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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have had atrial fibrillation. Having mild shortness of breath. Taking bisopropol and warfarin. Alternate medicine?

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Dr. Prabhakar C Koregol

Cardiologist, Interventional

Practicing since :1998

Answered : 424 Questions

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Posted on Wed, 30 Jan 2013 in Hypertension and Heart Disease
Question: Ihave had atrial fibrillation for thirty years treated with aspirin and digoxin. I am now having mild shortness of breath on exertion. After various tests there is no coronary artery disease and no heart failure but still atrial fibrillation and a leaky heart valve. Iam now being treated with bisopropol 5mgm per day and have been prescribed warfarin which i am reluctant to take because of weekly blood tests, the need to stop all the supplements I take and various other restrictions. Is there an alternative to warfarin which I could take and also is there a list of contra indicated supplements to warfarin. I am 64years, slim, don't smoke or drink but do have type 2 diabetes. Thank you.
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Answered by Dr. Prabhakar C Koregol 4 hours later
Hi,

Thanks for query.

Atrial Fibrillation (AF) can cause symptoms in absence of heart failure or Coronary Artery Disease (CAD). And your symptoms are caused by fast heart rate, leaky valves and strict sense Stage A heart failure. Yes, bisoprolol is good rate control measure.

Considering your over all risk profile from age, AF, Diabetes mellitus, you are at high risk of stroke and require to be on oral anticoagulation. Only approved alternative to warfarin is dabigatran, subject to its avialability in your country. Yes, this medicine doesn't require regular testing nor food restriction.
I am not aware of any list of supplements to be avoided with Warfarin. You will have to consult your physician or Dietician with specific supplement.

Hope I had been able to clear your concerns.

Regards
Above answer was peer-reviewed by : Dr. Mohammed Kappan
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