Update from procedure n Dr appointment

So if you know from my previous post after the ablation study procedure dr toold me . That he dint find no areas to do ablation he did nention this ..you do have extra beat but it's coming from I forgot the area he mentioned n Said nothing he can do there ? He told me I be taking 12.5 metropolol like I always been but he will add 30 MG 3 times per day of cartia.  Why ?? I mention can I start going gym ? He said wait till I get your rhythm under control ?? But Said it's OK to walk . Why no walking fast ??? Also can I have intimate with my wife ??? 


4 Comments

Extra beat

by cadaverock - 2022-12-16 14:21:17

I remember now he said extra beat coming from SA NODE .  can't do ablation there ? 

I’m listening

by Lavender - 2022-12-17 08:29:53

I read your posts. I sympathize. I know you have anxiety and have been through much. Sounds like your care team is seeking help for you with meds since the ablation wasn't the answer. 

Hopefully you are back driving and able to help bring in income now that this has passed. Be patient while they tweak things. Ask your doctor about intimacy and other questions because they know you best and it sounds like they are trying to let your heart beat in good rhythm and not too fast like fast walking might induce.  

 

Medications

by Marybird - 2022-12-17 09:53:20

I take both metoprolol and diltiazem ( Cartia is a brand name for this med) and find the combination works well to control my atrial arrhythmias, including A-fib. 

You're taking low doses of those meds, at 25mg/day ( 12.5 mg 2x day?) metoprolol, and now 90 mg/day Cartia. Hopefully those will control your arrhythmias/tachycardia, and if needed, the doctor could increase the doses of one or both of the meds if.a higher.dose is needed to control your heart. I take 150 mg/day of metoprolol,.and 360 mg of diltiazem and these work well with no side effects ( I have gotten used to them). These meds would seriously lower my heart rate but my pacemaker keeps the heart ticking along just fine. 

An EP I used to see once explained to me that some atrial tachycardias can be notoriously difficult to ablate, as they can be unpredictable and difficult to induce during an attempted ablation. It's not that the arrhythmias aren't there, as the doc explained, they just don't start up in the cath lab, even with stimulation, and without those arrhythmias going on there is no way to tell where they originate from and ablation is impossible. In these cases, medication can be useful to control the tachycardia. Or possibly, another attempt at ablation at a later date. This is on a case by case basis. 

 

Rhythm

by cadaverock - 2022-12-20 03:32:38

Can someone help me understand.  Why is dr trying to control my arythmia by 2 medicine will this 2 medications stop or reduce the Fluttering sometimes I feel ?  Also when my heart beat its not synchronization or extra beats does my pacemaker correct that or no ? Can Dr's see that recorded in pacemaker? What extra beats mean like 24/7 or sometimes?

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