• 12 days ago

    A FIB Diabetes Millitus

    Would like to communicate with others that have these diagnosis.
    I was on blood Pressure medications for 20 years. I don't have
    high blood now but don't understand why. I'm monitoring my BP
    daily as Dr. has ordered. I haven't lost any weight. I'm eating healthier. Question should I be concerned?

Responses

  • 11 days ago

    RE: A FIB Diabetes Millitus

    "Should I be concerned?"

    Yes, of course.

    Some doctors consider diabetes the 'highest' risk factor for coronary artery disease, even higher than smoking,

    Plus:

    Atrial fibrillation (AF) or a-fib may/can come and go, or be chronic. As reported, atrial fibrillation (which has various causes, associated with many cardiac conditons) is an independent risk factor for a brain attack/stroke (increasing the risk about 5-fold), and significantly increases all-cause mortality in most age groups.

    Additionally, some individuals with AF are at an increased risk of heart failure or cardiomyopathy (heart muscle disease) or a worsening thereof in those with pre-existing heart failure and/or cardiomyopathy.

    There are a small % of individuals in which a reversible cause for AF can be readily identified, e.g., alcoholism, hyperthyroidism, or diabetes, and thus AF does not recur once the cause has been alleviated.

    Goals for managing those with AF are to restore and maintain the normal atrial rhythm and pumping function, control the ventricular rate, prevent any correlating major adverse coronary event (MACE).

    AF Management:

    Correct any electrolyte imbalance/defficiency, in particular, potassium and magnesium. Consider cardioversion (externally shocking the heart back into normal sinus rhythm, which may/can fail). Control the ventricular response. Anticoagulation therapy.