Metoprolol for syncope
Common Questions and Answers about Metoprolol for syncope
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I think you need to first of all feel comfortable about making a decision based on the quality of life issues. The unexpected syncope and odds for success did it for me.There is a good video at the Brigham and Womens site of an ablation procedure. I hightly reccommend it and find the whole process intriguing. Knowing what to expect made it less stressful for me in addition to feeling comfortable with the team involved in my care. Hope this was of help for you!
I have neurocardiogenic syncope and I'm on atenolol 25 mg a day for that. It's still been bad so my doctor wanted me to try SSRI therapy to see if that might rebalance things. She's putting me on a LOW dose of Prozac (5 mg/day) to start. However, I read somewhere that there can be interactions between beta-blockers and SSRIs, however, the only beta-blocker mentioned was propranolol.
I'm 35, white, 6'-4" (193 cm), 155 lbs (70 kg). I've been having premature atrial contractions (PACs) for about ten years. These were originally diagnosed by wearing an event/Holter monitor. They've always been asymptomatic (i.e., no lightheadedness, fatigue, syncope, etc.). Because I'm very thin and have a minor case of pectus excavatum, I tend to feel the palpitations quite distinctly, though especially while inactive and sitting or laying down.
m off to the electrophysiologist today and am hopeful that he will find a solution for these dreadful pvcs. I am taking 25 mg of metoprolol 2 x a day and 120 mg of cardizem once a day. I have been taking these for a month now and can't really tell a difference. They might have lessened the frequency some but they seem so "pronounced" now that my heart rate is slower. I also take 75 mg of effexor xr for the anxiety they are causing me. Has anyone had good luck with these meds?
By the way. I am on 75mg per day of Metoprolol, and have been as high as 200mg with no side effects except sluggishness at the high dose. I'm fine at 75mg and have taken it for 10 years, Now that I reread your post, do you think you're having syncope as a result of the medication of because the of Vtach?
I used to have PVCs before my heart attack. I have had them for over 20 years and took Metoprolol during all that time and I believed it helped up to a degree. I was able to work, travel and at least have a pretty normal life. The thing is that now the PVCs have become so constant I can't do much at all.I went to the Dr. one day because my pulse went down to 54 and I was feeling very weak and dizzy. Since then, my pulse has been at the lower end, which was never before.
Once in awhile my heart may for a second bump up (if heart monitor on YMCA treadmill is right) to a high rate for a second or two.
Due to go to DR for first Pacemaker readout. Is it a fair question to ask if I need pacemaker? Or is it too soon to tell, as down the road if condition changes more drugs may be needed?
I called my electrophysiologist. The dr on call for him told me to take the other 180 mg at that time and go back.to the 360 mg tomorrow like I used to take.
What would cause my bp to jump like that? Did it take my body that long to recognize my dose had been halved?
I have autonomic dysfunction which causes syncope. My question is this- if u get the stomach virus for example and can't take or keep this down what are the consequences? I noticed my rx handout says do not miss a dose must taper down which I understand but if u are ill what choice do u have? I asked my.pharmacist what would happen and her response was u better hope it doesn't. The stomach virus is rampant in our area right now and I am very concerned.
I had tachycardia and episodes of syncope where my bp would bottom out. I was on cardizem cd, vasotec and micardis at that time. My bp was hard to control and would often run high. My electrophysiologist added metoporol to my meds. He said he wanted to keep my heartrate between 40-70. Since that time my HR has ran mostly in 50-60s and at times in upper 40s. The last few weeks I noticed HR was staying in low 40s to low 50s. I feel great and have also enjoyed not having pvcs.
I'm an athletic otherwise healthy 63 yo female with around 30-40,000 PVCs/day- prob lifelong at decreased frequency- that were asymptomatic until July when pre-syncope & syncope began upon recovery from exercise, which progressed to shortness of breath, tachycardia, & occasional chest pain.
So you are seeing it through without Propa (Rythmol). That's brave and bold. I would like to know what your symptoms are when you get AFib?
I was in hospital to start the amio. It took six months to take effect. Then heart was steady with pulse about 64. Amio is effective but risky. It put up my TSH (thyroid) measure from 6.10 to 38. That's why I take Levothyroxine. And this is less effective is taken with Alprazolam which I take when needed for stress symptoms.
The ejection fraction is a useful measure of left ventricular performance. The normal range is 63-77% for males and 55-75% for females. It reflects the pumping capacity of the heart. This could be causing your symptoms of syncope and dyspnea. The basic cause for the diminished ejection fraction needs to be treated for the ejection fraction to improve. In your case the depressed left ventricular function, which could be due to the hypertrophy also the arrhythmias could be causing this.
is a corticosteroid typically prescribed for folks with neurally mediated syncope and neurocardiogenic syncope. The drug induces a state of sodium retention, which raises orthostatic blood pressure, and thus, minimizes or prevents syncope episodes - particularly those occurring with abrupt changes in posture.
Would suggest seeking the opinion of a cardiologist or neurologist who specializes in Dysautonomia. A baseline Isuprel tilt-table test will establish the diagnosis.
I've been having tachycardia for 4 years now and sometimes I can feel my heart pause and then add an extra beat. I sometimes get dizzy and gave frequent chest pain. Today I had an ep study and they found Nothing! The Dr told me to stop taking the medication I've been taking to keep my symptoms at bay. I was devastated because I feel like I'm going crazy and I thought I would have answers.
The various causes of syncope are central nervous system ischemia, vasovagal syncope may occur during urination, coughing etc, postural, cardiac syncope, neurological syncope, hypoglycemia, deglutition syncope associated with solids swallowing, cardiac includes cardiac arrhythmias, obstructive cardiac lesions, structural cardiopulmonary disease, sick sinus syndrome etc.
You have been diagnosed with a condition called vasovagal syncope. Other names for it include fainting, neurocardiogenic syncope and neurally mediated syncope. This is a very common condition that results in fainting or a blackout in as many as half of people at least once in their life. Three percent of people develop it repeatedly.
What is Vasovagal Syncope?
Vasovagal syncope is not a serious or life threatening condition, but in effect an abnormal reflex.
If you are experiencing syncope, passing out for any reason, you should not let it continue without being evaluated, even if you don't have insurance, as there are state programs that are available to those in need. Have your records forwarded and insist on a follow up. You need to get this done ASAP. There are some inconsistant readings in the ECG that you describe, as well as other issues that need further evaluation.
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