Metoprolol and atrial fib

Common Questions and Answers about Metoprolol and atrial fib

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After several months of test I was told I have svt PAC and PVC. Then last weekend I went into atrial fib and my chest was hurting and my bp was high. So I'm wondering if I have been in atrial fib before. I surely don't want to have clots pass if I'm not aware of it. Also. Will your heart rate always be high if your in a fib?
I developed clots in my legs from that surgery and had to go back to have them dissolved through a catheter inserted through the groin and down my leg. I was then put on Warfarin. The third atrial fib was last Friday night. The doctor in the ER put me on Cardizem (diltiazem) and changed my simvastatin to Lipitor. They instructed me to cut back on the metropolol to 25 mg. twice daily and to quit taking it if my blood pressure dipped below systolic fell below 100 or my diastolic below 60.
For the rhythm issue I am taking 100Mg of Flecainide twice a day and 50 Mg of Metoprolol once a day. So Hopefully this regimen will keep me stable. and allow me to return overseas in about a month.
The doc didn't intially see the fibrillation in my EKG (monitored with electrodes that I activate when I have a bout), but eventually saw it a couple of times. I am now on a beta blocker (Metoprolol 25mg a day) and asprin. I have only had two of these bouts of palpitations over the past 48 hours (big improvement).I have a few questions for which I can't seem to find answers: 1) I have read a lot of the stats regarding the increased risk of stroke with afib.
I take 50 mg Metoprolol and that plus a calcium channel blocker keep my resting HR below 80, most of the time. I also take 5 mg of Warfarin and a low does aspirin each day.
I posted this question in June of this year. I have had problems with atrial fibrillation since 1996. I had my first cardiac ablation in Oct. 2002 with most of the work being done on the right atrium. I had my next ablation done in April of 2005 and I had a problem with my heart getting a hole in it so the procedure was stopped. In August the cardiac ablation was finished. I did fairly well until late last year. I had another cardiac ablation done in May.
Because of the AFib my rest HR is high, in the 80s even with 150 mg of Metoprolol (BB) every day. So I don't have a lot of room for exercise. I try to keep my HR below 150 and hold any sustained HR to below 140. With these restrictions I can ride a bike on level or slight grade, same for walking. .
I do not want to be on this drug and feel there is no need for it. I have mild hypertension and proir to metoprolol was taking low dose of lisinopril which I am back on now.
The second thing is could you tell me the difference in the symptoms for atrial fib. and pvc? Thanks for your help and this wonderful service!
It seems as my heart rate slows I have more occasions of atrial fib. I have discovered if I jump up, run up stairs, etc the atrial fib converts back to normal rythym. My question is am I taking too much drugs now that these events are occurring more often?
just talked to my cardiologist and finally, FINALLY, he and the EP doc he consulted with saw atrial tach and I'm going to have an EP study and hopefully an ablation. They think it is an ectopic tachycardia from the , i think he said, pulmonary vein or something like that which should be amenable to an ablation. I am scared a bit but so thrilled this might be curable!!!!! thanks again for "listening" and answering so many questions.
I have had atrial fibulatoin for the past 2 to3 years and it has been progressivly wors even with madicines sence Dec. of 2008 I have had 3 attacts and the last time I also went into vtach my Dr can not find a reason for it.what can I do to helt prevent if from happening so much?
I am very nervous about the proceedure I am taking 100 mg metoprolol 2 times a day and 300 mg propaphenone 2 time a day and I still get atrial fib occuring at any time during the day. I have chest pain, shortness of breath, dizzy, pressure in my throat and I feel terrible. I am wondering if anyone has any ideas about coping with afib. I just feel tired all the time....I am currently on sick leave from work, I am missing out on my families outings and my quality of life has decreased.
1. Am I at an increase risk of sudden cardiac death and/or V-fib from the SVT runs, especially due to the bad mitral valve? 2. Will taking the metoprolol actually DECREASE the chance for serious cardiac events that may be caused by SVT or just relieve symptoms? (If there is no actual medical benefit besides symptom relief, I would rather not take the medication) 3. My ejection fraction is around 60%, will the beta blocker put me at risk for edema and a decrease in ejection fraction? 4.
My EF was in the teens, and I had significant atrial fib. I was bouncing in and out constantly. The Doc's prescribed amiopdarone (400mg's). It worked immediatly. Within 6 months, an echocardiogram showed my EF in the low normal range (55%) and the size of my heart was normal. For the last 1.5 years I have had little AF, and I have remained very active. I run 3 miles a day, as well as play basketball and tennis. Approximatly 1 month ago I began to experience severe AF.
