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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Arrhythmia In Elderly?

My blood pressure is 93 over 64, my pulse is 130 and my heart is in arrhythmia. I am on a heart monitor for 30 days to see if I need a second cardio-ablation. I live in the mountains with dirt and gravel roads and I have a very bad spinal injury so, I am very far from help and it would be hard on me. I have lots of meds any suggestions?
Thu, 21 May 2015
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General & Family Physician 's  Response
Hello,

Welcome to Health Care Magic.

Thanks for writing.

I am Dr.Saddiq ul Abidin. I have read your question completely, I understand your concern and will try to help you in best way possible.

The kind of arrhythmias you have mentioned here, can not and shouldn't be taken lightly. But it would have been more helpful if i had known about the exact history and cause of such arrhythmias ( irregular heart rhythms) and any cardiac workup you have had in the past. Also that whether you are taking some drugs, to control and alter the rate and rhythm of your heart for SVT and A fib? However without an EKG, it is difficult to comment that whether it was supra ventricular or A fib. Also that if your pulse was regular, so it cant be A-fib either, it might also be a sinus tachycardia.

But such conditions can arouse need of emergent medical consultations, and the kind of circumstances you have explained, it will be difficult for you to call for or reach help in time. I would suggest you to get indoor evaluation, inside a tertiary care cardiology clinic, and get a regular advisement of suitable meds and pay a regular follow up, as such drugs also need constant readjustments and monitoring. But the kind of circumstances you are right now into, it would be encouraging that if you share the names if medicines which you are onto, so that any pros n cons can be discussed and then you can discus with your local GP regarding their use in detail. Life is precious, please don't take your cardiac problem this lightly to manage it at such far place without any cardiac monitoring. CCUs are meant for such purposes.

I would recommend you to go to a tertiary care set up, and discus the whole incidence with your cardiologist in detail, and get a detailed cardiac evaluation done and pay regular visits to a cardiologis,t to be started on either of the beta blockers, Digoxin, Amiodarone, diltiazem or verapamil ( all antiarrythmic durgs) depending on your recent cardiac status. Also if A-fib continues and becomes chronic, it needs to be discussed with the cardiologist, regarding prophylactic therapies to avoid risk of ischemic strokes.

I hope this answered your question.If you have more queries I am happy to answer. Otherwise rate before closing the discussion

Regrads.

Dr.Saddiq ul Abidin
M.B.B.S(Licensed Family Physician)
Resident Medicine.
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What Causes Arrhythmia In Elderly?

Hello, Welcome to Health Care Magic. Thanks for writing. I am Dr.Saddiq ul Abidin. I have read your question completely, I understand your concern and will try to help you in best way possible. The kind of arrhythmias you have mentioned here, can not and shouldn t be taken lightly. But it would have been more helpful if i had known about the exact history and cause of such arrhythmias ( irregular heart rhythms) and any cardiac workup you have had in the past. Also that whether you are taking some drugs, to control and alter the rate and rhythm of your heart for SVT and A fib? However without an EKG, it is difficult to comment that whether it was supra ventricular or A fib. Also that if your pulse was regular, so it cant be A-fib either, it might also be a sinus tachycardia. But such conditions can arouse need of emergent medical consultations, and the kind of circumstances you have explained, it will be difficult for you to call for or reach help in time. I would suggest you to get indoor evaluation, inside a tertiary care cardiology clinic, and get a regular advisement of suitable meds and pay a regular follow up, as such drugs also need constant readjustments and monitoring. But the kind of circumstances you are right now into, it would be encouraging that if you share the names if medicines which you are onto, so that any pros n cons can be discussed and then you can discus with your local GP regarding their use in detail. Life is precious, please don t take your cardiac problem this lightly to manage it at such far place without any cardiac monitoring. CCUs are meant for such purposes. I would recommend you to go to a tertiary care set up, and discus the whole incidence with your cardiologist in detail, and get a detailed cardiac evaluation done and pay regular visits to a cardiologis,t to be started on either of the beta blockers, Digoxin, Amiodarone, diltiazem or verapamil ( all antiarrythmic durgs) depending on your recent cardiac status. Also if A-fib continues and becomes chronic, it needs to be discussed with the cardiologist, regarding prophylactic therapies to avoid risk of ischemic strokes. I hope this answered your question.If you have more queries I am happy to answer. Otherwise rate before closing the discussion Regrads. Dr.Saddiq ul Abidin M.B.B.S(Licensed Family Physician) Resident Medicine.