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I Am Scheduled For A TEE For My AFib In

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Posted on Thu, 22 Nov 2018
Question: I am scheduled for a TEE for my AFib in 3 weeks. I have COPD and fibrosis
in my lungs and as I check O2, my pulse can go from 35 to 145 in a flash. Prior to this my doctor took me off a beta blocker SOTOLOL 80mg 2x as it was driving my pulse low.

Can Bradycardia and AFib exist at the same time?
doctor
Answered by Dr. Ilir Sharka (22 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on Ask a Doctor service!

I understand your concern and would explain that bradycardia may coexist with atrial fibrillation.

You should know that in patients with atrial fibrillation, bradycardia could be related to a conduction disorder or sinus node dysfunction.

On the other hand, bradycardia could be iatrogenic, caused by beta-blockers, which are used to treat atrial fibrillation.

For this reason, as you are not taking any beta blockers, I would recommend performing an ambulatory 24- 48 hours ECG monitoring to investigate for possible conduction disorders or sinus node dysfunction.

In such case, pacemaker implantation may be needed.

Hope you will find this answer helpful!

Wishing all the best,

Dr.Ilir Sharka, Cardiologist
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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I Am Scheduled For A TEE For My AFib In

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome and thank you for asking on Ask a Doctor service! I understand your concern and would explain that bradycardia may coexist with atrial fibrillation. You should know that in patients with atrial fibrillation, bradycardia could be related to a conduction disorder or sinus node dysfunction. On the other hand, bradycardia could be iatrogenic, caused by beta-blockers, which are used to treat atrial fibrillation. For this reason, as you are not taking any beta blockers, I would recommend performing an ambulatory 24- 48 hours ECG monitoring to investigate for possible conduction disorders or sinus node dysfunction. In such case, pacemaker implantation may be needed. Hope you will find this answer helpful! Wishing all the best, Dr.Ilir Sharka, Cardiologist