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Heart Disease  (Expert Forum)
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is it likely that AF will diminish with additional weight loss
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is it likely that AF will diminish with additional weight loss

by Scot__0__0, Jan 01, 1995 12:00AM
Posted By Scott on January 16, 1999 at 10:13:15:







I am a 32 year old male who has lost 100 pounds since August 98, my current weight is 447. (I am continuing to lose weight) In August I underwent electrocardioversion for an episode of  AF. (I had been in AF for + or - 72 hours prior to the procedure) At that time a TEE was done and I was told that I had dilated cardiomyopathy (all four chambers) and my EF was estimated to be 45% . The consulting cardiologist and electrophysiologist both told me that persons of my size almost always have some degree of heart enlargement. I was  told by one cardilogist  that the heart enlargement would likely decrease with substantial weight loss. While the other cardiologist's diagnostic impression was that it would not decrease. The cardioversion was successful, yet approximately once per month I experience a bout of AF. These episodes last anywhere from 10 minutes to 2 hours. I also have hypertension and elevated cholesterol levels. Otherwise I am healthy and active. My medication regime includes Mavik, Toprol, Cardura, Diazide, Rhythmol, Coumadin, and  Aspirin. In August I increased my activity level. At that point, due to shortness of breath and fatigue,  it was difficult for me to walk 1/4 of a mile without rest. I am now able to walk as far as like without experiencing breathlessness (However, I continue to be limited by some leg and back pain when attempting to walk long distances). My questions are as follows:
1) Is it likely that the episodes of AF will diminish with continued weightloss?
2) In your opinion which cardiologist is correct? Will my heart size decrease with continued weightloss?
3) Is it likely that my EF will return to normal with continued weightloss?
4) Generally speaking, what is the prognosis for someone with my particular pathology?
5) How frequently should a TEE be completed?
Thank you for your time.
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