Hello everyone. Further to my post last week and kind replies, I went to a cardiologist today and am still in a flux of emotion as thought I would get more advice and interaction and a positive management plan. He was very matter of fact & not very communicative. Did not smile and I felt uncomfortable when asked lots of questions. He said that A Fib was an ongoing problem that got worse over time. He basically glanced through all my blood tests, looked at my parents medical history of heart issues, read my 24 hr halter monitor results, my stress test ( which gave me an exercise induced atrial flutter) , my eco scan and results from a hospital visit when my heart rate was very high. He told me I had Afib and atrial flutters and asked how many episodes I was having, which I said was hard for me to tell as mostly notice them happening at night ( if sit down or when go to bed). My 24 hr monitor showed I had a few episodes - the longest for 5 hours at night when woke up with insomnia , then went back to sleep. He said I had paroxysmal atrial fib and flutter and infrequent supraventricular and ventricular ectopy. ( ?). He has changed my medication of 90 gm a day of diltiazem to a slow release ( 160 mg) of veracaps ( another calcium blocker) and 50 mg twice a day of Flecainide ( Tambocor) to regulate the rhythm. He will check in 4 weeks with another 24 hr monitor. I am worried because I asked about anticoagulants as everyone mentions it and I understand its importance. He said I didn't need it at this stage as Chadsvasc score was low. I'm surprised as I have an enlarged Atria. I was taking Aspirin but he said that there were more bleed risks in women and said I could stop. I don't feel comfortable about doing this so won't yet , and now want to see another cardiologist for another opinion. Have one booked in Brisbane ( as wanted two opinions) but not until late November and feel I need to see someone else sooner if I can. Also , he said that maybe later on I may need an ablation if the tablets don't work or condition worsens but they were not all that successful. Dear people.... feeling tearful tonight as thought I would get some positive answers and management plan that gave me hope. I feel worse than I did before I went to see him! I know people can't answer drug related issues per se, but do you think I should go ahead with the prescriptions, stay on the Aspirin and seek another opinion ? I'm all in a headspin about what to do.
Finally ... and thank you for taking the time to read this long email... I don't want to keep taking prescription sleeping pills as get insomnia as am nervous at night about Afib episodes. Can you use magnesium oil or Epson salts to relax in a bath? Is this OK on these medications? Are there any safe alternatives to sleeping pills? I try relaxation tapes and will be going to yoga and a hynotherapist soon. Feel I need something else to relax me at night.
Kind regards Barbara