QuoteShiny Sleeves >You're taking it daily? How often do you have afib episodes and how high does your heart rate go during an episode with >the diltiazem? Do you know how high it goes without the diltiazem? 180 mg ER daily. I've had 4-5 episodes since December. I wouldn't be surprised to find it is implicated in actually causing episodes. It doesn't agree with my guby The Anti-Fib - AFIBBERS FORUM
Maybe with all of the going on, just try taking the diltazem during an episode for rate control. Then when your back in NSR stop taking it.by The Anti-Fib - AFIBBERS FORUM
QuoteShiny Sleeves That's odd because I've been seen by many cardiologists in the ER. I would have thought that since I was already there and in afib that would be the ideal time to try it, but I guess not. Yes, if a Cardiologist or preferably an EP was on call in the hospital, and could see you, then maybe they could try it. What time did you go in to the ER? If you are hoping toby The Anti-Fib - AFIBBERS FORUM
"As I'm not in afib, I take it I shouldn't need the beta blocker unless I am in afib?" What is your typical HR while in AFIB? It depends on how uncomfortable your AFIB episodes are, and your individual situation, but your right, you probably don't "need to" just for the sake of AFIB. Personally I just take the rate control drugs when I am in AFIB. I carryby The Anti-Fib - AFIBBERS FORUM
I agree with the other responses. What was your normal HR while in NSR before you took the Metropolol? Sounds like you need to go down to 25mg for a trial, and then raise the dose back as needed if your are actually in AFIB.by The Anti-Fib - AFIBBERS FORUM
When I was having Flutter it could go back and forth all over the place in the different rhythms. AF, AFIB, FIB/Flutter (mixed AFIB and Flutter simultaneously) and NSR. Although mostly I would get Flutter alternating with Fib/Flutter, until I would get back to NSR, and then stabilize in NSR. This would happen most often when I was having an AFIB episode, and taking Flecainide, to try to get bby The Anti-Fib - AFIBBERS FORUM
QuoteCarey This topic was banned in 10/21, so people will be hesitant to respond. It was banned only on the General Health forum, not here. The post explicitly said this: If you have a question or comment about any of those subjects that's relevant to atrial arrhythmias or cardiology in general, please direct them to the AFIBBERS forum. Nothing has ever been banned from this foruby The Anti-Fib - AFIBBERS FORUM
This was an error trying to post, it got duplicated, then I erased the post.by The Anti-Fib - AFIBBERS FORUM
This topic was banned in 10/21, so people will be hesitant to respond. However since it your post relates specifically to the interactions of Covid treatments with AFIB treatments this may be somewhat allowed allowed. Good to prepare now, but odds are you won't need all that intervention. You would probably need to use the Eloquis, and fit any other treaments around that and have optionsby The Anti-Fib - AFIBBERS FORUM
There was a thread on this topic about 4-5 years ago on this site. There is a warning about this on the patient package insert that comes with Eliquis . I think this is in part driven by liability concerns. After doing some research and talking with my Dr. (5 years ago), I came to the conclusion that the decision to get off anti-coagulants trumps this warning, meaning that if you make the deciby The Anti-Fib - AFIBBERS FORUM
Sounds like you need to find an EP that will do a study/ablation at night, pass on on doing another one during the day. That sounds kind of hard to arrange, as all of the supporting staff is on a daytime routine, even if the Dr. was willing. Also I wonder if by going in to an EP lab at night, it might not produce the same symptoms as being at home at night, but you would just have to try. Aby The Anti-Fib - AFIBBERS FORUM
What dose are you at? maybe try a lower dose?by The Anti-Fib - AFIBBERS FORUM
I don't know old you are, or how stable you are on your feet, but as for myself, I have slipped while hiking about 10 times, as I hike in rough desert terrain, but I never was close to hitting my head. The bigger risk of injury from falling from hiking would be to the lower legs area, unless you are rock climbing or something like that. Maybe after the Covid clears, try going off the Eby The Anti-Fib - AFIBBERS FORUM
Will: I have had pounding heart/palpitation issues while in NSR, but not to your extent. In my case, I attributed it to excess adrenalin or an over reactive nervous system that was out of kilter, as mild exercise moderated these symptoms. Although not that common, Flecainide can cause a wide variety of symptoms including a pounding heartbeat. perhaps ask your Dr. about a trial getting off tby The Anti-Fib - AFIBBERS FORUM
