Digoxin in af

Common Questions and Answers about Digoxin in af

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I never heard about it before. My first AF episode was in Nov 2002, and lasted about 2-1/2 hrs (I reverted back to sinus while the paramedics were checking me out, but they brought me to hospital for a checkover; it was there that I learned I had mild aortic stenosis, but was told it was inrelated to the AF). Episodes were few and far between, lasting only as few hours, and occurring every few months at the most.
3 months latter VT in the water in southern California. Stents than a difibulater than ablation to stop AF because my difibulator went off when I was held under water for some time. 3 weeks after ablation I have severe Angina and I am noticing some asophagus issues. The next plan is another angio to see whats "cooking". The angina pain is centered in the chest and goes up the carotid arterys in the neck, sometimes to the jaw, scarry! Can't surf, run, or hardly walk without pain.
First post to this forum - and I promise future ones wont be this long:-) Just wanted to state medical situation and past current treatment before questions: My husband has A-fib and has been in chronic (a.k.a. "persistent" A-fib) since he was 36 (diagnosed and became persistent in 2000, oddly right after starting Atenolol for it - but told no connection to Atenolol -That he was probably already about to go into persistent AF at the time).
I started on Flecainide and Digoxin two weeks ago and went in to AF 3 hours later. Since then I have had 4 more episodes. These episodes are long (24 hours +) but not violent--yet I don't like that queasy feeling you get when you KNOW the machinery is out of whack. Did anyone experience multiple episodes with a new course of Flecainide or Digoin?
I am posting about a couple of question my husband and I have regarding his persistent afib and treatment regime. He has been in persistent AF (always irregular - but doing rate controlled) since 2000 or 2001. First Dr he saw was a general cardiovascular Dr who didn't try electro-cardioversion (b/c at that point he was still going in and out of Afib....three to five days in it then out for a week....then back in it). Instead just treated his rate.
I was placed on plendil and atenelol, in additon to digoxin. From what happened to be a mild AF, albeit some very strong episodes, I was in almost constant AF. : : This constancy became debilitating. Although I understand, at a lay level, that graduated AF at low levels of heart rate is better than the intense high rate, I have begun to be not happy with that approach to ablation. I have now had atenelol replaced with sotalol, in additon to plendil and digoxin.
Although the rate was reduced from what was a 120-180 bpm, the episodes started in earnest. I was placed on plendil and atenelol, in additon to digoxin. From what happened to be a mild AF, albeit some very strong episodes, I was in almost constant AF. This constancy became debilitating. Although I understand, at a lay level, that graduated AF at low levels of heart rate is better than the intense high rate, I have begun to be not happy with that approach to ablation.
A case in point: Dark beer will cause AF in about one hour after 500ml consumption, but wheat beer will not. Certain champagnes will not, poor quality will laways cause AF. If I am tired and I drink any alcohol, AF will follow in about one hour. Cafeine, particularly espresso, will result in AF within 2 hours. Spicy foods have an impact after 8 to 12 hours. Intense travel, such as over 12 hours at one stretch by air will result in AF if rest is not taken.
Although the rate was reduced from what was a 120-180 bpm, the episodes started in earnest. I was placed on plendil and atenelol, in additon to digoxin. From what happened to be a mild AF, albeit some very strong episodes, I was in almost constant AF. This constancy became debilitating. Although I understand, at a lay level, that graduated AF at low levels of heart rate is better than the intense high rate, I have begun to be not happy with that approach to ablation.
My husband is in AF and is at present being treated with Digoxin, he keeps getting a smell of metal is it anything to worry about
I AM 79 YEARS OF AGE HAVE AF RECENTLY MY TWO ANKLES HAVE BECOME SWOLLEN DICOLOURED-BLUE AND THE FEET SEEM TIGHT. DIFFICULTY IN WALKING,BREATHLESS VERY MUCH OVERWEIGHT AND HAVE NUMBNESS IN BOTH HANDS.i TAKE WARFERIN/ DIGOXIN/ D[ALTIZAN /BELTOC. ALWAYS VERY TIRED, WHAT ELSE DO i REQIRE FOR THE ANKLE SWELLING?
My father [75+ yrs] has a history of Systemic Hypertension with BP in the range 150-160 / 80-90 mm Hg. He is on Amlodac 5mg one tablet daily for last 10 years or so. An ECG done about 10 years ago was found to be normal. Suffers from mild chronic dysentery. Had past history of gastric problem, now improved. Has got Prostrate Enlargement since last 6-7 years with 3-4 times urination-urge every night. He has a very lean body structure - slow walks about 3 miles daily.
Atrial pacing or cardioversion to reestablish sinus rhythm is indicated for initial episodes of AF in infants, followed by chronic prophylactic therapy in those with significant structural heart disease or in infants in whom AF recurs. Attempts to eliminate AF in children outside the neonatal or infancy period should begin with trials of traditional agents such as digoxin or procainamide, and if unsuccessful, subsequent trials of amiodarone.
Is amiodarone as safe a drug as digoxin or linoxin for A-fib as far as long term side affects are concerned?
when I went to hospital. Now I'm on cumodin, digoxin, diltaziam and am in AF more frequently. . I cannot tell if I'm in or out of SR as I have irregular heartbeat anyway. . considering electro CV. . also considering trip to Mayo Clinic to discuss ablation. . welcome comments.. Dave A.
