Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum.  ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Heart Rhythm  (Expert Forum)
 | 
best options for afib
Answered by
Michael J. McWilliams, M.D. - atrial fibrillation, Pacemakers, Defibrillators, Arrhythmias (SVT, VT), PVC/PAC, Ablation
Wilmington Health Associates Wilmington - NC
Questions in the Heart Rhythm forum are answered by Dr. Michael J. McWilliams. Topics covered include heart rhythm issues, arrhythmia, irregular heartbeat, implanted defibrillators, pacemakers, and tachycardia.

best options for afib

by barbarastanek, Apr 06, 2008 03:48PM
I am currently on rhythmol 425mg bid.  It was controlling my afib for about 9 months and then I started having episodes from weekly to now every day for about 2 hours.  I am concerned about going on sotalol and was considering an AV sequential pacemaker.  Is this an appropriate approach?

by Michael J. McWilliams, M.D., Apr 06, 2008 07:19PM
Rhythmol is definitely note working.
Depending on age and other factors, it might be worth thinking about an atrial fibrillation ablation. The procedure is indicated for people that fail an anti arrhythmic medication.  Sotalol, tikosyn, and amiodarone are other medical options.  In general, unless you are very old or have poor health, AV sequential pacing with an AV node ablation is considered a last resort by many.  Some physicians that were not trained it atrial fibrillation ablations are reluctant to recommend them.  If that is case, consider a second opinion from a center with experience with afib ablations.

I hope this helps.
Continue discussion
Expert Activity
Cataract Surgery MonoVision Tips
Nov 27 by Michael J Kutryb, MD
An Attempt to Explain the Menstrual...
Nov 26 by Elaine Brown, MD
Are You Considered Lazy?
Nov 23 by Steven Y Park, MD