) there's no need for betablockers and digoxin to control his HR.
The only treatment he needs is Xarelto 20 mg to prevent stroke and other life threatening situation.
However, since xarelto is a medication which may have unwanted effects you should discuss with your physician about starting it.
Wish you and your family health!
Dr. Shehu
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
