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Sun, Sep 29 4:13am · Eliquis symptoms post mitral valve repair in Heart & Blood Health

hello,
whether you can decrease the daily dosage, depends on your weight and your age. I take 5 mg Eliquis , divided in two dosages. the reason is; I had severe bleeding ,taking Xarelto 20 mg. I have a low weight and I am "an old person". of course I discussed it with my cardiologist. until now no bleeding with Eliquis (three years).
yoanne

Sun, Sep 29 4:02am · Mitral Valve Prolapse – How many second opinions should I get? in Heart & Blood Health

hello,
well, you were flabbergasted, but I was also flabbergasted, reading your medical history. I had my mitral valve repair 2016,. I asked for a second opinion in an other hospital, because of the increase of A-fib's. they did an TEE. and unexpectabel they diagnosed a severe mitral insufficieny, although I had NO symptoms . They offered me a check of my lung function every three months, I decided not to wait, maybe the damage to the structure of my heart wall due to the backward failure would disappear (they call it "remodelling".)
I decided to have this minimal invasive valve repair/reconstruction,
I am sure my decision was right. advices of the cardiologists are based on the degree of the backward failure, especially the increase of the pressure in the lung vene is very important.
I wish you all the best, yoanne

Tue, Jul 23 11:17am · Dilated cardiomyopathy. in Heart & Blood Health

hello @sophieshor : your story has some matches with mine, quite similar, of course not 100 %.!!. Not to spite I can mention the treatment I got ,apart from other drugs, like beta-blocker . I described it in some posts / mayo connect, The cardiologist gave me Digitoxin, which is a very old medication, but now the cardiologists deal with this preparation again. I would recommend you to ask your cardiologist. I know that it ist available in the USA . maybe you can look it up in the medical literature, otherwise I can explain the effects of digitoxin on your heart. My heart improved definitely.
yoanne

Tue, Jul 2 9:44am · Alcohol and blood thinners in Heart & Blood Health

hello martin!
I am very sorry to read your story about the "small" stroke. I was always impressed by your posts. and it was quite evident, that you took care of your own health as much as possible. . well that's life, isn't? I took care of myself (my dutch family was laughing, because I was so serious doing that). unfortunately I have cerebral deficits not because of a stroke, but due to a nearly heart stop (atrioventricular block grade 3) all of a sudden..the emergency doctor, who came to my house (2:00 am) did the right things. the same day they implanted a pacemaker. I was asking myself, why did it happen to me?
I am sure that the cerebral circulation was not enough, I have difficulties with the fine motor skills..
So we both have our problems. there is a german saying,: we all want to grow older, but not old.
yoanne

Sun, Jun 23 9:35am · Cramping around pacemaker site in Heart Rhythm Conditions

hello dorothy,
I definitely agree with the answers, you got.. I got my two chamber pacemaker 17 months ago. I had a check after 11 months. I was told everything o.k. At that moment they did not an echocardiography, otherwise they should have noticed that I was NOT o.k. I was developing a heart failure. I knew that I had a lot of A-Fib's (nothing to worry about, I was reassured).40 percent of the recipients have A-Fibs.)
These A-Fib's induced a ventricular arrhythmia. , leading to the heart failure. Like you it was very difficult to get an appointment. The nurse only found a date in MAY!!! So I had to wait 4 months. My family doctor got an earlier date. I had to wait ONLY 2 weeks. Honestly said, I was an emergency. I learned that a pacemaker can also cause problems or complications, so do not hesitate !!!
I did not have your discomfort around the site of implantation. In this context maybe an interesting tip (not for you). I am left handed, I was sedated before the implantation . The cardiologist did not discuss or explain, what he intended to do. otherwise I would have asked him to implant the device at the right site. a couple of weeks ago I had an unpleasent experience, I washed my curtains and put them back on the rails( correct american?), of course with my left hand. Afterwards I had a long period of irregular heart beats,( one hour.).
I hope you will get an answer soon.
yoanne.

Mon, Jun 10 4:23am · Should I consider ablation? in Heart Rhythm Conditions

hello magsmar, the reason, why the cardiologist gave you digitoxin, was , that the betablocker metoprolol alone didn't reduce the atrium fibrillation enough.. digitoxin inhibits the transport of the electric pulses through the AV-node, apart from other effects. especially for older people, like you, who might have a heart failure. you wrote that you are suffering from difficulties with breathing. this is maybe a symptom of heart failure. digitoxin needs time, the half-time is 6-7 days.

My situation is a bit different, 15 months ago I had AV Block -third degree. therefore I needed a pacemaker. the rate of the A-Fib's increased constantly. My heart deteriorated, most probably due to the influence of the fibrillations on the the right chamber (ventricel).
my cardiologist added digitoxin to the betablocker – bisoprolol. I was very "impressed", after 10 days no heart failure symptoms anymore. I'am 73 years old. a control echo of the heart confirmed. I was surprised to read, that digitoxin is also used in the US. it is very old (1885 painted Vincent v. Gogh his French doctor with a branch of digitalis purpurea) , it seems there is a renaissance. I'm very glad that it worked so well.

Tue, May 28 6:33am · His-pacemaker technique in Heart Rhythm Conditions

@sayaboleh ,
As to the second option: AV node ablation you also need a pacemaker.

Yoanne

Wed, May 22 11:02am · His-pacemaker technique in Heart Rhythm Conditions

@hopeful33250 ,
hello teresa,
I got the pacemaker january 2018. when I left the hospital they told me,that I had many atrium fdibrillations. but this is not uncommon, I should not worry about it. my medications were bisoprolol 7.5 mg/d + a blood thinner Eliquis .November 2018 I had a pacemaker check. the cardiologist told me, that I had 94% Fibrillations in the atrium, that means that the pacemaker electrode in the atrium was useless.
I depended more or less on the electrode for the right chamber. a couple of weeks later I noticed loss of energy, in the beginning I had to leave my bicycle in the garage, 2 weeks later I didn't even manage the walk to the bus. my weight went high, but I did not see any odemas in the legs. but apparently I got oedema in the lung, so difficulties with breathing (dyspnoe). I discussed the situation with my family doctor. she gave me a diureticum and she took care of an appointment with the cardiologist. (in Germany the patient has to wait a long time) . Februar 2019 I saw the cardiologist, the echocardiography confirmed my bad condition.: all (!!) the heartvalves were insufficient, even my mitralvalve ( I had a minimal invasive mitralvalve reconstruction 3 years ago) was highly insufficient, which was a great shock for me. . of course I did recherche in pubmed. and I knew, that in such a case they deactivate the electrode in the atrium. but that didn't work, because, like he said, the problem is located in the tissue of the right chamber. so he suggested digitoxin – 0.07 ng/ml.

to answer your question, I started the digitoxin only in februar this year. 10 days later I was fully recovered. 6 weeks later they measured the blood concentration of digitoxin (very important!!).. this was too high, so I started the lower dose (0.05 ng/ml).

you asked about side effects, I have none, but it is very important to choose the right dosage, depending on the weight of the patient.
Yoanne