Six months is good! I hope yours never comes back! 65% is a terrific ejection fraction.

No one has called it valvular afib. I think I had the substrate to have afib given my low heart rate and then my covid caused heart inflammation kicked it off. I think Covid caused the left atrial enlargement which made my mitral valve leak, and probably my decades of frequent PVCs set the stage. I've been struggling with accepting the fact I won't figure this all out, really bugs me not to know how this all happened. I have unprovable theories galore.

I was on lisinopril, prior to covid it was 10 mg. I was up to 40 mg last week and was nowhere near target. My internist switched me to Voltaren 160 mg this week. I'm not optimistic. I want to add a low dose of spironolactone but he is all excited about it causing high potassium with the voltaren. My Mom had uncontrolled hypertension for decades, she saw a nephrologist who added 12.5 mg spironolactone about 20 years ago. She is never over 130/80 now, and she 87!

Amiodarone is a dirty drug. It is FDA approved for ventricular rhythms, and it does work, but is used off label a lot for atrial fib. You can use it with people who have coronary artery disease so Cards likes it. In the hospital in July, about 2 hours after I converted, my heart rate was dropping in the low 40s so they had to stop it. They started me on 200 mg a day orally when I was discharged, I was down to 100 mg/day after a few days then 50 mg, then 50 mg every other day and finally gave up when my HR was 36 while grocery shopping. I think it was starting to bother my lungs too. I think if I ever have to go on amiodarone again I'll start at 50 mg a week.