Brian: "I want to consider a combined approach but I had heard that long term use of these medications lead to side effects, and in general these medications make you feel ill. Also, these medications are said to not be effective after a while" When i said that I meant things like trigger avoidance, electrolyte balancing, diet, lifestyle and exercise modification, stress managemenby The Anti-Fib - AFIBBERS FORUM
Brian: How much do you weigh, and how is your blood pressure? Also when in AFIB, what is your HR like? Can you slow it down (rate control) if need be? I agree with what Gloaming eluded to, in that a combined approach to managing this will give you a much better chance for positive outcome, that just Ablation alone. Several of us like me and George never got Ablations, but found out how toby The Anti-Fib - AFIBBERS FORUM
How much of an increase are these numbers over your previous Echo's? I am reading that a LV mass(g) of 259-292 is "moderately abnormal". When I was really fighting my heart failure and persistent AFIB, I had many Echo's and TEE's. My numbers particularly on the EF would jump around and vary somewhat, I asked my EP several times about this, and he said there is some vby The Anti-Fib - AFIBBERS FORUM
Maybe there is alternative drug that will work for you, to treat the Asthma/COPD. Albuterol and Methylprednisone are probably the main ones utilized. As a former Asthmatic, I was given at least 5 different drugs, but that was 40 years ago.by The Anti-Fib - AFIBBERS FORUM
I noticed that they give a standard very high dose of Steroids for Covid lung inflammation. I have alot of experience taking these Oral Steroids. They still work at lower doses, so one option is to just take what you can tolerate. As for AFIB, I got episodes coming off the Steroids, as a Cortisol deficit occurs after usage. I found that I could get by with a moderate doses, followed by a longby The Anti-Fib - AFIBBERS FORUM
I haven't heard of that, but stopping beta-blockers like Metropolol can have the inverse effect of causing BP to rise in whats called a "rebound effect" as your body is used to the pressure lowering effects of the Drug, then when you stop it the BP goes up.by The Anti-Fib - AFIBBERS FORUM
Usually peoples symptoms are proportional to how high the rate is, so by lowering the HR, you should be also less symptomatic in addition to protecting yourself from tachy-cardio induced cardiomyopathy. Also, I suggest you ask your EP about adding in a CCB like Diltizem to augment the rate control of the Metropolol. Many of us have found that by combining the two types of rate control agents werby The Anti-Fib - AFIBBERS FORUM
Sometimes when people eat something really cold, like a big glob of ice cream, it can trigger whats called Vagally induced AFIB. When something cold slides down the back of the throat it effects the nerves nearby.by The Anti-Fib - AFIBBERS FORUM
I agree with the others, that is too high a dose of Flec for you.by The Anti-Fib - AFIBBERS FORUM
"(154 record)" Wow, thats alot of Cardioversions, did you mean 54? or have you had that many recently?by The Anti-Fib - AFIBBERS FORUM
Both Calcium and Tyramine could be triggers. People usually have multiple things which can trigger Ectopy.by The Anti-Fib - AFIBBERS FORUM
That's what we need to be cognizant of, that when when searching the Internet for medical issues, the results bring up a comprehensive wide range of symptoms and causes, although the likelihood of these events occurring may be very slim.by The Anti-Fib - AFIBBERS FORUM
Some physical activities cause more Atrial Stretch than others. Atrial Stretch is one of the factors that contributes to the occurrence of an AFIB episode. In addition to the adrenal impact on the heart from intense competition, the Pickleball is probably causing more atrial stretch than the walking or other activities you might do. Constantly raising your arms up and around is why. We know forby The Anti-Fib - AFIBBERS FORUM
Wow, thanks for the info, I have a habit of going off trail and exploring out of cell range all by myself. It's looks like the main cost is the device itself. They show a plan for only $15/month, but looks like their are setup fees, and extra charges added on depending on usage.by The Anti-Fib - AFIBBERS FORUM
It's been out for about 8 years. In the same class of drugs as Eloquis, Paradaxa and Zarelto. I think it has been used more in Europe. It wasn't marketed here in the US as much. I use it when needed, as the other 3 NOAC's caused me side effects of hair loss and exacerbated arthritis. I don't know yet if it's any better or worse for than the other 3, as I have just usedby The Anti-Fib - AFIBBERS FORUM
Have you tried a calcium channel blocker, like Diltiazem?by The Anti-Fib - AFIBBERS FORUM