What causes ankle swelling while on Xarelto for atrial fibrillation?
The cardiologist said swelling wasn't from the Ned's, but here online it is listed as a common side effect.
Any idea what could be going on and what I can do about it?
A differential diagnosis could identify the cause of swelling.
Thank you for asking on HCM!
I understand your concern, and would like to explain that facing the above mentioned clinical scenario, the very first abnormality to rule out is an impaired cardiac function.
This may be due to any possible cardiomyopathies (such as dilated, hypertrophic, valular, etc), that may produce clinical signs of heart failure. As you declare that your atrial fibrillation never seems to be in control, a possible option to consider is tachycardiomyopathia. All the above alternatives, could be investigated by a comprehensive cardiac evaluation coupled by a careful cardiac ultrasound.
Other causative factors should be considered in turn. A lower limbs veins insufficiency, any eventual kidney dysfunctions, or other drugs side effects (such as calcium channel blockers) should be ruled out.
So, a differential diagnosis by exclusion shoul be carefully performed.
Hope to have been helpful to you!
Feel free to ask me whenever you need! Greetings! Dr. Iliri
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