Recently Answered Questions
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My father is advised medication though his BP is normal. Why?
Query: Hello doctor, My father is 66 years old, has hypertension since past 25 years, is on Olmark A 40 and hypothyroidism since past six years and taking Thyronorm 50 mcg. Recently, diagnosed with atrial fibrillation with controlled rate. He is taking Acitrom 3 mg now, his blood pressure is 120/80 mm of H... Read Full »
Answer: Hello, Welcome to icliniq.com. Firstly, his INR (international normalized ratio) is not in range. It should be between 2 to 3. So, his Acitrom (Acenocoumarol) dose should be increased to 3 and 4 mg on alternate days (3 mg on one and 4 mg on the next day) and get his INR checked after one week.... Read Full »
Father is suffering from pulmonary hypertension and varicose veins. Is anticoagulant a must?
Query: Hello doctor, My father is a 71-year-old male suffering from pulmonary hypertension and diabetic and varicose vein problem on both legs. I have attached the previous reports summary. Following medications are taken daily. 1. Tadalafil 1---0--0 2. Dytor 10 mg 1--0---0 3. Dytor plus 20 mg 0---1--0... Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to the icliniq.com. Sorry for your father suffering from atrial fibrillation and pulmonary hypertension. I have read your concern and below is the answer to your question. The leg swelling could be due to irregular use of a diuretic pill that is Dytor. So I suggest not to stop this... Read Full »
I have been diagnosed with atrial fibrillation. Will Apixaban help?
Query: Hello doctor, I have been diagnosed with atrial fibrillation and prescribed Apixaban as an anticoagulant. Can you provide insights into how Apixaban works, and its role in managing atrial fibrillation? Additionally, are there any specific considerations or interactions with other medications, such ... Read Full »
Answer: Hello, Welcome to icliniq.com. I understand your concern. Factor Xa (activated form of the coagulation factor X) inhibitor inhibits platelet activation by selectively and reversibly blocking the active site of factor Xa without requiring a cofactor (coagulation factor) (eg, antithrombin III) for ac... Read Full »
What is the extra heartbeat in my father after the stroke?
Query: Hello doctor, I have a question about my father. He is 75 years old, eats healthy, and drinks at least two liters of water daily. He has had atrial fibrillation for the past five years, and for that, he takes Xarelto 15 mg and Amlodipine accord 5 mg. He takes them in the morning, and that is always ... Read Full »
Answer: Hello, Welcome to icliniq.com. In atrial fibrillation, the heart beats can vary in frequency and height (amplitude). What is more important in these patients is that the rate needs to be controlled and not above 100 beats per minute. Also, one must make sure that no clot forms in the heart due to th... Read Full »
Can I reduce the dosage of Amiodarone? Please suggest.
Query: Hi doctor,I am a 49 year old male. Five years ago, I got two stents on the left. Actually, my heart was good only 30 % block. I take Vitoryn and Aspirin until now. I started having arrhythmia two years ago. AF comes out once every one and a half months for two to four hours. When AF attacks, I canno... Read Full »
Answer: Hello, Welcome to icliniq.com. I have reviewed your health query and can well understand you are worried about your heart health. I would not say to stop Xarelto (Rivaroxaban) and/or Cordarone (Amiodarone) as these are very important medications and you need them. For stent patients, Xarelto reduc... Read Full »
What causes chest pain and blurred vision?
Query: Hello doctor, My father had PTMC twice. He had also undergone an MVR before 10 years. Unfortunately, his heart rate always seems to rise to 150 or 160. Two years back, he had a cardioversion and was fine with the drugs Renozex and Sotalex. After the MVR, he was on Warfarin and his INR was fine. This... Read Full »
Answer: Hi, Welcome to icliniq.com. I have noted all your details. The Holter reports (attachment removed to protect patient identity) of your father reveal his baseline rhythm to be atrial fibrillation. The rapid heart rate associated with atrial fibrillation can result in chest pain or discomfort (angin... Read Full »
Will ablation helps to normalize the size of dilated atrium?
Query: Hello doctor, I have AF for six years. Tried DCC and got sinus rhythm for 12 months, then back to AF six months ago. My echo showed serious left atrium dilation (more than 200% i.e. 180 ml compared to the normal 60 ml) and mild ventricular dilation. 24 hour tape ranges from tachycardia of up to 120... Read Full »
Answer: Hello, Welcome to icliniq.com. I had gone through your query. So as ablation can prevent AF (atrial fibrillation) but the return of atrial size to normal is unlikely. The risk due to atrial dilation in AF is due to the formation of blood clots inside left atrial appendage and chance of embolism pr... Read Full »
I want advice on for Xarelto atrial fibrillation. Please help.
Query: Hello doctor,I have heard about Xarelto as a treatment option for atrial fibrillation. I am interested in learning more. Can you provide information on the safety and efficacy of Xarelto in preventing stroke and blood clots in individuals with atrial fibrillation? Additionally, are specific lifestyl... Read Full »
Answer: Hello, Welcome to icliniq.com. I have read your query, and I can understand your concern. Xarelto (Rivaroxaban) is an anticoagulant used to prevent stroke and blood clots in individuals with atrial fibrillation (AFib). It works by inhibiting the blood clotting factor Xa. Studies have shown its ef... Read Full »
Should I be on beta blocker if I am diagnosed with AFib?
Query: Hello doctor, I was diagnosed with AFib four months back. My heart rate was not elevated. I had controlled AFib. I went on blood thinner Eliquis for four weeks and had a successful cardioversion. I stayed on Eliquis until I met my doctor 20 days back. He took me off blood thinners and put me on bet... Read Full »
Answer: Hello, Welcome to icliniq.com. I guess you must have undergone echo in order to find out the cause of atrial fibrillation. Now, regarding your doubt, as such the risk of stroke is not high in you so blood thinners are not absolutely necessary for you. Now, if AFib is of less than 48 hours durati... Read Full »
I underwent ECG. Please review my reports.
Query: Hi doctor, I want to know about my ECG report. I have attached it. Please suggest. Read Full »
Answer: Hi, Welcome to icliniq.com. I have gone through the attachment (attachment removed to protect patient identity). There is an irregular rhythm called atrial fibrillation, which is usually not life-threatening but needs evaluation for the cause. Also, there are Q waves in the inferior leads which su... Read Full »