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[mickvoo]

Im 47 & have permanent af -on 14mg warfarin and bisoprolol. Had 2 dc cardioversions which lasted hours and a few days before ectopics with sinus followed by full af set in thereafter. Have slight LV hypokinesis. now AADs suggested sotalol/flecanide. Im concerned about proarrhythmias and toxicity. High Warfarin dose and resistance to remain in sinus suggests to me that Id need quite a high sotolol dose too. I asked to go on pradaxa - dabigitran etexilate - as Im concerned about calcification, which I already have in shoulder. 2 cardiologists, an electophysiologist and my GP all denied any knowledge of the vitamin K / Calcification mechanism. I wasnt given a thyroxin test ever, I.V. Magnesium or urine test on presenting with af. Am I one of those 'read it on the internet' medical know it alls, or justified in feeling feeling a slight lack of confidence in my health system consultants? Any thoughts on my prognosis - thanks.

[BobRBob]

Glad to hear the Multaq worked for you. I took it for a while but it did nothing for me.
Everyone's different.

[helyanna]

Thank you for the link. I have not seen it previously. In january 2011 I saw that Multaq can cause liver disorders. Therefore I asked my doctor to decrease my daily dose, which was 2x400mg. In December last year, I had some nausea in the morning and thought tha it can be caused by Multaq. I was allowed to decrease the dose to 200 mg. I also wanted to change my warfarin to children's aspirin (Primaspan-100). The doctor did not easily allow the change to me although I am in sinus rhythm.

My liver enzyme ALAT rose above the range before(!) the starting of Multaq, but it returned normal. Thus the rise was not due to Multaq. I had cholecystectomy a month after my cardioversion ( I was on Multaq). The cholecystectomy was waiting for me being in sinus rhythm. ALAT has been normal as well as creatinine.

I am angry because my doctors have never taken into consideration my possible magnesium deficiency. My hypercalcemia has not been considered. Nowadays I take magnesium citrate.

I cannot use many betablockers (only atenolol), and I cannot use calcium blockers, verapamil is the worst to me. I have not tested Flecainide. Amiodarone was first offered to me for cardioversion. I refused it because its seriois side effects. I hope that you and your doctors find good treatment to you. My persistent AF was awful.

[mickvoo]

By the way i assume you read this
www.webmd.com/heart-disease/news/20110722/fda-warning-on-atrial-fib-drug-multaq

[mickvoo]

They test the blood but dont know what tests. They tell me my magnesium in blood is ok. Well it always is and blood doesnt show organ Mg levels. Now its too late ive had af for too long for it to reverse. My dr didnt know about the new anticoag pradaxa- dabigitran extelate being approved for af. I have lost confidence in my healthcare people. Its depressing.

[helyanna]

Has ionized calcium been tested for hypercalcemia?

My 6 months persistent AF was cured with Multq + electric cardioversion.