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BIOMARKERS

Molecular Biopsy of Human Tumors

- a resource for Precision Medicine *

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  • 1. I have atrial fibrillation and take a blood thinner to help prevent strokes. My problem is that my energy level has been so low since I developed this problem that I cannot do basic things like shopping and housework. My doctor cannot find any other problem that might account for my fatigue.
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  • 2. Ask the doctor. A few months ago, I was diagnosed with atrial fibrillation. My doctor put me on blood thinners for a few weeks and then performed electrical cardioversion. Naturally, I was asleep during the procedure, but I understand that they shocked me twice and both times my heart briefly returned to a normal rhythm. But after a few seconds it went back into atrial fibrillation. NOw my doctor has offered me a choice. I can stay in atrial fibrillation and take a blood thinner for the rest of my life. Or I can try a medication to restore a normal heart rhythm and give cardioversion another try (but I'll probably have to take the antiarrhythmia drug for a long time). Any suggestions?
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  • 3. Ask the doctor. Recently I read that aspirin can actually increase a person's risk for a stroke by causing bleeding in the brain. I have atrial fibrillation and my doctor wants me to take a blood thinner - if not warfarin, then at least aspirin. I've already had a heart attack and I don't want to run the risk of a stroke, so I have refused. What should I do?
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  • 4. Ask the doctor. I am 92 years old. I have atrial fibrillation and high blood pressure, both controlled by medication. Every so often when I am relaxed in my chair after dinner, my heart feels like it stops and then starts up again with a jerk. Is this something I should worry about?
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  • 5. I recently had an episode of atrial fibrillation. My doctor gave me pills to slow my heart, but I then had to go into the hospital to have my heart shocked back to its normal rhythm. I'm now taking Coumadin to prevent stroke. I feel fine, but worry that the fibrillation will come back. What brings on this condition?
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  • 6. Ask the doctor. I'm 64 and have had lone atrial fibrillation for about a decade. I have an echocardiogram every year to make sure the rest of my heart is okay. (It is.) My doctor hasn't prescribed and medications for me, but she wants me to take a blood thinner when I hit my 65th birthday. I'd rather not do this. Should I follow her recommendation? Also, is it possible that the endurance-type exercise regimens I have performed over many years led to my developing lone atrial fibrillation?
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  • 7. Ask the doctor. Because I take the blood thinner warfarin (Coumadin), my doctor said I shouldn't take aspirin. Aren't there any anti-inflammatory drugs I can take for my arthritis that won't increase my chances of a bleeding problem?
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  • 8. [Prevention of brain infarction in patients with atrial fibrillation].
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  • 9. [Prevention of brain infarction in patients with atrial fibrillation].
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  • 10. Ask the doctor. I've been diagnosed with atrial fibrillation. My daughter gave me a clipping from a natural health magazine that says the most common reason for this heart rhythm problem is magnesium deficiency. Is there any truth to this?
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  • 13. Ask the doctor. My total cholesterol level is well below 200. My LDL is low, my HDL high, and my triglycerides and homocysteine are both in the "desirable" range. The one thing out of whack is that my lipoprotein(a) level is more than double the "normal" limit. My cardiologist wants me to take niacin to bring it down. I can't find any information on how serious a problem this is, especially in the context of otherwise good cholesterol levels and a healthy lifestyle. (I exercise 5 days a week; eat a low-fat, high-fiber diet; and am not overweight.).
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  • 14. I have atrial fibrillation and cannot take beta-blockers. What are my alternatives?
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  • 15. [Hemodynamic consequences of atrial fibrillation].
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