It decreases or slows conduction through the AV node, and reduces the contractility of the heart, so it could be inappropriate in cases of heart failure. I believe that Diltiazem works on the reentrant type of SVT called AVNRT. To me that another way of saying that it does not work on accessory path SVT's, like atrioventricular reciprocating tachycardia (AVRT).
I am taking 25mg metoprolol and 60mg diltiazem daily. I was up to 50mg metoprolol and 120mg diltiazem daily at one point but have cut back recently. Since cutting back I have been less fatigued and seem to have less difficulty breathing although I still have the annoying headaches. I am trying to find the best way to deal with the SVTs and palpitations but maintain a decent quality of life. I don't believe these particular meds are going to do it for me.
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.
Supraventricular Tachycardia (SVT) is a broad classification. I had about 10 episodes of 140 BPN over ten years with no more complications than emergency room trips for conversion or conversion at home with propafenone. My particular type was atrial flutter which appears to have been cured by ablation a little over a year ago. If your heart is otherwise healthy it is a condition that can be managed (but certainly no enjoyed!) https://en.wikipedia.
t stay in the system for all that long and I value my breathing more than my SVT most days. I do have Diltiazem that I can take as needed for tachycardia and also take Flecainide twice daily. Do you normally have more trouble this time of year with your asthma because of allergies? Maybe taking something like Zyrtec everyday could help as well.
Subsequently , 2D Echo was carried out which showed - No RWMA , EF - Normal and Valves - Normal.However, the Holter Monitoring for 24 hours for me indicated Non-Sustained SVT and No Arrhythmia During Symptoms. I have been advised to take
Diltiazem Hydrochloride 30 tablets 3 times a day.I would like to get an Expert Advice on how safe is my heart condition and weather I
need to take any medicine for life long.
m a female, but I can share my experience switching from a beta blocker to diltiazem. I have been taking beta blockers for 8 years for SVT and afib. 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.
I was diagnosed with SVT in 2003. While wearing a halter monitor, my heart rate went up to 267. The cardioligist suggested that I take Diltiazem, rather than have an ablation. And it has been working fairly well so far. However, I was recently diagnosed with Hashimoto disease. But now this doctor says that I need to have the ablation, in order for him to prescribe the medication needed to treat the Hashimoto disease. I eat very healthy & exercise almost every day.
Looking to safely taper off of my calcium channel blocker diltiazem extended release capsules. I have been on them a little over one year. My blood pressure is perfect and was perfect prior to my heart surgery. The only reason I am on them is because I had a large tumor in my heart and once I had my open heart surgery I developed post-op SVT, afib, a-flutter and my heart rate has skyrocketed over 200 beats per minute several times.
I had an ablation for SVT/syncope three months ago but have had two episodes of SVT and syncope this week. Yesterday I ended up in the ER after passing out three times with a heartrate of 235. We had thought the ablation was successful, so we are quite surprised this is happening. I have low blood pressure, and cannot tolerate many typical meds. Just wondering if another ablation is worth trying, a pacemaker, or something else.
Many thanks for any help.
The Heart Rhythm Society did a few randomized trials to assess the efficacy of calcium channel blockers, beta-blockers and digoxin in SVT. A comparison of verapamil, propranolol and digoxin showed equivalent efficacy in a small group of patients. However, in general calcium channel blockers and beta-blockers are preferred to digoxin. Digoxin has been around for a long time! I used Digoxin over 50 years ago for my PSVT, and my recollection was that it did little to prevent episodes.
Adenosine stopped my heart briefly, except for a little blip, but the rapid heart beat immediately returned. Others praise adenosine; it did no good at all for me. I am now taking Diltiazem (120 mg), and I don't think it is working. I had an episode recently which was long enough for me to cure it with the running-up-stairs routine. I have an appointment with a cardio- electrophysiologist in January 2015. He has already told my doctor an ablation will fix my problem.
I feel occasional flutters and having a lot of chest pain directly in the middle of my chest and as well as in my upper back and shoulder area. My stomach is also pretty messed up. Feels like a gas pocket moving around everywhere, but it's not. Tightness in my stomach and chest. I felt fine the 2 days after my ablation and all of a sudden this hit me. I feel as if I'm constantly gasping for air and of course, gasping for air makes my chest hurt more.
Any insight?
29, caucasian male.
2 weeks ago now (14 days) I went to have a physical b/c I had been lightheaded on and off for the 2 weeks prior to the physical.
Had an abnormal EKG, which showed tachycardia.
The Dr. sent me to the ER. At the ER, same EKG (tachycardia). They also did a CT which was negative showing I was not having/did not have a heart attack.
Blood tests were normal - normal thyroid.
Cholesterol is slightly elevated but that does not cause tachycardia.
I was diagnose first in 2004 with SVT. I experienced a 190 beats per minute. My ECG was ok, my BP was 90/70 and i was given Lanoxin.My Dr told me to avoid any fud and drinks with caffeine. I still drink decaffeineted coffee but very seldom. The second time I experienced SVT was in 2007, again my Dr gave me Lanoxin. Lanoxin was only prescribed when ever i have SVT. This 2009, I had several SVTs. In Sept 2009, my Dr.
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