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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Atrial Fibrillation Be Treated?

I have a fib for 3 yrs, many cardioversions with short term success. My cardiologist has started me on amiodorone 400mg bid for 1 wk and plan electrical cardioversion next wk. he says I have chf with EF of30%. I am sob,120/80-108hr. Diaphoretic. Unable to take lisinopril10mg or losar tan 25 mg due side effects(chest pain,sob,diaphoresis,hypotension. I am 63 yrs old and retired critical care nurse. What do you think?
posted on Fri, 29 Sep 2017
Twitter Sun, 24 Dec 2017 Answered on
Twitter Tue, 26 Dec 2017 Last reviewed on
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Internal Medicine Specialist,  's  Response
Major issue for you along with atrialfib is low ef which is only 30%.atrialfib with very low ef must be started on lanoxin（digoxin）0.25 mg 5 days in a week which also takes control of hr and prevents future complications in addition to amiodarone and DC.no need of enalapril or othr drugs as your bp recording is normal
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How Can Atrial Fibrillation Be Treated?

Major issue for you along with atrialfib is low ef which is only 30%.atrialfib with very low ef must be started on lanoxin（digoxin）0.25 mg 5 days in a week which also takes control of hr and prevents future complications in addition to amiodarone and DC.no need of enalapril or othr drugs as your bp recording is normal