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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Intermittent A. Fib, Taking Sotalol, Starts Every 2 Weeks. How Can The Sensitive Area In Atrium Be Found For Oblation ?

I have had intermittent A. Fib. for several years and taking Sotalol 120 twice a day. About 90 percent of the time it starts about every two weeks around12 noon to 2:30 and lasts 14-18 hrs. Could it be a blood sugar problem or maybe a full stomach causing the sensitive area in atrium to trigger.? How can the sensitive area in the atrium be found for oblation?
Wed, 6 Mar 2013
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Internal Medicine Specialist 's  Response
Hi,
Welcome to HCM,
After going through your history it is clear that you have intermittent Atrial fibrillation but it is not cleat what is the cause for it it would be prudent to consult a Cardiologist specially dealing in this field of Electro physiology.
We must know it here any cardiac abnormality like valvular stenosis,or any Cardiomyopathy, Conduction tissue abnormality or any metabolic problem because if primary cause is treated then A.Fib can be converted to sinus rhythm, you have paroxysmal A.Fib.
Blood sugar and full stomach do not cause usually this type of tachycardia.
EPS the sensitive area is mapped and it can be treated by radio frequency ablation or Ultrasound energy or even surgery called mini maze procedure.
Hope this helps you.
Take care
Good luck.
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Have Intermittent A. Fib, Taking Sotalol, Starts Every 2 Weeks. How Can The Sensitive Area In Atrium Be Found For Oblation ?

Hi, Welcome to HCM, After going through your history it is clear that you have intermittent Atrial fibrillation but it is not cleat what is the cause for it it would be prudent to consult a Cardiologist specially dealing in this field of Electro physiology. We must know it here any cardiac abnormality like valvular stenosis,or any Cardiomyopathy, Conduction tissue abnormality or any metabolic problem because if primary cause is treated then A.Fib can be converted to sinus rhythm, you have paroxysmal A.Fib. Blood sugar and full stomach do not cause usually this type of tachycardia. EPS the sensitive area is mapped and it can be treated by radio frequency ablation or Ultrasound energy or even surgery called mini maze procedure. Hope this helps you. Take care Good luck.