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Dr .Saeed ahmed
Dr .Saeed ahmed, Doctor
Category: Cardiology
Satisfied Customers: 4473
Experience:  MBBS/FCPS(R)/MRCP U.K(R), Senior Registrar Cardiology
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I have a history of atrial fibrillation. I am a type 2 pre-diabetic

Customer Question

I have a history of atrial fibrillation. I am a type 2 pre-diabetic controlled by diet. I have been cardio-verted many times during my life from the age of 27; I am now 62. 5 years ago my tendency to AF increased to an episode every few months. I was then managed "in atrial fibrillation" for approx 3 years. During this period my heart enlarged and my mitral valve began to slightly leak.
I then had an ablation procedure with cardio-version and was managed successfully using amiodarone 200 mg per day. On consulting my cardiologist, recently, he suggested coming off amiodarone initially reducing to 100 mg per day. I was on this dosage for the last 3 months. Recently I had a nasty sinus type infection which has recently recovered. In the last few weeks I have noticed an increase in palpitations. Sadly 4 days ago I reverted into AF again. However this time it is intermittent and seems to react to my body position. In bed it settles down to sinus rhythm.
I need to have a diabetic check because since the festive season my blood sugar has been in the region of 7-9 and on one occasion it was 16.
What do you suggest? I hasten to add I have absolute faith in my cardiologist but sometimes am reluctant to burden him with long winded symptoms such as Iam describing now. A different view is always helpfull.
Submitted: 2 years ago.
Category: Cardiology
Expert:  Dr .Saeed ahmed replied 2 years ago.
Hello, charlie thank you for your question,It is good that your doctor wants you off the corrode, as this is a toxic drug and should not be used for long periods.What your cardiologist missed was he should have given you a beta or calcium channel blocker at starting dose along with lowering the cordorone to cover the decreased dose of cordorone. This lead to your A.fib .. Now he needs to add beta or calcium channel blocker and slowly taper off the cordorone over 3-4 weeks. Let me know if you have questions. Thank you.