Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties

200 Doctors Online
Doctor Image
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

I will be looking into your question and guiding you through the process. Please write your question below.

Suggest treatment for intermittent atrial fibrillation

Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 5761 Questions

default
Posted on Thu, 19 Apr 2018 in Hypertension and Heart Disease
Question: I'm experiencing intermittent atrial fibrillation; I'm now on atenolol (25 mg, 1x), verapamil (120 1x/d), Crestor 5 mg, 1x, Apixaban 5 mg 2x/d....? other meds
doctor
Answered by Dr. Ilir Sharka 31 minutes later
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello!

Welcome and thank you for asking on HCM!

I understand your concern and would recommend switching from Verapamil to anther anti-arrhythic drug like Flecainide 100mg twice daily or Propafenone 150mg three times daily.

These drugs may show superior effects compared to Verapamil in controlling intermittent episodes of atrial fibrillation.

They belong to Class IC anti-arrhythmics and are usually well tolerated.

It is also important to investigate for other possible causes that may trigger atrial fibrillation such as : thyroid dysfunction, cardiac ischemia, any underlying cardiomyopathy, a pulmonary dysfunction or an electrolyte imbalance.

For this reason, I would recommend performing some tests to investigate for any possible underlying causes:

- a chest X ray study and pulmonary function tests
- a cardiac ultrasound
- thyroid hormone levels
- blood electrolytes
- PCR, ESR for inflammation.

You should discuss with your attending physician on the above issues.

Hope you will find this answer helpful!

If you have any other questions, please don't hesitate to ask me again!

Kind regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  
Drug/Medication ,   ,   ,  

Recent questions on  Electrolyte imbalance

doctor1 MD

Hi dr xxxxxxxx as requested I had blood panel done and they came back normal no signs of heart attack or enzymes I have a stress test set up tomorrow the ecg that was uploaded already I will ask him to take a look my question is I quit smoking 9...

doctor1 MD

My wife is 77 years old. In 2016, she had 1/2 of right lung removed due to lung cancer . She then had a-fib and later chemo for cancer. In march 2017, she had seizures in brain due to cancer metastasizing to brain. She then had radiation treatment...

doctor1 MD

I am a 72 yr old female. For the past week, I have been suffering on and off with upper posterior thigh muscle spasms, together with a knife-like pain on the side of my leg going to my buttock. The worst are the severe muscle spasms. To complicate...