Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
169 Doctors are Online

Does Tikosyn work better than Sotalol for patients with atrial fibrillation?

DOCTOR OF THE MONTH - Dec 2016
Dec 2016
User rating for this question
Very Good
Answered by

Cardiologist
Practicing since : 2012
Answered : 691 Questions
Question
I have atrial fibrillation and a low pulse rate (45 - 55) when at rest. I can get it into the mid 90's when exercising. I'm 73 years old. My cardiologist wants to implant a pacemaker and is talking about using either Tikosyn (Dofetilide) or Solulol. I have 2 questions. If I have a pacemaker why more medicines and which of the two medicines mentioned would work best.
Fri, 18 May 2018 in Hypertension and Heart Disease
 
 
Answered by Dr. Rishu Saxena 1 hour later
Brief Answer:
Please go through the detailed answer.

Detailed Answer:
Hi sir,
Thanks for posting the query on this platform.
I have read your question in detail and I understand your concerns.

A pacemaker is a device inserted into your heart to increase your heart rate when you are in severe bradycardia.It works on battery and after inserting it into heart its programmed to function only when your heart reaches a minimum heart rate (this heart rate range is programmed by a programmer).

The pacemaker does not work 24 hours as its a battery operated machine and could be used only for small intervals(otherwise would lead to battery drainage in few weeks). Therefore medications are always given whenever pacemaker is implanted. However when medication can’t control your beats and they reach below the programmed cut off; pacemaker starts working and paces your heart by generating impulses.

Dofetilide and sotalol both are good for atrial fibrillation however as you are a case of AF with bradycardia I won’t prefer giving you sotalol as its a beta-blocker and beta blockers reduce heart rate. On the other hand, dofetilide is safe antiarrhythmic does not cause bradycardia and has effects on left ventricular functions also.Overall it increases the probability of obtaining and maintaining sinus rhythm in patients with structural heart disease.

Hope I cleared your doubt.
Feel free to ask any further doubts.
Thank you!

Above answer was peer-reviewed by
 
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Drug/Medication
Medical Topics

The user accepted the expert's answer

Ask a Cardiologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor