Tell me about drugs.... July 06, 2018 06:20PM |
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Re: Tell me about drugs.... July 06, 2018 07:13PM |
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Re: Tell me about drugs.... July 06, 2018 09:01PM |
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Re: Tell me about drugs.... July 06, 2018 09:13PM |
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Re: Tell me about drugs.... July 07, 2018 07:50AM |
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Re: Tell me about drugs.... July 07, 2018 01:29PM |
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Re: Tell me about drugs.... July 07, 2018 09:57PM |
Registered: 5 years ago Posts: 129 |
For the most part I don't seem to be aware I'm in afib....but it the 48 hour holter is representative, during that period I was in Afib 0.03% of the time, longest for 4 min. 16% pacs, 1% pvcs 2.4k runs of atrial tachycardia(longest 17 beats)... I almost feel like Afib is the least of my problem, but maybe all this other crap comes with the Afib? The cardiologist did not discuss these results with me.Quote
GeorgeN
It doesn't sound like you have awareness of when you are in afib much of the time. Hence an on-demand med to convert probably doesn't make much sense. Also sounds like your episodes are too frequent to make that appropriate.
For the monitor, You could keep a diary of times you are significantly exerting yourself on days. Then you could correlate that with the monitor results.
Concur with Wolfpack about Propafenone or Flecainide.
If you are staying at high rates for long periods, that would suggest a rate control med is in order. If you are doing significant activity, then not a big deal. If you are in afib, then 180 makes sense climbing up the stairs. If you are in NSR, then unless you were sprinting up the stairs, that is a high rate for a decently conditioned younger person (assuming that describes you).
Re: Tell me about drugs.... July 07, 2018 10:11PM |
Registered: 5 years ago Posts: 129 |
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vanlith
My suggestion to you as i check a lot of boxes you do.....get an ablation....you will prob. need 1 anyway why wait....i am yet to hear anyone say dam why did i get that ablation so fast and not go on drugs instead......there are plenty of suggestions on a narrowed down list of incred. Ablationist out there on this great forum so if you decide to move on my sugg. you are in good hands in the EP room and that's an understatement. As Nancy would say........ just say no to drugs.......with the exception of Propafenone used as needed to kill an episode or as they say Pill In Pocket until you get you ablation.....like i am in the process of doing and should have done at least 3 years ago.
Also it sounds like your not always aware when you get an ARRHYTHMIA...if you use PIP therapy you have to be very aware at all times with much pulse taking or paying more attention to just the way you feel minute to minute...your pulse does not lie...keep your thumb ready.
Its hard to believe anyone cannot feel that monster in your chest EVERY SECOND the ARR starts up...i am the opposite....awake or sleeping the alarm bells go off and its PIP time about 5 min. later as i wait a few minutes as i convert 50% of the time inside the 1st 3 minutes by taking a big drink of cold water, urinating or #2 otherwise i am off to the races until my temporary best friend (until my procedure) Propafenone KO's it in less than 1 hour.
Re: Tell me about drugs.... July 08, 2018 12:46AM |
Admin Registered: 6 years ago Posts: 5,339 |
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bolimasa
I know the my peak rate during my 48 hour monitor (180- yikes) was when I was hiking up a steep trail, so I don't know how they really assess the relationship between heart rate and activity (though I did have at least one high rate while I was probably sleeping,so there you go, it must be somewhat of a problem)
Re: Tell me about drugs.... July 08, 2018 11:53AM |
Registered: 5 years ago Posts: 129 |
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Carey
I know the my peak rate during my 48 hour monitor (180- yikes) was when I was hiking up a steep trail, so I don't know how they really assess the relationship between heart rate and activity (though I did have at least one high rate while I was probably sleeping,so there you go, it must be somewhat of a problem)
Sorry, but my bet would be welcome to afib. There might be some atrial flutter or SVT mixed in there, but the underlying cause is likely to be afib.
As you've already figured out, your choice now is medical management (drugs) or ablation. But from what you've told us so far, I don't think you know enough to make a decision. If I were you I would not pursue an ablation nor would I take antiarrhythmic drugs, at least not yet. I would recommend mindful watching for now. Find out what your heart is doing, take your time, and get all the facts before acting.
Re: Tell me about drugs.... July 08, 2018 12:04PM |
Admin Registered: 6 years ago Posts: 5,339 |
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bolimasa
Heck, part of me wonders if the stupid BP med I've been taking set this off. I kinda want to quit that, quit the calcium channel blocker, see what my body does by itself.
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Of course if ablation is the answer, sooner is better for me, as I want to be healed fir winter.
Re: Tell me about drugs.... July 08, 2018 06:57PM |
Registered: 5 years ago Posts: 129 |
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Carey
Everyone does this at first -- they search for a cause. It's rare that anybody finds a cause, and when they do it's usually sleep apnea, hyperthyroidism, or a major bodily insult such as surgery or a serious illness. I very much doubt that your BP meds are to blame. Calcium channel blockers are commonly prescribed for afib as rate control drugs.
Re: Tell me about drugs.... July 08, 2018 09:28PM |
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Re: Tell me about drugs.... July 09, 2018 11:54AM |
Registered: 5 years ago Posts: 129 |
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wolfpack
Sleep apnea study is an excellent idea.
Your heart’s not failing. AF is a pain in the ass, but it’s peanuts compared to real heart failure. There’s a way through this with careful and deliberate choices. You can be free of atrial arrhythmia.
Re: Tell me about drugs.... July 09, 2018 05:21PM |
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Re: Tell me about drugs.... July 09, 2018 06:47PM |
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Re: Tell me about drugs.... July 09, 2018 07:15PM |
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Re: Tell me about drugs.... July 09, 2018 08:38PM |
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Re: Tell me about drugs.... July 09, 2018 08:47PM |
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Re: Tell me about drugs.... July 09, 2018 08:53PM |
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I'm still not really sure when I'm in AFib. I'm ***guessing*** that when my heart feels really weird I'm in AFib. I've hardly had that happen during 3 weeks of monitoring. I had one night when I felt weird and my heart rate was high.Quote
The Anti-Fib
"how much do arrythmia problems effect athletic performance? "
This varies widely from person to person. I had everything: frequent PAC's, AFIB and Heart Failure. The Doctors were amazed at how active I was able to remain. Increased breathing can help compensate for loss of blood flow. Unless it's severe PAC's like every other beat, the AFIB should effect you the most, which is why it is important to be able to tell right away when your in AFIB. Rate-Control Drugs can help Athletic Performance while in AFIB, by slowing down the HR enough to allow the Ventricles to fill with Blood. This is important, as when in AFIB, we lose "Atrial Kick" as the Atria no longer pumps Blood down into the Ventricles.
Re: Tell me about drugs.... July 09, 2018 09:05PM |
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Re: Tell me about drugs.... July 09, 2018 09:15PM |
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bolimasa
"how much do arrythmia problems effect athletic performance? "
_______________________________________________________________________________________________
This varies widely from person to person. I had everything: frequent PAC's, AFIB and Heart Failure. The Doctors were amazed at how active I was able to remain. Increased breathing can help compensate for loss of blood flow. Unless it's severe PAC's like every other beat, the AFIB should effect you the most, which is why it is important to be able to tell right away when your in AFIB. Rate-Control Drugs can help Athletic Performance while in AFIB, by slowing down the HR enough to allow the Ventricles to fill with Blood. This is important, as when in AFIB, we lose "Atrial Kick" as the Atria no longer pumps Blood down into the Ventricles.
_______________________________________________________________________________________________
I'm still not really sure when I'm in AFib. I'm ***guessing*** that when my heart feels really weird I'm in AFib. I've hardly had that happen during 3 weeks of monitoring. I had one night when I felt weird and my heart rate was high.
During my 48 hour holter I was only in AFib 0.03% of the time but PACs and PVCs and AT nearly 20% of the time.
I just ordered a monitor, maybe that will help me figure it out.
Re: Tell me about drugs.... July 09, 2018 09:19PM |
Registered: 5 years ago Posts: 129 |
What do you mean? Caused them to go away permanently or momentarily?Quote
The Anti-Fib
Does exerting be yourself bring on more PACs?
Slow steady exertion caused mine to go away.
Re: Tell me about drugs.... July 09, 2018 09:42PM |
Registered: 9 years ago Posts: 1,085 |
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bolimasa
Does exerting be yourself bring on more PACs?
Slow steady exertion caused mine to go away.
What do you mean? Caused them to go away permanently or momentarily?
Like if you noticed to yourself having PACs a walk would make them mostly go away? And are they really gone or do you just not notice them? (Since I rarely notice mine if I'm not looking for them)
Re: Tell me about drugs.... July 09, 2018 10:35PM |
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Re: Tell me about drugs.... July 10, 2018 12:58AM |
Admin Registered: 6 years ago Posts: 5,339 |
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wolfpack
With me it's actually quite weird. What will happen is about 2 miles into a run, they'll start. Then after 10 minutes or so they'll vanish completely. I can only figure it has something to do with the fluid shifts that happen as one begins to sweat and then sweats profusely. Probably potassium leaving the cells but then later being overwhelmed by sodium outflux in the perspiration.
Re: Tell me about drugs.... July 10, 2018 10:12AM |
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Re: Tell me about drugs.... July 10, 2018 02:01PM |
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Carey
You become hyperkalemic during exercise.
Re: Tell me about drugs.... July 10, 2018 02:39PM |
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Re: Tell me about drugs.... July 10, 2018 02:46PM |
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Re: Tell me about drugs.... July 10, 2018 02:54PM |
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Ken
I know that knowing when one is in afib or not varies a lot between individuals. For me, prior to diagnosis and meds to control the rate, my resting heart rate was 50. In afib, it was rapid, weak, irregular and up to 180 bpm. Easy to feel on my carotid or radial pulse. No doubt what was going on. However, until it was caught on an ECG, I didn't know what was happening, and my Dr. suggested it was "an irregular pulse due to mitral valve prolapse". Which it wasn't.
Re: Tell me about drugs.... July 10, 2018 03:07PM |
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Re: Tell me about drugs.... July 11, 2018 05:23PM |
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Re: Tell me about drugs.... July 11, 2018 07:01PM |
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The Anti-Fib
Bolimasa:
Are you on a CCB like Diltiazem? That would help with your HR going so high on these intermittent AFIB episodes. Diltiazem often also helps with PAC's also.
Re: Tell me about drugs.... July 11, 2018 09:50PM |
Admin Registered: 6 years ago Posts: 5,339 |
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bolimasa
Yeah they put me on Diltiazem at the ER... part of me would like to quit taking it to see if it really makes a difference.
Re: Tell me about drugs.... July 12, 2018 10:12AM |
Registered: 7 years ago Posts: 218 |
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bolimasa
Bolimasa:
Are you on a CCB like Diltiazem? That would help with your HR going so high on these intermittent AFIB episodes. Diltiazem often also helps with PAC's also.
Yeah they put me on Diltiazem at the ER... part of me would like to quit taking it to see if it really makes a difference.