What causes atrial fibrillation?
You need a cardiology check up, to rule out any arrhythmia or else.
Thank you for asking on HCM!
I understand your concern, and would like to explain that those impulses you are feeling in the heart area need further investigations.
Probably we have to do with a new episode of atrial fibrillation. You need a cardiology check up (a physical exam, a careful cardiac auscultation coupled with a resting ECG). This is necessary to conclude a preliminary opinion about a possible A-fib or any other rhythm disorders.
If A-fib is not present, but there is a strong suspicion on its intermittent presence, probably an ambulatory ECG monitoring would be helpful.
Coming to this point, and facing to the fact you have experienced a prior stroke, it would be highly recommended to see the possibility to start an efficient anticoagulation therapy (if contraindications are absent). You have to talk with your attending doctor on that issue.
A comprehensive therapy modulation may be necessary to optimize your hemodynamic status, and thus preventing any arrhythmia triggerings. Your actual clinical status coupled with cardiac echo conclusions would help for this purpose.
Could you please send an echo report, to be more specific about those three leaking heart valves (to judge about its severity, and any possible important implications on blood circulation)??
You also need to define the actual situation of your lower limb blood circulation. A careful physical exam and eventual Doppler vessels ultrasound would reveal any newly appearing events.
If you have any prior review of your medical history, coupled with some medical test data, I could give you more concrete opinions on how to approach your medical issues.
Feel free to ask me whenever you need. Greetings! Dr. Iliri
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