Your Good Health: Dangerously abnormal heart rate calls for medication

Dear Dr. Roach: I am a 67-year-old woman in generally good health. In 2022, I was found to have asymptomatic atrial fibrillation . I underwent electrical cardioversion in the hospital, but the AFib continued periodically throughout the past year, according to my heart monitor. Six weeks ago, a 14-day Holter monitor showed a 65% AFib burden, with my heart rate ranging from 34-192 bpm.

If AFib recurs after an electrical cardioversion, medication is usually tried. There are several drugs, and clinical judgment by a cardiologist is essential in choosing the correct one. I never prescribe these drugs; I defer to the experts. Most of the time, this occurs within three days of starting the medicine, so it is essential to be in the hospital when starting the medication so that your heart can be continuously monitored and you have emergency treatment at the ready. If a person gets through the three days without problems , then medication is continued after the person is discharged.

Dear Dr. Roach: For about a month and a half, I wake up with burning feet one to four times a night. I am so tired. My podiatrist said to use Biofreeze, but it did not work. I sit with ice on my feet each time I wake up. I have been trying to get an appointment with a neurologist.

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