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Can anyone answer this question??


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cynthiaG Find out more about cynthiaG
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  • Can anyone answer this question??

    What would be the reason why a cardiologist or an HCM specialist who has a patient who is experiencing bouts of AFIB, not have had the patient meet with an electrophysiologist??? this is really puzzling to me (I'm not speaking for myself...for someone else)
    \"It is not length of life, but depth of life.\"

    Ralph Waldo Emerson

  • #2
    Re: Can anyone answer this question??

    There is a whole host of reasons why a cardiologist would not make a referral to an EP, some good and some not so good.

    Did this person ask the doctor for a referral, and did the doctor refuse? If so, what reason did he give? Did the patient accept the answer, or did they insist on the referral? If the patient can not happily work in consort with any doctor, it’s time to change that doctor.

    You said “bouts of a-fib,” does that mean the cardio is having success using chemical means, or does the patient return to sinus rhythm voluntarily? Is there any history of SCD in the family? Is this patient any kind of a candidate for an AICD? The list goes on and on.

    As is stated here so often, we are all different. That holds true not only for the patients, but for the doctors too. Now-a-days it is incumbent on the patient to become well informed, and the doctor to explain himself and work closely with the patients. It also helps if he knows what the heck he’s doing in the first place. (They not only treat patients, they must keep abreast of developments too.) Finally, they both have to be able to respect, and work closely with each other.

    I know I danced around the bush with this one, I’m sorry, but I don’t think there is a simple answer to your question. Maybe it’s just an insurance question and your friend hasn’t specifically requested a referral. If so, have them ask for one.


    • #3
      Re: Can anyone answer this question??

      afib is the most common arrhythmia in the US and without knowing any details at all, the first thing that comes to mind is that the doctor has seen a lot of afib and is confident in his ability to treat it like he or she has treated it dozens of times before. they may not be seeing it as part of HCM or part of anything larger (if it is or not?).

      some people get afib for no reason we know of whatsoever and those people are generally not even given coumadin. seems "why" you have afib makes a difference in how you treat it.

      take care,



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