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How Can Irregular Heart Beat While Sitting Down And Getting Up Be Managed?
Question: I AM A75 OLD MALE IHAVE APROBLEM WITH IRREGULAR HEART BEAT AFTER SITTING OR WHEN IFIRST GET UP IN AM IF I AM BUSSEY IT GOES AWAY BACK TO REGULAR HEART BEAT . I AM TAKING3 MEDS LISINOPRIL10MG,AMIODARONE,CARVEDILOL25MG ALL ARE TAKEN LATE EVENING
Brief Answer:
Its likely a atrial fibrillation
Detailed Answer:
Hello,
You are likely having atrial fibrillation. You are already receiving medicines for that.
It many a times occurs due to old age itself, however we usually get some tests done in our patients to rule out other associated heart problems. Also, ecg to confirm it and 24 holter is ecg is normal and not informative. Also, if not yet done, you should have echo, and stress test like Stress thallium or ct coronary angiography if echo is normal.
In treatment, there are two aspects, one is control of rate and other is rhythm control (restoring regularity). So usually, most patients are just given rate control, as rhythm control is difficult and has more side effects.
So you are having carvedilol for rate control and Amiodarone for rhythm control.But, Amiodarone I guess is not entirely successful in you and giving you intermittent episodes. So another option is to change to other antiarrhythmics drug like flecainide. But, if it's not troublesome then it's better to stay on just Amiodarone.
Also, another aspect is of blood thinner or anticoagulation to prevent blood clot formation and risk of stroke. I you are not receiving blood thinners yet.
So discuss all these aspects with your local doctor.
Hope this helps you and get back if you have any doubts.
Its likely a atrial fibrillation
Detailed Answer:
Hello,
You are likely having atrial fibrillation. You are already receiving medicines for that.
It many a times occurs due to old age itself, however we usually get some tests done in our patients to rule out other associated heart problems. Also, ecg to confirm it and 24 holter is ecg is normal and not informative. Also, if not yet done, you should have echo, and stress test like Stress thallium or ct coronary angiography if echo is normal.
In treatment, there are two aspects, one is control of rate and other is rhythm control (restoring regularity). So usually, most patients are just given rate control, as rhythm control is difficult and has more side effects.
So you are having carvedilol for rate control and Amiodarone for rhythm control.But, Amiodarone I guess is not entirely successful in you and giving you intermittent episodes. So another option is to change to other antiarrhythmics drug like flecainide. But, if it's not troublesome then it's better to stay on just Amiodarone.
Also, another aspect is of blood thinner or anticoagulation to prevent blood clot formation and risk of stroke. I you are not receiving blood thinners yet.
So discuss all these aspects with your local doctor.
Hope this helps you and get back if you have any doubts.
Above answer was peer-reviewed by :
Dr. Raju A.T
SONO GRAHM ,EKG,SEVERAL TIMES,AT 1 TIME I HAD AN AFIB CONDITION 3YEARS AGO. I WAS ON ELIQUEST FOR 1 1/2 YEAR- NOW IAM TAKING ASPRIN 2 TIMES A DAY AT THE TIME OF AFIB IT WAS MY FAULT DOC SAID HEART WAS DOWN YO 40% AFTER 2WKS IN HOSPITAL IT WAS 100 % SINCE THEN KIDNEYS,HEART ,DOPLER TEST,STRESS
TEST ALLL HAVE BEEN GOOD. IQUIT ELIQUEST BECAUSE OF SKIN BRUiSING.
TEST ALLL HAVE BEEN GOOD. IQUIT ELIQUEST BECAUSE OF SKIN BRUiSING.
Brief Answer:
Should has eliquis in low dose or dabigatran
Detailed Answer:
Okay..I guess you are hypertensive and previously heart function was on lower side. So your chadvasc score is 3-4. So anticoagulation is indicatied. So you should either have low dose eliquis, or other anticoagulation like dabigatran or rivaroxaban to reduce risk stroke, instead of aspirin. Aspirin is not sufficient.
Next thing, you are likely having intermittent a fib, and you may get 24 hour Holter monitoring done to confirm it. In management as I mentioned earlier, you may just bear it or change to other drug like flecainide instead of Amiodarone. There is no additional benefit of rhythm remaining regular other than your symptoms. Also, other antiarrhythmic medicines have considerable side effects.
Alternatively, you may request your doctor to hike up dose of Amiodarone for a short period and then again to original dose.
Should has eliquis in low dose or dabigatran
Detailed Answer:
Okay..I guess you are hypertensive and previously heart function was on lower side. So your chadvasc score is 3-4. So anticoagulation is indicatied. So you should either have low dose eliquis, or other anticoagulation like dabigatran or rivaroxaban to reduce risk stroke, instead of aspirin. Aspirin is not sufficient.
Next thing, you are likely having intermittent a fib, and you may get 24 hour Holter monitoring done to confirm it. In management as I mentioned earlier, you may just bear it or change to other drug like flecainide instead of Amiodarone. There is no additional benefit of rhythm remaining regular other than your symptoms. Also, other antiarrhythmic medicines have considerable side effects.
Alternatively, you may request your doctor to hike up dose of Amiodarone for a short period and then again to original dose.
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Remy Koshy
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