Newspaper View
Print
Email
Comment
RSS
Bookmark
If you would like to bookmark this article you will need to
Login
to your tulsaworld.com account
close
Cardiologist, not general practitioner, should treat atrial fibrillation
By PETER GOTT, M.D. Newspaper Enterprise Association
Published:
7/17/2009 2:21 AM
Last Modified: 7/17/2009 5:19 AM
Dear Dr. Gott:
I was recently diagnosed with atrial fibrillation. My family practitioner sent me to a cardiologist at my request for a second opinion.
My GP suggested I start warfarin and have an angiogram. The cardiologist says, "A-fib isn't something that calls for an angiogram" and put me on warfarin and diltiazem. He is now telling me that I can do one of two things: have a transesophageal echocardiography followed by cardioversion (his preference), or I can stay on the medication for the rest of my life.
I have no symptoms except for a fast pulse and some shortness of breath upon exertion. I am a 78-year-old retired nurse. I have no physical problems other than osteoarthritis. I also take losartan for high blood pressure, which is now stable at 120/80.
What is you opinion on how I should proceed?
Dear Reader:
Atrial fibrillation is a heart disorder that causes an abnormally rapid, irregular heart rate; therefore, I believe your cardiologist is the best choice for treatment.
Symptoms may not be noticeable in some sufferers but may include decreased blood pressure, chest pain, shortness of breath, weakness, lightheadedness, confusion, fatigue, fainting and palpitations. If symptoms come and go, the condition is known as paroxysmal atrial fibrillation, whereas consistent symptoms denote chronic a-fib.
The risk of developing this condition increases with age. Heart failure, coronary-artery disease, high blood pressure, heart attack, certain medications, heart-valve defects, hyperthyroidism, heart surgery and infections (especially of the heart) are common causes. In some cases, no cause can be found. This is known as lone atrial fibrillation, and serious complications are rare.
Follow your cardiologist's advice or seek out a second opinion from another cardiologist.
Write Dr. Gott c/o United Media, 200 Madison Ave. 4th floor, New York, NY 10016.
By PETER GOTT, M.D. Newspaper Enterprise Association
Copy Text
Search for this phrase/name
Close
Newspaper View
Print
Email
Comment
RSS
Bookmark
If you would like to bookmark this article you will need to
Login
to your tulsaworld.com account
close
Reader Comments
Show: Most Recent Comment First
Add your comment
4
comments have been made on this story so far. Tell us what you think below!
Reporting Comments
If you see a comment that violates our
terms and conditions
, please help us by clicking the "Report this Comment" link next to a comment. That will alert the web staff to review the comment. Thank you. --
Web Editor Jason Collington
Report Comment
Daniel Day Simpson
, Edmond (7/17/2009 9:41:23 AM)
Check a university health program for solutions. You may get a procedure done at significant savings if not free. This is something a medical school would love to delve into.
Report Comment
tao4mind
, Enid (7/17/2009 11:05:13 PM)
At 78 years old, first thought is a decrease in the production of red blood cells, B12 vitamins. The artical fails to mention race, sickle cell disease, weight, an overactive thyroid gland. Many things can cause rapid pulse and feeling weak and tired. Your a nurse, look for the obvious, is there any yellowish look to your skin and the whites of your eyes, jaundice. Shortness of breath means getting high blood pressure in the lungs. Any pain in the hands, the feet, are not mentioned. Could be an iron deficiency, folic acid deficiency. This losartan you take for high blood presure is an Angiotensin II receptor blocker that inhibit a substance that causes blood vessels to narrow. As a result, blood vessels relax and widen, making it easier for blood to flow through the vessels, which reduces blood pressure. This medicine can increase your risk of life-threatening heart or circulation problems, including heart attack or stroke. This risk will increase the longer you use losartan. I will have to agree with DR. Pete, seek a cardiologist's advice and get off losartan under that doctors care. When a woman gets to age 78 she should have a personal massaging pool boy to rub her neck to relieve an overactive thyroid gland before the visit to the cardiologist.
Report Comment
upinarms
, (7/18/2009 6:05:25 PM)
I wonder if the personal massaging pool boy could be justified by other ailments, not just an overactive thyroid gland. Am not 78 yet, and my thyroid is more on the underactive side, and yet...a PMPB sounds very appealing. I wonder would insurance cover that? For men, would a PMPG be the equivalent?
Report Comment
Bedazzled
, (7/19/2009 12:07:14 AM)
His doctor should have told him to follow the Cardiologist's instructions. This is something my mother had too and it can be serious.
Add Your Comment
In order to post a comment on this article, you must
sign in to Tulsaworld.com
. If you do not have a site account, you can
create an account for free
.
Post Your Comment
You must be logged in to post a comment.
Comments made yesterday
2,108
Total Comments
1,034,078
Register to make reader comments
1) Rock shots
2) Local musician Brian Lee recovering from hit-and-run accident
3) Father of Sarah Palin's grandson on Playgirl cover
4) The purse whisperers
5) DeGeneres says Cowell is 'meaner than I thought'
6) Add super foods to make diet healthy
7) Bowl me over
8) Carrie Underwood will be flying high on CBS
9) Leno to Letterman: Thanks for Super Bowl ad invite
10) Cholesterol: No specific limits on how low is too low
View the top 50
These are the most viewed stories in the last 24 hours.
1) Will Howard Stern replace Simon Cowell on 'American Idol'?
2) Ahead of the game
3) Father of Sarah Palin's grandson on Playgirl cover
4) Who should replace Simon Cowell?
5) Gill sways the heart
6) Local musician Brian Lee recovering from hit-and-run accident
7) Lawyer: Pitt and Jolie sue over split claim
8) KJRH sees its newscast ratings increase
9) 'Big Love,' starring two Tulsans, already renewed for fifth season
10) Underwood goes Hollywood
View the top 50
These are the top stories that have been commented on in the past 7 days.
1) Local musician Brian Lee recovering from hit-and-run accident
2) The purse whisperers
3) Lexus to be raffled for Make-A-Wish Foundation grants
4) Dads to step out with girls for Valentine's Day
5) Father of Sarah Palin's grandson on Playgirl cover
6) Diet is hard to monitor when labels are misleading
7) Add super foods to make diet healthy
8) For Bedlam duo, a shared ranking
9) Pets need activity in all seasons
10) Bowl me over
View the top 50
These are the top stories that have been emailed in the past 24 hours.
Home
|
About Tulsa World
|
Advertise With Us
|
Privacy
|
Usage Agreement
|
Help
|
Contact
Copyright
© 2010, World Publishing Co. All rights reserved.