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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has Fatigue And Nausea. EKG Shows Flutter. Being Treated For Atriafib. Recommendations?

My Mom will be 87 this month and is very active 87 year old. She has been treated for AtriaFib for a while now and saw her cardiologist on Monday. She has not been feeling well, fatigued, nauseated, not her self. He did an EKG and found her to be in flutter. He is recommending her to have a Cardiac Conversion. Says that she will feel 100% better after. What should we expect? I read that not always is it successful and may have to be done again. And what is the after care for her?
Fri, 26 Apr 2013
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Internal Medicine Specialist 's  Response
Hi,
Welcome to HCM,
Your mother is 87 years and having Atrial Fibrillation now she has Atrial Flutter which is more dangerous, treatment depends on underlying cause if there is atrial flutter and fibrillation which can precipitate cardiac failure, and cardioversion is treatment of choice if possible your cardiologist knows best.
2 D echocardiography is required to see any clot in side heart where blood thinner are required to be given.
If suitable then cardioversion should be done as it convert to sinus rhythm and improves cardiac function.
Once sinus rhythm is restored there are very good drugs which can be given to maintain it and if required even cardioversion can be repeated.
Please follow advice of your cardiologist and hope she recovers soon.
Please take care
Good luck

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Cardiologist Dr. Anantharamakrishnan's  Response
Hi friend,
Welcome to Health Care Magic

It is wiser to go for cardioversion...
One should aim for Rhythm control / if it fails or impossible, then settle foe rate control...
Flutter is at times more difficult to control than fibrillation.
If need be, do it again...the alternative may be worse...
After care depends on the cause of the condition / clinical examination and correlation with findings of other investigations will decide.

Take care
Wishing speedy recovery
God bless
Good luck
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Has Fatigue And Nausea. EKG Shows Flutter. Being Treated For Atriafib. Recommendations?

Hi, Welcome to HCM, Your mother is 87 years and having Atrial Fibrillation now she has Atrial Flutter which is more dangerous, treatment depends on underlying cause if there is atrial flutter and fibrillation which can precipitate cardiac failure, and cardioversion is treatment of choice if possible your cardiologist knows best. 2 D echocardiography is required to see any clot in side heart where blood thinner are required to be given. If suitable then cardioversion should be done as it convert to sinus rhythm and improves cardiac function. Once sinus rhythm is restored there are very good drugs which can be given to maintain it and if required even cardioversion can be repeated. Please follow advice of your cardiologist and hope she recovers soon. Please take care Good luck