Hi Im 55 yrs old and about 7 years ago I developed a-fib It was determined to be vagal and I was placed on 50 mg flecainide 2 times a day with a aspirin in the morning. While I was in the hospital I converted on my own after about 10 hours. I have not had another problem until this week. I had another attack which landed me in the hospital. I was put on a blood thiner and Dilt-CD after about 10 hours I converted on my own again.
there are lots of pros and cons with it however sounds like your doc is right on top of everything and super proactive and i personally don't think enough time has passed for you to know if you are a fail or not...it is super common to have random episodes of atrial fib after a conventional ablation and i really don't know if that is a part of the maze after effects....because of the incisions inside and outside of your body......maybe someone else could weigh in......
, Seems that most need 2, and it seems that long term results are showing that many people return to A-fib. But also read that long term A-fib is not so goot for you, and where I started at a young age, that too is a concern. My hospital/EP are very conservative, and are leading me away from ablation.
I was put on flecainide and metoprolol but the flecainide caused me to develop atrial flutter - more specifically, SVT, and several scary trips to the ER and hospitalization (and cardioversion). I'm now off the flecainide, and the metoprolol was increased to 100 mg/day. I'm already having some unpleasant side effects (very tired, aching sore legs at night, and yes, flatulence - which is just wonderful).
But now -last week - I find that I have been diagnosed with paroxysmal atrial fibrillation. And I have bouts with PVCs - which I have had for many many years. I was already taking 40 mg Benicar for my blood pressure along with Triamterene. And now last week Metopolol at 50 mg has been added along with 325 aspirin. My pulse rate is dropping into the mid 40s and sometimes below 40 .
Diltiazem does that - it can make you feel dizzy, tired and give you a whopper of a headache. It took me about 2 weeks to adjust to the medication and another 2 weeks before the headache went away completely. Any idea how long your flutter lasts? If it happens frequently and lasts for a half hour or so, you may need aspirin or some other blood thinner. That's something you should discuss with your doctor. It wouldn't hurt to ask.
I had my first and only atrial fib conversion last month. I had a large dinner and went to lay down at 10 pm when I flipped over to my left side and I felt the flutter. I estimate it was >180 bpm. I laid flat and used vagal maneuvers to get it to the 140's. I went to the ER and was in aib w/ rvr. 140-180's. It took 22 hours to break into a SR and only after a sneezing fit. My question is for an isolated AFIB that was vagally triggered why should someone have to take metoprolol?
She is on lisinipril 10mg, asa 81mg, metoprolol 25mg, a preventive inhaler, and a rescue inhaler. She is very hopeful that this may be an option. Is there an age that this surgery becomes inappropriate and insurance refuses to pay?
Sounds to me like you might get (temporary, sorry to say) relief from a higher dose of metoprolol. I was able to take 50 mg of Toprolol when I was closer to your current age and the side effects on me were minimal to none - only thing I noticed was a lower resting HR. I have taken as high as 200 mg and that gives me problems on the side effect side.
So I went to the cardoligest again and he told me to try Motropol 50 mg twice a day. So I did and now I am having major premature atrial contraction all day every day. They are killing me. My doctor said that he still does not think it is from the medicine but I do. He ordered another holter mointiter because I asked about anti arrythmia drugs and said that because he has only seen a couple pac's on my workup that he can't give that to me. These pacs are going crazy and I need help badly.
When they were trying to control rate with JUST beta blockers... I took 200 of propranolol and 300 of metoprolol and occasional 100 of labetalol here and there. It helped but it worked a LOT better when other classes of drugs were added. Since the point is to slow you down, it generally SLOWS you down. When I was on THAT much, I felt like I was nailed to the couch. Now, instead I take coreg as a beta blocker and diltiazem, and flecainide and lisinopril.
I had pac's for about 8 years and it eventually went into atrial fib. and atrial flutter. PAC's and PVC's are not serious by themselves. But the cause (at least for PAC's) may be coming from an area in the heart that could turn into atrial flutter or atrial fib. Cure? I suffered for 3 years with atrial fib bouts from time to time. Two meds just didn't keep me in. So my cardiologist sent me to Mayo and an EP there.
Rate control medication to control the heart rate Rhythm control medication, sometimes called drug cardioversion, to put the heart back into normal sinus rhythm Your doctor will decide which rhythm control drug is best for you based on the type of atrial fibrillation you have and your medical history, including the presence or absence of other existing heart disease.
Personally i doubt that beer would be your issue and studies have shown that red wine is notorious for setting off rapid heart beats. Only your doc can advise you on what to do and w. a fib ablations are the way to go and are no brainers and a very simple procedure. I would just get pro active until your appt.
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