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Suggest Alternatve Of Diaoxin For Treatment Of Arrhytmia
Question: my daughter, 53, has arrhytmia (sp) and it comes and goes every 2-3 months. Usually she can get it back iin sync by lying down and putting her legs up and tightening up her stomach muscles. she was hospitalized recently overnight because she couldnt fix it herself. her cardiologist put her on Diaoxin. I amnot happy a bout the side effects. she is to take this every day.
Brief Answer:
can Change / get her investigated
Detailed Answer:
Dear friend,
Welcome to Health Care Magic
There are several classes of drugs / and several drugs in each class
Digoxin is given at times – to control the ventricular rate – in Atrial Fibrillation…
If you are not happy, you can discuss with your doctor and change the drug
She may need further investigations…
HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for further management… It may also detect silent (no symptom) ischemia.
ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots...
TMT – Treadmill exercise ECG (may be with thallium isotope) – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease)
If there are no clues and if the problem is still bothering to the extent of interfering with life style, there are advanced techniques of investigations – Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and hence not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. There are other advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS.
The treating doctor may suggest them depending on need, based on his assessment of the situation.
Take care
God bless
can Change / get her investigated
Detailed Answer:
Dear friend,
Welcome to Health Care Magic
There are several classes of drugs / and several drugs in each class
Digoxin is given at times – to control the ventricular rate – in Atrial Fibrillation…
If you are not happy, you can discuss with your doctor and change the drug
She may need further investigations…
HOLTER (24 to 48 hour ambulatory monitoring) is done to analyse and plan for further management… It may also detect silent (no symptom) ischemia.
ECHOcardiogram is necessary to see the heart valves (Mitral Valve Prolapse) / heart muscle (Cardiomyopathy) and heart function (Ejection fraction, wall motion abnormality) / clots...
TMT – Treadmill exercise ECG (may be with thallium isotope) – is necessary to evaluate ischemia (reduced blood flow / Coronary Artery Disease)
If there are no clues and if the problem is still bothering to the extent of interfering with life style, there are advanced techniques of investigations – Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and hence not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. There are other advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS.
The treating doctor may suggest them depending on need, based on his assessment of the situation.
Take care
God bless
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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