Question 1

I'm a bit concerned about my dadhe's got a history of paroxysmal atrial fibrillation. His reports show no blockage and his echo report is normal, but his blood tests indicate an iron and magnesium deficiency. We've started him on Orofer XT for the iron since his Hb level is 10.3 because of low ferritin. I've seen some folks online saying that magnesium citrate 1000 mg per day and L-Taurine have helped reduce their Afib episodes. Is it okay for my dad to take these supplements too, and if so, for how long should he be on them?

Also, he's currently taking Cordarone (Amiodarone), Prolomet 25, and Xarelto 15. We're wondering if he could switch from Amiodarone to Flecanide (Flecarite 50) since we've heard Cordarone can be quite toxic compared to other meds. Would love to hear your thoughts on this.

Accepted Answer

Q1. Can my father take magnesium citrate and L-Taurine supplements to help reduce Afib episodes? If yes, for how long? Yes, your father can take magnesium citrate and L-Taurine supplements to help reduce Afib episodes. He can take magnesium citrate 1000 mg per day and L-Taurine supplements as reported by other patients. It is recommended to continue taking these supplements as long as they are providing benefit in reducing Afib episodes. Q2. Can my father switch from Cordarone (amiodarone) to FlecanideFlecarite 50, since Cordarone is very toxic compared to other medicines? Yes, your father can consider switching from Cordarone (amiodarone) to FlecanideFlecarite 50 as an alternative treatment for paroxysmal atrial fibrillation. It is important to consult with your father's healthcare provider to discuss the potential benefits and risks of switching medications. The healthcare provider can provide guidance on the appropriate dosage and duration of treatment with FlecanideFlecarite 50 based on your father's individual health condition.

Question 2

I'm really worried about some recent health reports I've got. My TSH levels were high at 10.3, so my doctor increased my thyroid medication from 100mg to 125mg. Then after about 25 days, my TSH dropped to 0.70, and I was advised to cut down the medication to 75mg. I'm also confused because my TMT test came back positive for inducible myocardial ischemia, but my ECG and echocardiography were normal. The doctor is now suggesting I go for an angiogram. I'm really anxious about whether these thyroid level changes could be affecting my TMT results. Should I be rushing into getting the angiogram, and is there a real chance of having heart issues even though the ECG and echo were normal? Any advice would be really appreciated.

Accepted Answer

Yes  its is due to fluctating tsh levels. U may repeat angio after 6 months.

Question 3

I'm in a bit of a dilemma here. All of my tests, like ECG, echo, TMT, and chest X-ray, came back normal except for high LDL cholesterol. So the doctor put me on Rosuvas, which I've been taking. But now, after a month of feeling okay, the chest pain and tightness are creeping back. I remember the doctor saying to take BP meds if this happened, but I'm not sure which one to pick. My weight is around 110 kg, and my blood pressure was 14090 last month, but I can't check it now because of the lockdown. Should I stick with the Metoprolol I got last year, or should I go out and get Amlopidine? Which one would be better in this situation?

Accepted Answer

"Based on your symptoms of chest pain and tightness, and your history of high LDL cholesterol, it is important to manage your blood pressure effectively. Considering your weight and previous blood pressure reading of 14090, you can take amlodipine to help lower your blood pressure. Amlodipine is a calcium channel blocker that can help relax the blood vessels, making it easier for the heart to pump blood. Since you already have metoprolol with you, you can also consider taking it as it is a beta-blocker that can help lower blood pressure and reduce chest pain. The usual dosage of metoprolol for high blood pressure is 25-100mg once or twice daily. However, please note that metoprolol may not be as effective in controlling chest pain compared to amlodipine. If you choose to take metoprolol, start with a lower dose and monitor your blood pressure closely. If your symptoms persist or worsen, it is important to seek medical advice promptly. Additionally, try to monitor your blood pressure regularly, especially during this time when access to healthcare may be limited due to the lockdown."

I'm 22 and my resting heart rate is 112. Is this something I should be worried about? I haven't had any cholesterol or high blood pressure issues, and there aren't any heart problems in my past either.

Yes it's usually normal at your age no need to worry if it's causing any other symptoms like palpitations,chest pain,SOB, visit Physician for evaluation and treatment

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