One reason may be overmedication of hypothyroidism. Since the onset of af I have taken 2.5 pills of Erfa Thyroid vs 3 before af. Before af I felt excellent. Present symptoms may be due to other diseases. I may have hypeparathyroidism. I am waiting for FESS operation ( chronic sinusitis). Today going to a neurol spec because of trembling of upper back and neck. I also have problems in my lungs.
Stay in touch with your doctors. As the digoxin washes out of her system, her heart rate is likely to increase -- this should take a few days. The amiodarone will take longer -- months --- but also should allow for increased heart. Deciding when and if to proceed with a pacemaker can be hard and is a decision better left between you and your doctor. Hopefully she will feel better as the medication washes out.
If you have symptoms with your atrial fib despite rate control, cardioversion is a good option. Since you have been in Af for over 48 hours, you will need coumadin for a cardioversion. If you have more frequent AF, there are decent medications that can help reduce the frequency. The medications choice is based on your heart function, renal function, etc. There are very good options for AF treatment in Boston if you think you need a second opinion. I hope this helps.
I am presently being treated with a blood thinner [Coumadin 5MG]and medicine [Digoxin 0.25MG] to correct the AF and lower risk of clotting by Dr. John Carthy. Results of EchoCardiogram or Sonigram seem to be excellent as the valves seem normal. Results from Xray and Breathing tests determined heavy plural thickening inside lung consistent with heavy exposure to asbestos and lung disease consistent wityh exposure to asbestos. Phosgene gas exposure also causes plural thickening and damage.
I had an aortic valve replacement (tissue valve), due to aortic stenosis, in January 2007, which I was told was unrelated to the AF. And I guess ablation may come up for discussion with the electrocardiologist.
Pacemaker itself can cause AF due to the programming. My doc reprogrammed and shut down some functions. My AF disappeared. All he prescripted before: Flecainide, Digoxin, Atenolol, verapamil can go into the bin. Also, the holter monitor report mentioned "ventricular runs" is not meant to v-tach. It is ventricular pacing. When my pacemaker is pacing my ventricle, I feel like an express train is running in my chest, sweat and exhausted.
My wife had an op. for a mitral valve repair and AF (maze) some ten weeks ago. After the op. she was put on amiodarone, digoxin and furosemide. While the MVR appeared successful the maze did not kick in, experiencing irregular heartbeats cica 90 p.m. She then had cardioversion a few days ago; her heart rhythm appears to have regularised but her pulse rate has dropped to 42-46 p.m. and she has lost a lot ef energy.
Ten days later I was put on Cozaar , Coumadin and Digoxin. That night my heart self-converted. Is it common for A-fib to self-convert after being in constant A-fib tachycardia for 15 days? What are the odds of me going back into A-fib? This was my first time with A-fib. And I have been in sinus rhythm for 3 1/2 months, with a normal heart rate. I am F 55 not overweight, non smoker. Moderate aortic regurgitation, mild mitral regurgitation, mildly dilated left and right atrium,.
My cardiologist asked me if I wanted to come off of coumadin at this time, since I have been out of A-fib for 8 months. He has me on two baby asprin and two fish oils, Cardiziam, and Digoxin which makes me happy. I notice that with some household chores , or under stress, my heart seems to go out of rhythm, but if I stop and relax, it goes back into sinus rhythm.
I take 0,75 mg in the morning and 25 in the evening. In the morning some time after I have taken the medicine my heart makes some spurts. I am very angry and anxious. Maybe I have much adrenalin against the betablopcker. I don't know when I shall have the electric cardioversion. I have planned to travel to another city to have Sestamibi-Technetium scanning for my parathyroids. It is difficult to decide, when I could travel, is it dangerous to get Sestamibi-Technetium an so on.
Possibly my infections and hypercalcemia and dehydration (periodic mild DI) caused the AF in last year. I did not go to drink water when thirsty. My respiration is ok now, and I don't worry because of the lung infiltration. The lysozyme rise may be due to my sinusitis.
I feel that my primary care physician and the members of his staff and group where very neglectful in this matter. any advice would be appreciated in regards to filing a case against them for there neglect to inform me of this (EF) report.
) all cause an increase in heart rate and may irritate the focus in the atrium that causes atrial fibrillation. I realize that it would be ridiculous to try and eliminate stress in our daily lives, but any efforts to reduce anxiety and stress may be valuable. A medication such as a beta blocker may be of benefit if your husband is prone to "staqge fright" type experiences at work. I hope this has been useful. I wish you the best of luck. Feel free to write back.
Hi, I was given Atenolol at the beginning. My cardio said ADD this Tambocor (Flecainide) in. I was crying and refuse to take it. Then he wrote Digoxin and Flecainide. I told him I'll get vomit with Digoxin. Then he put Verapamil and Flecainide. I was spinning to sleep every night. I took the verapamil off by myself. Just the Flecainide by itself was fine. After 2 months, my heart beats very irregular. Big thumb here and there. Looks like restart every few minutes.
1 av block w/ my hr at 150bpm etiology unknown, type 1 or 2 I don't know. This is the reason for the Digoxin. Prior to this ecg, I had 5 ecgs that were taken as part of a phyiscal for various reasons & another was taken for a visit to er for an asthma attack. Not a single one showed anything abnormal or a normal variant such as high qrs voltage or early repolarization. However, after the ecg w/ AF & 2:1 AVBlock all the subsequent ecgs have showed high QRS voltage w/ repolorization.
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