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Medical Forum / General / Cardiology / August 2006

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Atrial Fibrillation - what to do?

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James - 25 Aug 2006 20:20 GMT
I am a 51 year old 345lb. male with AF. My first occurrence was about
two years ago. Electrical Cardioversion restored me to a normal rythym.

In April of this year the condition returned. This time the Electrical
Cardioversion failed. Now I am stuck on 200mg Toprol, .25mcg Digoxin,
Micardis HCT 80/25 and of course Warafin 5mg.

Is there any hope in future attempts at Electrical Cardioversion, or
should I just opt for Radio Frequency Ablation?

Has anyone benefited from Electrical Cardioversion after prior attempts
have failed?

Any advice would be appreciated.

Thanks,

James
Andrew B. Chung, MD/PhD - 25 Aug 2006 21:41 GMT
> I am a 51 year old 345lb. male with AF. My first occurrence was about
> two years ago. Electrical Cardioversion restored me to a normal rythym.
>
> In April of this year the condition returned. This time the Electrical
> Cardioversion failed.

Not surprising for someone who is 345 lbs.  More current via a biphasic
waveform may be required.

> Now I am stuck on 200mg Toprol, .25mcg Digoxin,
> Micardis HCT 80/25 and of course Warafin 5mg.
>
> Is there any hope in future attempts at Electrical Cardioversion, or
> should I just opt for Radio Frequency Ablation?

The former.

> Has anyone benefited from Electrical Cardioversion after prior attempts
> have failed?

Yes.

> Any advice would be appreciated.

Would suggest you seek a referral to consult with an
electrophysiologist while also asking your doctor(s) to supervise your
use of the 2PD-OMER Approach to lose weight:

http://HeartMDPhD.com/wtloss.asp

> Thanks,

You are welcome.

All thanks and praises belong to GOD, Whom I love with all my heart,
soul, mind, and strength.

May GOD heal your heart, dear neighbor James whom I love
unconditionally.

Prayerfully in Christ's amazing love,

Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).

http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed?
James - 26 Aug 2006 00:26 GMT
> May GOD heal your heart, dear neighbor James whom I love
> unconditionally.
[quoted text clipped - 6 lines]
> Cardiologist, Atlanta, Georgia, USA
> http://HeartMDPhD.com/HolySpirit

Thank you for your prayers and advice.

May God richly bless you and yours.

BTW, you can call me brother (rather than neighbor) ;o)

In Christ,

Bro. James

Mat 12:50  For whosoever shall do the will of my Father which is in
heaven, the same is my brother, and sister, and mother.
Andrew B. Chung, MD/PhD - 26 Aug 2006 06:51 GMT
> > May GOD heal your heart, dear neighbor James whom I love
> > unconditionally.
>
> Thank you for your prayers and advice.

You are welcome.

All thanks and praises belong to GOD, Whom I love with all my heart,
soul, mind, and strength.

> May God richly bless you and yours.

Many thanks and praises to GOD for your kind heart.

> BTW, you can call me brother (rather than neighbor) ;o)

May GOD continue to heal our hearts, dear brother James whom I love
unconditionally :-)

Prayerfully in Christ's amazing love,

Andrew <><
--
Andrew B. Chung
Cardiologist, Atlanta, Georgia, USA
http://HeartMDPhD.com/HolySpirit

As for knowing who are the very elect, these you will know by the
unconditional love they have for everyone including their enemies
(Matthew 5:44-45, 1 Corinthians 13:3, James 2:14-17).

http://groups.google.com/group/sci.med.cardiology/msg/d3b7b57d0fbf89ed?
listener - 25 Aug 2006 22:58 GMT
> I am a 51 year old 345lb. male with AF. My first occurrence was about
> two years ago. Electrical Cardioversion restored me to a normal rythym.
[quoted text clipped - 14 lines]
>
> James

Go to:

http://health.groups.yahoo.com/group/AFIBsupport/
Jerry - 25 Aug 2006 23:06 GMT
Hi,

I'm not medical but suffer with intermittent AF.

I'd get your cardiologist to run you through the risks associated with AFib
ablation first and its likely effectiveness. I was told there was about 40%
chance of it working completely first time. For the 60% for whom the process
didn't work first time, I was told 40% of those may get some limited benefit
from a second attempt at ablation. There were significant risks associated
with the process which together with the limited likelihood of effectiveness
put me off the procedure.

But I am in intermittent and not continuous AF, so the situation for you may
be different. I am on Flecanide which definitely helps control it together
with various lifestyle changes.

Hope this helps
Jerry

>I am a 51 year old 345lb. male with AF. My first occurrence was about two
>years ago. Electrical Cardioversion restored me to a normal rythym.
[quoted text clipped - 14 lines]
>
> James
 
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