Aa
Aa
A
A
A
Close
Avatar universal

amiodarone post cabg low ef

My 70 yr father had a triple bypass after presenting to ER with afib, found to have CHF most likely due to silent MI's. His EF has remained 25% post cabg.His surgeon mentioned possible pacemaker, but was put on amiodarone since surgery.He has been on amiodarone 6 months. No afib since surgery. He now has hypothyroidism and would like to stop the amiodarone. The cardiologist says ok to stop amiodarone.  My understanding is that with a low EF his risk of AFIB or other arrythmia is high. Should he stop and see how he does?or try to become a candidate for a pacemaker?
2 Responses
Sort by: Helpful Oldest Newest
242509 tn?1196922598
MEDICAL PROFESSIONAL
You can treat his hpothyroidism with thyroid replacement and continue the amiodarone or stop the amiodarone. His atrial fibrillation will likely recur in this case, as his ejection fraction is low. He may be able to use other medications such as tikosyn, dronaderone or sotalol to keep him in rhythm. If he is not symptomatic with the atrial fibrillation he may simply need to be rate controlled and anticoagulated with coumadin.
What is the etiology of his cardiomyopathy?
Helpful - 1
Avatar universal
Thank you so much for the answer. His CHF is believed to be a result of previously untreated or silent MI 's. His coronaries were badly atherosclerotic, not stentable. His PMH includes controlled hypertension, controlled type 2 DM. No hypercholesterolemia. He has history of poor circulation in his legs, and when the grafts were taken from his leg, the first leg did not have good enough veins for grafting. Not sure why they did not take mammary vessels. Any additional advice is greatly appreciated.
Helpful - 0

You are reading content posted in the Heart Disease Forum

Popular Resources
Is a low-fat diet really that heart healthy after all? James D. Nicolantonio, PharmD, urges us to reconsider decades-long dietary guidelines.
Can depression and anxiety cause heart disease? Get the facts in this Missouri Medicine report.
Fish oil, folic acid, vitamin C. Find out if these supplements are heart-healthy or overhyped.
Learn what happens before, during and after a heart attack occurs.
What are the pros and cons of taking fish oil for heart health? Find out in this article from Missouri Medicine.
How to lower your heart attack risk.