Suggest treatment for recurrent atrial fibrillation
Patient: I have severe cardiac disease. CABG 18 years ago. Occluded LAD. 10 stents. Increasing frequency of Afib. Taking 400 mg amiodarone OD. Had ablation 6 weeks ago but Afib came back. What other options? Also occluded subclavian jugular veins on both sides so cant get pacemaker. Doctor: Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.   Its better if you can send me the details like reports of echo and other. I think, in your case it's better not to chase for rhythm control strategy as it's unlikely to be successful in you. It's better to go for rate control strategy with beta blockers, calcium channel blockers and Amiodarone if needed.   Hope I have answered your query. Let me know if I can assist you further.