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AFib, mitral valve prolapse, osteoarthriis
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An_254377 posted:
I am 82 and have
Afib and the valve problem for several years and Diagnosed with osteoarthritis 6 months ago. The past few months my heart rate and blood pressure have been erratic. Diastolic over 90, heart rate between 80 and 110. Last week saw my cardiac doctor . He told me I was in Afib, took me off propafenone cause it wasn't working (?) and did not replace it with another med to help control the erratic heart rate. My big question here is, how does Afib, valve problem and osteoarthritis relate? How does one affect the other? I imagine the pain is from the osteoarthritis.
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cardiostarusa1 responded:
Hi:

"How does Afib, valve problem and osteoarthritis relate? How does one affect the other?"

Atrial fibrillation (AF) may/can be caused by heart valve conditions/abnormalities (valvular heart disease).

Additionally, AF has various causes (also known to be associated with many cardiac conditions) or triggers, sometimes being a one time-only occurrence, or may/can come and go or be chronic.

During AF, electrical signals in the atria occur in a very fast, uncontrolled, and chaotic manner so that the atria quiver instead of contract, producing ineffective and disorganized atrial contractions. These disorganized electrical signals then arrive at the ventricles in an irregular fashion.

As reported, AF 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. Some individuals with AF are at an increased risk of heart failure or cardiomyopathy (heart muscle disease).

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.

As applicable to the particular patient, goals for managing recurrent or chronic AF are to restore and maintain the normal atrial rhythm and pumping function, control the ventricular rate, prevent any correlating major adverse cardiac event (MACE).

AF Management

Correct any electrolyte imbalance/defficiency, in particular, potassium, magnesium. Consider cardioversion (externally shocking the heart into normal sinus rhythm, which may/can fail). Control the ventricular response. Consider anticoagulation (Coumadin) therapy, or new novel drugs that may be/are becoming/have become available, that don't require blood monitoring or interact with other drugs, foods and beverages.

Additionally, as reported in a recent study, osteoarthritis (OA) was found to be an independent predictor of cardiovascular disease (CVD). The results suggested that osteoarthritis (OA) is associated with the increased risk of CVD.

Older males and adult women with OA had a higher risk of CVD, particularly ischemic heart disease (IHD) and congestive heart failure (CHF), though further studies are needed to confirm the results.

Take care,

CardioStar*

WebMD member (since 8/99)




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billh99 replied to cardiostarusa1's response:
Additionally, as reported in a recent study, osteoarthritis (OA) was found to be an independent predictor of cardiovascular disease (CVD). The results suggested that osteoarthritis (OA) is associated with the increased risk of CVD.

There is some thought that it is due to reduced activity caused by the pain from the osteoarthritis.

And people with knee OA who have had a replacement has improved CV outcomes.


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