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Preparing for your appointment

By Mayo Clinic staff

If you think you may have a heart arrhythmia, make an appointment with your family doctor. If a heart arrhythmia is found early, your treatment may be easier and more effective. Eventually, however, you may be referred to a heart specialist (cardiologist).

If your heart arrhythmia persists for more than a few minutes or is accompanied by fainting, shortness of breath, or chest pain, seek emergency medical help immediately.

Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be prepared for your appointment. Here's some information to help you get ready for your appointment, and what to expect from your doctor.

What you can do

  • Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet. You may need to do this if your doctor orders any blood tests.
  • Write down any symptoms you're experiencing, including any that may seem unrelated to heart arrhythmia.
  • Write down key personal information, including a family history of heart disease, stroke, high blood pressure or diabetes, and any major stresses or recent life changes.
  • Make a list of all medications, as well as any vitamins or supplements, that you're taking.
  • Take a family member or friend along, if possible. Sometimes it can be difficult to understand and remember all the information provided to you during an appointment. Someone who accompanies you may remember something that you missed or forgot.
  • Write down questions to ask your doctor.

Your time with your doctor is limited, so preparing a list of questions will help you make the most of your time together. List your questions from most important to least important, in case time runs out. For heart arrhythmias, some basic questions to ask your doctor include:

  • What is likely causing my symptoms or condition?
  • What are other possible causes for my symptoms or condition?
  • What kinds of tests will I need?
  • What's the best treatment?
  • What foods should I eat or avoid?
  • What's an appropriate level of physical activity?
  • How often should I be screened for heart disease or other complications of an arrhythmia?
  • What are the alternatives to the primary approach that you're suggesting?
  • I have other health conditions. How can I best manage them together?
  • Are there any restrictions that I need to follow?
  • Should I see a specialist?
  • Is there a generic alternative to the medicine you're prescribing?
  • Are there any brochures or other printed material that I can take home with me? What websites do you recommend visiting?
  • In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask questions during your appointment.

What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to spend more time on. Your doctor may ask:

  • When did you first begin experiencing symptoms?
  • Have your symptoms been continuous, or occasional?
  • How severe are your symptoms?
  • What, if anything, seems to improve your symptoms?
  • What, if anything, appears to worsen your symptoms?
References
  1. The heart's electrical system: Working and not. American Heart Association. http://americanheart.org/presenter.jhtml?identifier=34. Accessed Dec. 1, 2010.
  2. Heart rhythm disorders. Heart Rhythm Society. http://www.hrsonline.org/PatientInfo/HeartRhythmDisorders/index.cfm. Accessed Dec. 1, 2010.
  3. Long QT syndrome. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/qt/qt_all.html. Accessed Dec. 1, 2010.
  4. Atrial flutter. Heart Rhythm Society. http://www.hrsonline.org/patientinfo/heartrhythmdisorders/aflutter/. Accessed Dec. 1, 2010.
  5. Sick sinus syndrome. Heart Rhythm Society. http://www.hrsonline.org/patientinfo/heartrhythmdisorders/sss. Accessed Dec. 1, 2010.
  6. Mehra R, et al. Association of nocturnal arrhythmias with sleep-disordered breathing: The Sleep Heart Health Study. American Journal of Respiratory and Critical Care Medicine. 2006;173:910.
  7. Diagnosing arrhythmias. American Heart Association. http://americanheart.org/presenter.jhtml?identifier=3. Accessed Dec. 1, 2010.
  8. Arrhythmia medications. American Heart Association. http://americanheart.org/presenter.jhtml?identifier=18. Accessed Nov. 30, 2010.
  9. Ablation. American Heart Association. http://americanheart.org/presenter.jhtml?identifier=6. Accessed Nov. 30, 2010.
  10. Maze procedure. University of Southern California Keck School of Medicine. http://www.cts.usc.edu/mazeprocedure.html. Accessed Dec. 1, 2010.
  11. Pacemaker. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/pace/pace_all.html. Accessed Nov. 30, 2010.
  12. Implantable cardioverter defibrillator. National Heart, Lung, and Blood Institute. http://www.nhlbi.nih.gov/health/dci/Diseases/icd/icd_all.html. Accessed Dec. 2, 2010.
  13. Connolly S, et al. Dabigatran versus warfarin in patients with atrial fibrillation. New England Journal of Medicine. 2009;361:1139.
  14. Wann LS, et al. 2011 ACCF/AHA/HRS focused update on the management of patients with atrial fibrillation (updating the 2006 guideline): A report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. Circulation. 2010;123:104.
DS00290 Feb. 11, 2011

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