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Suggest Treatment For Atrial Fibrilation And Swelling On Feet

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Posted on Tue, 2 Sep 2014
Twitter Tue, 2 Sep 2014 Answered on
Twitter Wed, 24 Sep 2014 Last reviewed on
Question : I was recently diagnosed with Atrial Fibrilation. It was found during my stress test. I have also been experiencing severe swelling in my ankles, feet, and legs, often up past my knee. I have had the swelling for a couple of years, but in the last 2 months, it has gotten to the point where they never seem to go back to normal size, despite rest and taking my prescribed diuretics. I am often short of breath, especially when trying to exercise and when lying on my back to sleep. No matter how early I go to bed, I feel exhausted when I wake up, and I often urinate several times during the night. I can feel my heart racing all the time, so while many people complain of havin A-Fib episodes, mine never seem to stop. Often I have pain in my chest, mostly on the left, that seems to radiate through my shoulder blades. I am a singer, and often when I sing, I feel pressure in my chest and cannot hold notes for long periods like I used to. I often feel faint when standing and sometimes I get a feeling as if everything stops, I cease to hear (but can still see), and I feel as if I will pass out, but I have never passed out. My concern is whether my A-Fib has put me into congestive heart failure. I will be seeing a cardiologist within the next week or two, so I just want to feel prepared so that I don't get hit with a bombshell, if you will.
doctor
Answered by Dr. Benard Shehu (1 hour later)
Brief Answer:
Atrial fibrillation does not cause heart failure...

Detailed Answer:
Hi,

Atrial fibrillation and tachyarrhythmia do not cause heart failure. On contrary, they can only aggravate heart failure (HF).

I advise to run cardiac ultrasound to determine what is causing HF.

Hope it helped!
Dr.Benard
If anything unclear, do not hesitate to write me back!
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
doctor
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Follow up: Dr. Benard Shehu (40 hours later)
I know that it does not turn into heart failure, but I know that continuous strain on the heart can cause it. I've had an echo that says I have 60-65% EF, which sounds like I am not in HF. I did not yet have the results when I asked the question. My main concern was the edema and the difficulty breathing when lying flat.
doctor
Answered by Dr. Benard Shehu (10 hours later)
Brief Answer:
Investigations are advised to exclude other factor

Detailed Answer:
Hi back,

Thank you for following up.

If EF is around 65%, then, for sure, you are not in HF. Then, the swollen legs are not caused by HF. Other investigations are needed to rule out other causes including:
- kidney problems
- local issues with lymphatic system of the legs
- deep vein thrombosis

With regards to difficulty while breathing when lying flat, it has to do with tachyarrhythmia. Beta-blockers and digoxin are advised to start to stabilize heart rhythm.

Hope it answered to your queries! If no more questions, do not forget to close this discussion!
Dr.Benard
Above answer was peer-reviewed by : Dr. Vinay Bhardwaj
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Answered by
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Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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Suggest Treatment For Atrial Fibrilation And Swelling On Feet

Brief Answer: Atrial fibrillation does not cause heart failure... Detailed Answer: Hi, Atrial fibrillation and tachyarrhythmia do not cause heart failure. On contrary, they can only aggravate heart failure (HF). I advise to run cardiac ultrasound to determine what is causing HF. Hope it helped! Dr.Benard If anything unclear, do not hesitate to write me back!