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Ask Family Physician Your Own Question
Family Physician
Family Physician, Doctor
Category: Medical
Satisfied Customers: 2592
Experience:  Emergency Medicine and Family Practice for over 26 years
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I have aortic insufficiency and an arrhythmia possibly

Customer Question

I have aortic insufficiency and an arrhythmia possibly bradycardia. I live in mexico and I've had a halter test and echo. The halter showed that my heart rate is low 40-50 beats a minute and six times a day I have an irregular heartbeat. I have been prescribed Propafenona 150 mg but I'm worried about taking it because I read the side effects. I'm about ready to fly back to the US because the doctor told me it is this med or a pacemaker. I am 59 years old and healthy otherwise.
JA: It's hard to know for sure. The Doctor will figure it out. What medications do you take daily? Are you allergic to any medications?
Customer: Only allergic to sulfa antibiotics. No other meds. I have high cholesterol just discovered and I was prescribed Zetia.
JA: Anything else in your medical history you think the doctor should know?
Customer: Sleep apnea for shallow breathing and I wear a CPAP mask at night.
Submitted: 10 months ago.
Category: Medical
Customer: replied 10 months ago.
FE VI 55% aortic insufficiency
Customer: replied 10 months ago.
cholesterol 300
Customer: replied 10 months ago.
HDL 53 LDL 245 Tri 97
Expert:  Dr. David replied 10 months ago.

Hello, this is Dr. David. I am reviewing your question now and will be with you momentarily.

Expert:  Dr. David replied 10 months ago.

Propafenona is Rythmol which is an antiarrhythmic agent and is used to treat or prevent heart rhythm problems like atrial fibrillation

do you have atrial fibrillation.

if you don't take it, you will continue to have irregular heart beats.

it is up to you if you want to get a pacemaker.

what is your medical question?

Customer: replied 10 months ago.
My heart rate is 40-50 usually. I read the side effects of this drug. My question is - is there a better drug for me.
And - I live in Cabo San Lucas. Should I come back to the states to be seen.
Customer: replied 10 months ago.
Ok - so is the $5 refundable. I guess this won't work for my situation. Thank you
Expert:  Dr. David replied 10 months ago.

usually diltiazem or cardizem is used for patients who have atrial fibrillation.

another option is verapamil.

you can talk to your doctor about these options.