I keep asking this same question. I was recently admitted for Atrial Fibrillation, which was converted chemically ( Flecainide and Diltiazem ). I was put on a holter, and then after a chemical stress test ( this cardiologist only gives chemical tests ) I was told that I had "reversible ischemia" and he advised me to have a hearth catheterization. However since I do not have health insurance ( I was dropped by my provider ) so he said "we can continue to treat it with medication, and see how it goes". He said little else. He said I could go back to my normal activities, and "not to worry". He then changed my dilziatem to Toprol, but kept me on the Flecainide. I was given a echo in the hospital. The results of that said my heart was healthy. Likewise the Holter showed no abnormalities.
I have two concerns. First I was being treated for Afib. Then after the stress test, I am told I am being treated for ischemia. Is the ischemia causing the Afib? Is there a dire need for a catheterization, and possible further actions? If they think I may have arterial blockage why are they giving me Flecainide, I have read that this is not advised? Wouldn't the holter show any abnormalities such as Ischemia? He seems to be making all of his judgement around that stress test.
I was up until this time, a healthy active 61 year old. I am a gardener by profession which involves fairly strenuous work. I had no other symptoms other than a sole episode of Afib. I walk two to three miles every morning, with no shortness of breath or chest pain. Now I am told I need a catheterization to "correct" the problem.
I am not overweight, however my cholesterol levels are somewhat high. HDL 37 Triglycerides 183 LDL 137 VLDL 37 These were my test results in April, before this all happened. I really do not know how high these are. My GP did not think it necessary to put me on cholesterol medication at the time.
I am currently taking aspirin 325 mg as well as Simivastatin 20mg daily for the cholesterol. (Cardiologists instructions ) I am scheduled to see him again in Mid September and this time he has not ordered any new bloodwork. I find this strange, since he did put me on Simivistatin. Would he not want to know if anything had changed? I am seriously thinking of looking for a different cardiologist. This doctor was the one assigned by the emergency room. He has only been practicing medicine for three years. Should I be conerned?
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