I had an ablation performed by Dr Deshmukh. My daughter is a cardiology chief USArmy. She came to Mayo procedure. She was impressed and very much liked Dr Deshmukh. He is good.
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Get a list of in network providers from your insurance then do the hard part: research them according to specialities in how their health grade rank and select one.
Dofetilide is a dangerous drug. Must be supervised by an Electrophysiologist Cardiologist. You need to let your EP Card know your physiological reactions.
If in AFib all the time even part of the time must be on a blood thinner. AFib sucks if you re symptomatic. I am! Hate it.
Was intermittent then went from being in AFib about 10% of the time to 50% . Miserable symptoms. Short of breath, heart feeling like fish flopping around, tired, weak.
Had an ablation which helped immensely.
Still on dofetilide. But it eventually will stop working effectively.
Right now so far so good.
Working w your EP Card is very key.
No one should go off any drug including metoprolol other with their doctor s guidance. Metoprolol controls your heart rate so it doesn' t go too high which is typical when go into AFib. so you need this drug to control the rate. Heart rhythm is a different story: that s where you use a drug (antiarrhythmic drug such as dofetilide)or procedure ( such as ablation) to control the rhythm to keep it regular instead of going into atrial fibrillation. Rate and rhythm are two components of your heart treated with different meds and/or procedures
I am a patient at Mayo with Afib. I see Dr AJ Deshmukh for electrophysiology cardiology and I also have a cardiologist who is kind of like a primary care provider in Cardiology, Dr John Giudicessi. An EP Card is only going to try to manage for example Afib procedurally. Like wise other issues such as pacer needs etc. Dr Guidicessi manages all aspects of your heart health including heart failure, and refers to Cardiology specialists as needed based on whatever the heart issues are. I love them both. Great patient relationships. Excellent experts.