She has been under particular stress in the past six months while back in college, but is active and involved in life! Her cardiologist prescribed coumadin therapy. As an RN, I am aware of the distressing dangers and constant monitoring of patients on this drug. She has no previous problems with clots, although she is on medication for genetic hypertriglyceridemia which is fairly controlled by exercise and medication.
Wouldn't Plavix combined with aspirin therapy not work just as well?
The first in two years landed me in the Hospital. My meds were changed from Metoprolol to Diltiazem 360 mg per day and Fleconade 50 mg 2x per day plus Warfarin. The Metoprolol 25mcg 1 x daily has been making me wheeze for the past four years, but no one ever thought to change the meds. I have been on this new med protocol for 1.5 weeks. I just started the Fleconide and Warfarin three days ago.
My question is I need to loose 45 pounds asap.
Thank you. I'm just still confused. My family doctor ordered the 30 day event monitor but the cardiologist who handled the affair and I've only seen once started me on coumadin and suggested Rhythmol which so far I have declined. An ER doctor suggested cardizem instead of the Rhythmol and I opted to take that instead of the Rhythmol but after a week or so of no symptoms the arrhythmias have become more frequent and stronger. I see the cardiologist this Thursday.
I have fairly consistent AFib and am an extremely active cyclist, xc skier and hiker (68 years old-AFib for about 10 years). I am on Tikosyn, Diovan, Coumadin, and Diltiazem. Will a two-lead Pacemaker have any effect on my activity levels? How will the Pacemaker affect the AFib? I barely notice the AFib when exercising, but a try on a beta blocker kept my heartrate so low I couldn't ride my bike. Is there any advantage to getting the Pacemaker now vs waiting?
It really depends on what you need. If this has been prescribed for you, and you are uncertain about it, then you can always ask your doctor for more clarification. It really just all depends on your individual circumstances.
Duke University Medical Center recommended the target range of 3.0 to 3.5 for the St Jude Medical leaflet valve. I have been on it since 1993. The instability has been only the last three years or so. Here's a link to a presentation that suggests vitamin K and the logic for doing so; http://www.dcpa.us/slides09/sun05.trujillo.vitk.
Are you saying you experience these HR excursions while maintaining a fixed level of physical activity? For example, all measured while at rest.
It would also help to know if these excursions are ongoing, constant or intermittent.
Are you now taking medications for heart rhythm problems?
If at rest, the 41 may be too low, and 100+ is too high, and should be checked.
My father in law is an alcoholic who has Atrial Fibrillation and is on coumadin. His cardiologist will not perform a cardioversion for him until his INR is within an acceptable level but it never is! The coumadin nurses frequently tell him his levels are too high and tell him to not take any coumadin for days at a time then the cardiologist tells him his INR is top low and they post pone the cardioversion.
I have suffered with taking diltiazem(180 mg ER) AND metoprolol (50 mg ER) for atril fibrillation for the past two and a half years. The side effects have been debilitating.. Both drugs have the same side effects and together and one or the other or both create what I can only describe as chaotic turbulence in my chest and pain in my left arm when the second drug kicks in.. My cardiolgist now wants me to add a blood thinner (xarelto) to my meds menu.
Not all of us respond the same to the same medications. The indapamide worked better for you than the dilitazem so it only makes sense to stay w/the indapamide and forego the diltiazem since your doctor obviously didn't consider the indapamide and diltiazem a good combinantion.
I understand about uninsured doctor visits. We lost our family doctor of some 30 years and got a rude shock when we started doctor shopping!!! From a standard $35 office call to a $150 initial office call!!!!!
We usually admit the patients 3 days prior to the surgery when we withhold coumadin and start heparin once the INR is less than 2.0. After surgery we usually start the heparin 12 hours after the surgery and coumadin shortly thereafter. The patient usually don't leave the hospital until their INR above 2.0. These are not hard and fast rules, and some physicians are more careful than others.
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