zjnea
04-09-2009, 02:46 PM
Hi. I am a 34 year old female with no real health problems. I don't smoke and have never been overweight. I am slightly hypothyroid and have been taking 50 mcg of synthroid for about 9 years.
I have a high heart rate upon exertion.
My resting heart rate is 70. Walking up the stairs- it gets to 110.
After 2 minutes- walking on the treadmill- it gets to 150 and tops out at 185 while jogging.
I wore a holter monitor which showed sinus tachycardia and only showed 12 PVCs during that 24 hour period.
The echo cardiogram was normal with trivial mitral regurgitation, trivial pulmonary insufficiency.
My stress test was stopped at about 4 minutes because my heart rate got too high with several PVCs.
One cardiologist wants to put me on a beta blocker. My blood pressure is already pretty low.
Another wants to put me on an antiarrythmic such as flecainide or propaferone.
And then repeat stress test in 1 month. If high heart rate and PVSs disappear then I am told them I will be a good candidate for ablation.
Does this sound right to you?
Any advice here?
I dream of running. Right now I can barely make it a minute without having to stop and am often winded from just carrying my kids.
Thanks for any advice!
I have a high heart rate upon exertion.
My resting heart rate is 70. Walking up the stairs- it gets to 110.
After 2 minutes- walking on the treadmill- it gets to 150 and tops out at 185 while jogging.
I wore a holter monitor which showed sinus tachycardia and only showed 12 PVCs during that 24 hour period.
The echo cardiogram was normal with trivial mitral regurgitation, trivial pulmonary insufficiency.
My stress test was stopped at about 4 minutes because my heart rate got too high with several PVCs.
One cardiologist wants to put me on a beta blocker. My blood pressure is already pretty low.
Another wants to put me on an antiarrythmic such as flecainide or propaferone.
And then repeat stress test in 1 month. If high heart rate and PVSs disappear then I am told them I will be a good candidate for ablation.
Does this sound right to you?
Any advice here?
I dream of running. Right now I can barely make it a minute without having to stop and am often winded from just carrying my kids.
Thanks for any advice!
Sponsor
Machaon
04-10-2009, 01:31 PM
... I wore a holter monitor which showed sinus tachycardia and only showed 12 PVCs during that 24 hour period. ... Right now I can barely make it a minute without having to stop and am often winded from just carrying my kids.
Did you get Summary and Detail Reports showing the results of your Holter by hour, and for the full 24 hours? If you did, how much of the time, during the Holter, was your heart in tachycardia? What were some of the other findings on the Holter Report?
The echo cardiogram was normal with trivial mitral regurgitation, trivial pulmonary insufficiency.
The Echo comes with a report that shows important measurements of the heart. Did you get the report? Were all measurements within expected ranges?
The Pulmonary Insufficiency may give you a clue as to what might be happening. During the period of time that you were taking the Echo, you experienced "trivial" pulmonary insufficiency, which can cause breathing problems when worse. Your pulmonary insufficiency might be worse during the times that you feel "winded" and fatigued/tired.
You know that you have a problem with both your Mitral valve and your Pulmonary Valve, plus you are showing significant symptoms of Tachycardia and Dyspnea.
You need to find a medication that reduces your heart rate. Do you monitor your blood pressure at home? How do you know that you have low blood pressure all day long? Do you get higher blood pressure at night? How about late at night? If your blood pressure is too low, it might be because your heart is not beating effectively. If you do indeed have low blood pressure, you need to find a medication that slows the heart, while not lowering the blood pressure.
In my case, Digoxin is my most effective medication for slowing my heart rate while not significantly effecting my blood pressure. Digoxin has been around for a couple hundred years, and is well tested.
My favorite medication is the Beta Blocker: Coreg, which I LOVE! It lowers my blood pressure and significantly improves my metabolism, and allows me to live a more normal life, despite my many serious health problems. I consider Coreg one of the unheralded, under-recognized medical miracles of all times.
Did you get Summary and Detail Reports showing the results of your Holter by hour, and for the full 24 hours? If you did, how much of the time, during the Holter, was your heart in tachycardia? What were some of the other findings on the Holter Report?
The echo cardiogram was normal with trivial mitral regurgitation, trivial pulmonary insufficiency.
The Echo comes with a report that shows important measurements of the heart. Did you get the report? Were all measurements within expected ranges?
The Pulmonary Insufficiency may give you a clue as to what might be happening. During the period of time that you were taking the Echo, you experienced "trivial" pulmonary insufficiency, which can cause breathing problems when worse. Your pulmonary insufficiency might be worse during the times that you feel "winded" and fatigued/tired.
You know that you have a problem with both your Mitral valve and your Pulmonary Valve, plus you are showing significant symptoms of Tachycardia and Dyspnea.
You need to find a medication that reduces your heart rate. Do you monitor your blood pressure at home? How do you know that you have low blood pressure all day long? Do you get higher blood pressure at night? How about late at night? If your blood pressure is too low, it might be because your heart is not beating effectively. If you do indeed have low blood pressure, you need to find a medication that slows the heart, while not lowering the blood pressure.
In my case, Digoxin is my most effective medication for slowing my heart rate while not significantly effecting my blood pressure. Digoxin has been around for a couple hundred years, and is well tested.
My favorite medication is the Beta Blocker: Coreg, which I LOVE! It lowers my blood pressure and significantly improves my metabolism, and allows me to live a more normal life, despite my many serious health problems. I consider Coreg one of the unheralded, under-recognized medical miracles of all times.
Titchou
04-10-2009, 01:48 PM
Machaon makes some very good points. I had a high heart rate and low blood pressure. They put me on a beta block and it just about knocked me down. I was so lethargic that I could hardly do anything. Since there were no other issues, we took me off it and I quit caffeine, changed my allergy meds
and got back to jogging. Worked fine. Anyway, I'm just saying that I think the beta blocker should be a drug of last resort.
and got back to jogging. Worked fine. Anyway, I'm just saying that I think the beta blocker should be a drug of last resort.