What causes persistent high blood pressure when diagnosed with atrial fibrillation?
No its not the medication ,its hypertension and other risk factors
Have noted all your details
Atrial fibrillation is an abnormal heart rhythm characterized by rapid and irregular beating. Often it starts as brief periods of abnormal beating which become longer and possibly constant over time called chronic or persistent atrial fibrillation.
High blood pressure and valvular heart disease are the most common alterable risk factors for AF.You are a hyptensive and was on medication for that,Hypertension as i said is one of the most common risk factor for atrial fibrillation.
I have noted details of all the antihypertensives you were on for two months and none of them have atrial fibrillation as a side effect ,Zetia 10mg causes palpitation in few cases but atrial fibrillation as such is not caused by it in most of the cases.So in my opinion medicines you were on are not responsible for your problem.
Now lets come to treatment part ,
The cornerstones of atrial fibrillation management are rate control and anticoagulation and rhythm control ,The clinical decision to use a rhythm-control or rate-control strategy requires an integrated consideration of several factors, including degree of symptoms, likelihood of successful cardioversion, presence of comorbidities.Most of the patients can be managed succesfully by medication.
Pacemakers are used to treat a slow heart rate (bradycardia) that can happen in people who have atrial fibrillation.
Pacemaker is a indication when
1)You have atrial fibrillation that comes and goes. And you have a fast heart rate when you are in atrial fibrillation and a slow heart rate when you are not in atrial fibrillation. This is called tachy-brady syndrome.
2)You had an AV node ablation procedure that destroyed the AV node in your heart.
3)You have a problem with the natural pacemaker of the heart (AV or SA node).
4)You take a medicine for atrial fibrillation that slows your heart rate too much.
As your holter reports and ecgs are not attached with the question i can assume that you must be having either of the four problems stated above ,thats why your cardiologist wants you to have a pacemaker .
feel free to ask dear
Dr Rishu Saxena
The User accepted the expert's answer
Get personalised answers from verified doctor in minutes across 80+ specialties
- Acute atrial fibrillation causes
- Idiopathic atrial fibrillation causes
- Intermittent atrial fibrillation causes
- Chronic atrial fibrillation causes
- Paroxysmal atrial fibrillation causes
- Valvular atrial fibrillation causes
- High blood pressure taking coumadin medication increasing levels atrial fibrillation
- Of atrial fibrillation causes
- Atrial fibrillation caused by viruses
- Bloating caused by atrial fibrillation
- Suggest treatment for severe gastritis post coronary angioplasty
- What causes persistent chest discomfort and heart palpitations?
- What causes sudden onset of heaviness in the left side of the chest?
- What causes persistent high blood pressure when diagnosed with atrial...
- What causes high blood pressure while treating polymyalgia rheumatica?
- Does BP medication cause diarrhea and constipation?
- What causes pneumonia while having chronic obstructive pulmonary disease?
- What does this echocardiogram report indicate?
- What causes frequent episodes of extreme breathlessness?
- What causes pain in the chest upon exertion?