Conversation: The conversation between human and AI assistant.
[|Human|] hello ,I have had afib for going on 4 yrs . I have been on many meds ,did a cardioversion that lasted 8 mo . I feel the same as I did when this all started and don t know how much longer I can take being this tired ... I bought a new camera a yr ago to start a new bus . but didn t even open it . why bother im to tired . ive been on metoprolol er 100 2x day now im on diltiazem er 240 2x day . nothing changes my pulse is in the 90s and my blood pressure is within normal range .my afib is fast but the meds don t realy help. im 61
[|AI|]  Hi welcome to Chat Doctor. I understand your query and concern. Atrial fibrillation is known to cause Rapid heart rate and fluctuations in blood pressure. I advise you to have a baseline 2 dimensional echocardiography, ECG and lipid profile to assess the basic cardiac reserve of your heart. Restrict the intake of salt to less than 6g/day. Regular physical exercise in the form of brisk walk for 20 min a daily is useful. Chat Doctor. Reduce the intake of fatty and fried food. Electrophysiological study with or without Radiofrequency ablation is the procedure of choice in your case. You may also need Coronary angiogram to look for any co-existent blocks in the heart. Consult a Cardiologist and discuss for further expert management. Post your further queries if any. Thank you.