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

166 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.

Taking amiodarone for ventricular premature beat. Is it sake to take anticoagulants?

Answered by
Dr.
Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

default
Posted on Tue, 3 Dec 2013 in Hypertension and Heart Disease
Question: I am an American who currently lives in Nanyang, Henan, China, where I teach English. On XXXXXXX 25 in Macau I had a heart attack. Unfortunately, i continue to have problems associated with my heart attack, even though two stents were put in my LAD soon after the myocardial infarction months ago. Last week I got out of the hospital in Nanyang where I was treated with amiodarone medicine for a ventricular premature beat. My doctor said that the medicine was proving to be successful. However, while in the hospital, an ultrasound showed that I have a clot attached to the wall of my left ventricle (LVT). My doctor wants me to visit a hospital in Beijing for a second opinion to make sure that the LVT diagnosis done in Nanyang was correct. Meanwhile, my doctor told me to continue to take my regular heart attack meds, which include ticagrelor (Brilinta). My doctor also told me me that there is not a definitive treatment for my LVT problem. Is that correct? She also said that MOST people with LVT survive for many years just taking regular heart attack meds. Is that correct? She said that surgery is typically done only in an emergency situation and as a last result. Also, I fear that maybe the ticagrelor is not working and maybe I need to try a different blood thinner. In addition, I have read that anti-coagulants are often used to treat an LVT. My doctor thinks that anti-coagulants are too strong and risky for my situation. Is that correct? Your advice would be greatly appreciated.
doctor
Answered by Dr. Benard Shehu 4 hours later
Brief Answer: I recommend the use of anti-coagulant... Detailed Answer: Hi XXXXXXX I read carefully your concern and would like to say: Yes most people with left ventricular thrombus (LVT) survive for many years just taking regular heart attack medication. But the major complication in this cases is cerebral embolism.To determine the risk of embolism the thrombus motility is evaluated. To avoid the risk of embolism (stroke) which is a complication that worsen the quality of life i strongly recommend to start anti-coagulation. Yes the anti-coagulants are risky (they can cause hemorrhage) but if the INR is kept between 2-3 the risk of hemorrhage is low. Yes the combination of tricaglor and anti coagulants are too strong but the combination isn't contraindicated. Hope it answered to your question! Dr.Benard p.s. If you have more concerns, feel free to write back to me! I'd be happy to assist you further.
Above answer was peer-reviewed by : Dr. Prasad
doctor
default
Follow up: Dr. Benard Shehu 2 hours later
Hi, I just have one question for clarification. You said that the combination of tricaglor and anti-coagulants is strong but the combination isn't contraindicated. Does that mean it's ok to combine the tricaglor that I'm taking with anti-coagulants? Thanks again, XXXX
doctor
Answered by Dr. Benard Shehu 1 hour later
Brief Answer: Combination is a treatment possibility but... Detailed Answer: Hi again XXXXXXX What I'm saying is that the combination of both drugs is a treatment possibility in case with myocardial infarction and LVT. The most hazardous complications in this case is major bleeding. But to choose this possibility is a bit difficult because the doctor have to wait what we gain and what we loose. This is why your doctor is searching a second opinion. If i was your doctor i would measure all the possibilities. Hope it answered to your question! Dr.Benard p.s. If you have more concerns, feel free to write back to me! I'd be happy to assist you further.
Above answer was peer-reviewed by : Dr. Prasad
doctor
premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,   ,   ,  

Recent questions on  Stroke

doctor1 MD

Hi. My father is the patient. he s 80 yrs old and had a stroke 5 months ago-he was diagnosed with an ischaemic stroke. Comorbidities are: hypertension, diabetes mellitus and prostate cancer. he s currently discharged from the hospital. he s been having very high blood pressures at night like 194/90 and during the day, especially when we sit him down, it falls so low like 90/70 for about a month now. he also started having seizures some weeks ago, about once a week and now, for the past two days, he s been vomitting. his urine is also highly concentrated and sometimes in a day, urine output is less than 100mls. his appetite has also declined and he s lethargic with lots of hiccups. can you please tell me what is happening?                                                   

doctor1 MD

Hi had pins and needles for about 5 weeks now in my left arm and hand been in hospital twice they didn t know if I had a stroke had tests and MRI everything is fine I didn t have a stroke at the moment still have the some feeling haven t improved much still worried what do you think what s going on will it go away I have had enough feeling like this its been to long thanks Sandra

doctor1 MD

I m a 47 female with a history of anxiety. However, I am a firm believer that my anxiety is a reaction from the pain I expierience and not the other way around. I went to my Cardiologist last December and he performed, Echo, EKG, Blood Test, Ultrasound, and even checked my Carotid Artieries (for stroke)... All negative Today I have been expieriencing the following discomfort: pain in and around the collarbone (both sides), pain in and around both shoulderblades, tightness in front of upper chest, pain under my chin. Any suggestions? I also take an aspirin every morning... is that more harmful than helpful?

doctor1 MD

Hi! My mother s family has a history of heart disease. My maternal grandfather died of a heart attack in his sixties. My maternal grandmother suffered a stroke and died in her early sixties. My mother is currently in her late 50 s and suffers high blood [pressure from time to time. She is on daily medication for her B.P. A few days ago she got continuiing chest pains and went to the doctor. They told her that her arteries are fine but since she has had hypertension sometimes, this has resulted in the weakening of something (aorta?) How serious is this? is it curable? is it a guarantee that she too will suffer an early heart attack like her parents? Is there a way to beat genetics? Thank you.                                                   

doctor1 MD

Can testicular torsion cause LOW grade pain?

doctor1 MD

I am experiencing a partial vision loss - probably a TIA - what will happen when I go to the emergency room?? YYYY@YYYY

doctor1 MD

My left testicle has been giving me slight pain and discomfort for around a week now. Especially when I lay on my side to go to sleep, it floats substantially in front of my right testicle. When I m standing it is more elevated than my right, and...