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I'm told metropolol is not doing anything for the fib. It is target specific for the AV node and attempts to block the fib currents from speeding up your ventricles. Flecainide works for some people. Drugs like sotolol and dofetilide can knock you into NSR but not without side effects and they are only 30-40% effective plus with dofetilide you need to spend 3 days in a hospital to get the dosage correct bc it can cause sudden death. Some docs also want a hospital stay with sotolol

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Replies to "I'm told metropolol is not doing anything for the fib. It is target specific for the..."

That sounds very scary. I suppose these drugs are for those who have had
failed ablations? I have now got a retired heart surgeon reviewing my
chart. I really believe that I need redo surgery to correct the underlying
stenotic mitral valve. Severe stenosis leads to a fib so how can you
correct persistent a fib with this scenario? The two conditions perpetuate
each other. I’m just confused as I’ve had my former surgeon offer to fix me
but out of province while a young one here in my province say don’t have
surgery. Even walking brings my heart rate to 120-130 bpm but I’m pretty
asymptomatic except for puffing on exertion or walking up any slope. I know
I’m better off than many and thankful for that but I expect things keep
progressing downhill with age. I’ve been told my provincial health care
won’t cover me out of province unless I wait at least 6 months since my
late January pulmonary embolism. Watchful waiting.