It really depends on what you need. If this has been prescribed for you, and you are uncertain about it, then you can always ask your doctor for more clarification. It really just all depends on your individual circumstances.
(I also had an AVJ ablation 15 mo ago and am 100% paced now.) I am on atenolol and diltiazem. I am not worried about talking meds that control the heart rate because I know that I cannot go below 60 bpm. And the algorithms within the pacer keep my top numbers under control, too.
I hope you are able to get your rhythm under control. It is a bummer when its not. I know.
I have suffered with taking diltiazem(180 mg ER) AND metoprolol (50 mg ER) for atril fibrillation for the past two and a half years. The side effects have been debilitating.. Both drugs have the same side effects and together and one or the other or both create what I can only describe as chaotic turbulence in my chest and pain in my left arm when the second drug kicks in.. My cardiolgist now wants me to add a blood thinner (xarelto) to my meds menu.
Not all of us respond the same to the same medications. The indapamide worked better for you than the dilitazem so it only makes sense to stay w/the indapamide and forego the diltiazem since your doctor obviously didn't consider the indapamide and diltiazem a good combinantion.
I understand about uninsured doctor visits. We lost our family doctor of some 30 years and got a rude shock when we started doctor shopping!!! From a standard $35 office call to a $150 initial office call!!!!!
Is there a correlation there and will supplemental thyroid hormone amend the condition (bradycardia)? I am still easily fatigued and ironically, have more symptoms at rest rather than when I am up and about.
Hi there, I am a Latino female about to turn 40, I was recently diagnosed with Sinus Bradycardia. I am not in good shape, I haven't exercise for a year. I am not overweight and don't have any other health problems.
I have been taking metoprolol and diltiazem for sixteen months and initially the medications brought the SVTs under control. Fourteen months ago I started coughing blood and experiencing chest congestion. This took my attention off any heart issues and sent me on a long search for the cause of the bleeding. After many tests and visits with various specialists I never did get the answer. The bleeding resolved itself after 10 months (last October) and has not reappeared.
Anyway, he said that I was over medicated so he lowered my dosage back down to 240 mg. of Diltiazem CD and he also put me on Enalapril 2.5 mg. Since my Diltiazem dosage was raised I have been losing weight unintentionally. Believe me I have been eating VERY well and the pounds are still dropping. I have struggled to lose weight for months and now all of a sudden I'm losing. My question is could the Diltiazem be causing me to lose weight and has this happened to anyone else?
Then (like you) I went on to diltiazem for 3 days. While on this, I had some insomnia and almost felt like I was having a stroke at one point. I had facial flushing and weird body sensations. Came off that one.
Now I'm on atenolol (25 mg) and it puts me to SLEEP very easily. It's so funny that some people like you experience insomnia whereas I can barely keep my eyes awake.
I take atenolol b/c of tachycardia moreso than high BP but I do have prehypertension.
My best advice would be to find an electrophysiologist you feel comfortable with and follow closely with them. Sometimes frequent and variable arrhythmias can be caused by some type of infiltrative disease, such as sarcoid or amyloid. Cardiac MRI and/or endomyocardial biopsy may be helpful in diagnosing these conditions. If you haven't had an MRI it might be worth asking your physician about it. Hope this helps. Best of luck!
The first in two years landed me in the Hospital. My meds were changed from Metoprolol to Diltiazem 360 mg per day and Fleconade 50 mg 2x per day plus Warfarin. The Metoprolol 25mcg 1 x daily has been making me wheeze for the past four years, but no one ever thought to change the meds. I have been on this new med protocol for 1.5 weeks. I just started the Fleconide and Warfarin three days ago.
My question is I need to loose 45 pounds asap.
The only thing I can think of is whether or not a pacemaker device would help in your situation. Im not really up to date on recent treatments for symptomatic bradycardia, and if your cardio doc hasnt mentioned it yet then Im sure he has a good reason why. But it cant hurt to ask about it to hear his thoughts on the matter.
Best wishes to you, it sounds like youre dealing with a lot right now.
First time, adenosine failed twice to bring down 180+ pulse. Diltiazem given, and worked. Sent home with extended-release 120mg diltiazem. Experienced breakthrough arrhythmias and eventual return to tachycardia 170bpm that lasted 8 hours before heading to the ER again. Given fast-acting diltiazem 60mg, which seems to be working so far, although I'm still experiencing arrhythmias. Cardiologist preliminarily diagnosed AVNRT and recommended ablation asap.
It means you have some instances of bradycardia. How significant it is depends on what you were doing at the time and your symptoms.
For example was your instance of a 30 bpm heart rate during a period of vagal stimulation? Were you using the bathroom? Sleeping? Did you just stand up after sitting in a chair for a few hours?
Then youd need to know, were you symptomatic at the time? How,did you feel?
This is why accurate journal entries are important.
I was on it for a week but my side effects were not very pleasant, a bit out of the norm. They took me off of it. Now I take Diltiazem (another CCB) without much trouble. A heart rate of 86 at night is still pretty brisk. Mine is normally 60 at rest, in the low 70's when I'm up moving around. And that was before Diltiazem. No, I'm not athletic. I'm an old pudgy lady.
I had an episode of afib and was in the hospital is Sept. They took me off the beta blocker and put me on diltiazem. It didn't control my heart rate like the beta blocker. My resting heart rate went from upper 60s to the low 80s. After a few days without my beta blocker, I ended up in the ER, in sinus tachycardia with a rate of about 120. Long story short, it did not do a good job of keeping my heart rate down.
they can do some simple tests on you to make sure your bradycardia is ok and does not need medication to control. If you are having bradycardia while exercising then the dr. would want to make sure it was not happening worse while you slept. Snd yes, low blood pressure does cause fatigue and dizziness. Good luck to you!
Its difficult to answer your questions without knowing the general health, medical history, etc. Usually, aerobic exercise is benefical for the heart. A guideline for aerobic exercise is not exceed a pulse rate greater than 220-your age. You may want to reach a heart rate less than the recommended rate until you can comfortly have a heart rate of 144 without being out of breath with a 30 minute workout at least 3 times a week.
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