Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Single Bypass RCA, Arterial Fib Corrected, Intolerant To Beta Blockers. Dilitazem, Lasix And Microk Advised. Suggestion To Reduce Heart Rate?

I am 68 yr old male, 8 weeks post AVR single bypass RCA. Complications - atrial fib ( corrected), left lung pleural effusion drained twice, and persisiting pulse rate of 118 per minute average. I am intolerant to beta blockers and am on Dilitazem 120 mg CR daily, Lasix and MicroK, iron, ASA, Warfarin, Crestor. What other meds do you suggest to reduce my heart rate. My BP averages 124/82
posted on Wed, 12 Jun 2013
Twitter Wed, 12 Jun 2013 Answered on
Twitter Wed, 12 Jun 2013 Last reviewed on
Report Abuse
Cardiologist,  's  Response
Hi friend,
Welcome to Health Care Magic

There are several choices –
Tackling the cause – probably aggressive control of failure in this situation – will control the rate.
- The dose of diltiazem can be stepped up.
- Amiodarone may supplement or supplant the diliazem
- Digoxin is useful, if there is fibrillation
- There are also others - a few other anti-arrhythmic agents from class I...

Your treating doctor will be the best judge...

Take care
Wishing speedy recovery
God bless
Good luck
I find this answer helpful

1 Doctor agrees with this answer

Note: For further queries related to coronary artery disease and prevention, click here.
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Related questions you may be interested in


Recent questions on Heart rate


Loading Online Doctors....
Single Bypass RCA, Arterial Fib Corrected, Intolerant To Beta Blockers. Dilitazem, Lasix And Microk Advised. Suggestion To Reduce Heart Rate?

Hi friend, Welcome to Health Care Magic There are several choices – Tackling the cause – probably aggressive control of failure in this situation – will control the rate. - The dose of diltiazem can be stepped up. - Amiodarone may supplement or supplant the diliazem - Digoxin is useful, if there is fibrillation - There are also others - a few other anti-arrhythmic agents from class I... Your treating doctor will be the best judge... Take care Wishing speedy recovery God bless Good luck