What are the symptoms of arrhythmia?
Please, check my advices below!
Thank you for asking on HCM!
I would recommend first to discuss with your doctor about Tycosin effectiveness. A quantitative assessment of your actual potential arrhythmia phenomenon should be performed, and you don't have to be worried too much, as an electro physiologist possess all the necessary modalities to ascertain such routine issues. At the end, after balancing your prior and actual possible arrhythmia scenario, your dilemma whether Ticosin should be judged as effective will be resolved.
When judging about Tycosin effectiveness, the second balance should be made between its ability to reduce your initial arrhythmia problem and its safety profile (that is no evidence of QT interval prolongation on ECG to such an extend, as to predispose to a life-threatening arrhythmia, as Torsades de pointes is.
So, the second point to discuss with your doctor is to assure about any new ECG abnormalities (QT interval prolongation, etc).
You should check also your kidney and liver function tests, to rule out any potentials for drug accumulation and toxicity.
Regarding atrial Fib or atrial tachycardia, it depends only by a comprehensive evaluation of your ECG monitoring. So, it remains to your attending doctor the decision to differentiate between such two entities. Atrial tachycardia requires a more profound attention to deal with, as it is a more resistant arrhythmia.
If you have any objective data on your ECG recordings, I could help on giving my expert opinions.
Greetings! Dr. Iliri
Need a comprehensive medical check up to address possible complications.
You don't have to worry about those rare PVcs, as long as no associated complex arrhythmia (atrial fibrillation or flutter, atrial tachycardia, or anything else) is actually identified.
Regarding comparison between Tycosin and Amiodarone, as long as Tycosin doesn't show any significant QT interval prolongation on ECG (Amiodarone has the potential to do the same, as both are members of the same antiarrhythmics class), Tycosin exerts a safer pharmacological profile. Amiodarone may lead to serious complications like pulmonary fibrosis, hypothyroidism, liver toxicity, corneal deposits, etc.
The only advice with Tycosin, is to be aware of any QT interval prolongations on ECG, and adjust the dose if abnormal liver and function tests are found (as Tycosin is excreted by the kidney and to a minority extent by the liver), otherwise it may lead to over dosage and toxicity.
At the end, a one or two days ambulatory ECG monitoring could help to define overall Tycosin effectiveness against arrhythmic phenomena (which is the main criteria for its continuation).
Hope to have been helpful to you.
Best Regards! Dr. Iliri
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