Atrial Fibrillation (AFib) Support Group
Atrial fibrillation (AF or afib) is an abnormal heart rhythm (cardiac arrhythmia) which involves the two small, upper heart chambers (the atria). Heart beats in a normal heart begin after electricity generated in the atria by the sinoatrial node spread through the heart and cause contraction of the heart muscle and pumping of blood.
petey
my episodes of Afib are months apart, and clearly identifiable by a heart rate that's almost double my sinus heart rate. I check my rate very frequently, even at night when I wake up every 2 hours for a prostate problem. If my rate is high, I am at the ER within few hours, where I am always diagnosed in Afib and cardioverted.
I am now wearing a 24/7 monitor to verify this assumption. The first week of monitoring has shown a low 50, 60, sinus rate.
I don't think that my Afib can be called permanent.
If so, the question is what are the benefits/dangers of Multaq, prescribed by the EP.
I see two alternative:
(1) See if Multaq works
(2) Ablation
Living with Afib and blood thinners does not seem a good idea, I would still have to go from time to time to the ER to be cardioverted, because a constant high rate is in the long range bad for the heart.
Waht do you think? I really value your opinion.
Ecofr
thanks for the info.
Ecofr
thanks for your reply. I have read everything I could find on the web about Multaq, that's why I mentioned the evidence that I am in paroxysmal (or maybe pesistent) Afib, opinion shared by my EP.
What made you decide to go for Multaq rather than ablation? What did your doc say about the probability that Multaq may stop working after a while?
How long have you taken Multaq? Any Afib episodes after you started taking it? Is your Afib paroxysmal/persistent, etc?
Thanks again for your reply, I am trying to decide whether to try Multaq (prescribed by EP) or go directly to ablation. My EP says the choice is mine.
ecofr
I was in your same position of trying to decide between rhythm control drugs or an ablation. For myself, I decided to NOT take Multaq because at the time it had just been approved and I'm always leery of new drugs until they have been in use for a while. A few months later when some of the reports regarding some patient's bad experiences with Multaq came out I was very glad I did NOT try this drug. I did however try Rhythmol and did not like the way it made me feel and it ended up making the afib episodes worse and more frequent. So I ultimately decided to go the ablation route.
I did feel safe saying that having episodes months apart is not even persistent afib. My doctor said that Mutaq was good for permanent afib, so I looked it up on the FDA wedsite to understand it. I have persistent afib (long duration), so the subject came up. Never took it thiough for the reasons I stated.
The FDA says it shouldn't be used for people like me. People that have paroxysmal afib do well with drugs and ablation and anything that can slow the progression down sounds good. Hope this clears things up. I got your point. petey
http://www.fda.gov/Drugs/DrugSafety/ucm264059.htm
After cyro-ablation I was started on Amidarione and had to stop taking it after 2 days----too toxic for me. The EP then started me on Multaq and I tolerated it well for about 4 months. At that point started having stomach pains, and gradually lost all desire to eat meat (and the smell really bothered me) At 5 months after ablation EP told to stop Multaq. After 5 days the stomach pains gradually left, and I could eat meat again.
Before my ablation I failed rthymol after 8 days on it.
D.