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contro; afib with pace maker or oblation?

Heart Rhythm Conditions | Last Active: Jun 24 10:02am | Replies (32)

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Hola, mi esposo tiene 50 años en febrero le hicieron un ecodoppler y le encontraton ue presentaba la valvula mitral, tricuspide, y aortica con insuficiencia leve, dilatacion del vetriculo izquierdo pero todo leve. No es hipertenso ni presenta ninguna enfermerdad cronica. Pero hace una semana ingreso a cuidados intensivos por presentar un cuadro de fibrilacion auricular y le encontraron como hallazgo la auricula izquierda dilatada.
salio de uci pero le dijeron que pude volverle a venir esta FA.
en un holter de febrero le salio el QT en 511, pero con los antecedentes le dijeron que todo era leve pero ahora le vino la FA. como debemos de proceder ante este hecho?

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Replies to "Hola, mi esposo tiene 50 años en febrero le hicieron un ecodoppler y le encontraton ue..."

@mari23 He should consult an electrophysiologist. His heart is disordered, and probably 'diseased' (most men of an age have some order of atherosclerosis and valvular disfunction/wear-and-tear).

An electrophysiologist will assess him, probably with new diagnostic tests, to see if he/she can ablate your husband's heart to curb the atrial fibrillation (AF).

You say your husband is only mildly hypertensive, and this may, or may not, have resulted in the mild enlargement of his atrium. AF also tends to cause atrial enlargement over time, but this takes months, and his burden of AF would be higher than about 5% of beats in a 24 hour period....typically if it was AF that has caused the mild enlargement.

The translation does not know what FA is (is it fibrilacion atrial?).

Your husband's fibrillation seems to come and then stop? If so, he is in the earliest stage known as 'paroxysmal'. This early stage is the stage when AF is the easiest to treat. So, and electrophysiologist (EP), would want to see him sooner rather than months from now when/if your husband's heart has deteriorated further or has more intractable fibrillation due to advancement or progression.

@mari23
Habla ingles por favor. : )