Hey there, haven't seen you for awhile. I wanted to let you know how my Dr. visit went and see what you (or anyone else reading this) thinks. She went over my test results, which basically what I already said. Two brief episodes of svt, rate 154, exercised induced? Otherwise normal holter. There were 58 supraventricular ectopic beats (I don't know what that is, she said it's ok), she had me a little confused about reading it to me. Honestly, people here can tell me in better English. Anyways, she said I can either
A. Live with this and try to adjust my lifestyle
B. Try a low dose beta blocker, more for my sake of mind since I'm obsessed over the racing and pac's/pvc's or
C. See another Cardiologist.
She said she talked to one, and because I've had testing in the past, with all good heart results, it's just an electrical problem, and normally they don't do much (ep study) unless it's very symptomatic, long sustained runs of them and daily. She also said that yes, it could be just regular sinus tachycardia, but her opinion is it's svt, (which I will get a second opinion for MY peace of mind) because she said it is really easy to tell the two apart on a holter strip. ? I thought it was hard to tell the two apart?
Anyways, because I've also seen two Cardiologists in the past, (at that time it was for the pac's and pvc's) and they told me all my tests are ok, but if I wanted, they would put on a beta blocker, because they are very safe. My Dr. thinks and the Dr. she talked to thinks I should try this first. She thinks because they are panic/anxiety attack induced, she wants me to try the Inderal. I am a little nervous about it lowering my heart too much, and also because I have mild asthma. Any suggestions? I do plan on just touching base with a Cardiologist at some point, just to make sure this is the right approach, but I'm trying to find one that works with people my age (35) and can tell the difference in the strips. I'm just tired of worrying about every little thing. I am taking my Xanax, but it doesn't lower the pulse. I am usually around 80-120 up walking around, but if I'm sitting, it can be anywhere from 60-80, so is the bb going to make this worse? I know you have some medical background by the way you talked to me, so I would love any information. She said right now they don't feel I need anymore testing done, unless I want to do a 30 day event monitor to rule out the strip question. She did say if the bb dont work, then she would try a calcium channel blocker, and if no relief from them, then she definetely wants me to transfer over to the Cardiologist. She is not though, trying to keep me from one. She said she won't be upset at all, but did talk to one herself cause she was trying to send me over to one in the first place. Any suggestions? I'm home feeling yucky today, caught a cold, so all this is playing in my mind. I hate the way my mind plays tricks on me. I try to tell myself I'm OK, this is Not life threatening, just a nuisance, and if all else fails, usually can be cured through ablation, but every little thing bad possible just goes through my head. I plan on trying an SSRI eventually too for this anxiety, so I'm not just on Xanax, because I think it's depressing me a little. But she didn't want to do that and start a beta blocker at the same time. Any words of advice? Thanks! Michelle
Update, I ended up taking the Inderal because I had a bad anxiety attack, and my heart rate was 160 and after 15 minutes I could do nothing to get it down, ended up taking it. I don't understand which is causing which, but at this point, it's obvious I need something other than the Xanax, since it does nothing for my heart rate. The Inderal has my rate down to 100 now, and when sitting about 80. I am dizzy, and upset stomache. All day long today, my heart rate was between 90-115, and if I tried to clean it shot up to 130. I'm just hoping this maybe will help. Still would love to hear some advice. Michelle
Last edited by miche31; 10-24-2006 at 04:39 PM.
Reason: type my name in
Sorry hun, had some long shifts the last few days. Sounds like you survived though. Well I would definetly say you have a wonderful doctor. Sounds like she listened well to you and helped answer many questions. I do think you need a SSRI. Remember it takes a while for that to really take affect. The same is true for any beta blocker. You MAY be able to see some affects right away but you have to give your body a chance to adjust to it, and I am talking several weeks unless of course you have bad side affects. Like i said before you heart will try to compensate for the lowering of the heart rate at night, if it needs to speed up it will still be able to unless you are on a really high does which i am sure you arent. Just try to bare with the side affects intially. You will be tired, even more tired than you are now with just the xanax. You may have a lower heart rate and you may also have a lower blood pressure which may make you dizzy and maybe an upset stomach. But try to bare with it if you can to give it a good chance to work. I think the plan that your physician has is a good plan... to see if a few drugs will work and if not then go see the cardiologist. It sounds like she has talked to them and what you have is fairly simple (meaning not complex which is a good thing), so I think you are fine to just stick with her plan. In regards to the ST/SVT thing, honestly michele it really doesnt matter what it is, the fact of the matter is it is treated the same way, exactly what your doctor wants to do. So you dont really need to be concerned about what EXACTLY it is called because like i said its treated the same way. Have you had thyroid problems before?? Have you had any recent labs like electrolytes and thyroid tests?? If you havent had those recently like in last 6 months or so, i would get them tested. Also it may be worth getting your hormones checked, some abnormalities in hormone levels can make you more prone to arrhythmias. Keep me updated on how you do on the inderal, like i said it may make you feel crummy for a little while. If you have a lot of problems with it, ask for a drug called Atenolol or Metoprolol. Atenolol usually has less side affects and is a good starting drug, very commonly used as is inderal. Take care, i will be on for a couple day so post me back.
I'm so glad to hear from you. I was worried that with your heart condition, maybe something happened. You obviously have it way worse then me, and here you are consoling me. I do appreciate it so much. Ok, took the Inderal LA 60mg, made me dizzy and lightheaded. It wasn't as bad as I had thought, at least not so far. My tummy hurt, had lots of little side effects, but nothing to make me stop. I'd take a side effect over that tach anyday. I just hope I won't have any nightmares, and then the only other thing we have to watch is my asthma, as this one I guess is not a good drug for it? But she thinks this is the first one to try because it blocks the epinephrine better, and helps better with panic induced ones? So, she thinks it's worth the risk, haha. I don't care, I'm willing to try. Although, she called me tonight and after talking to me, she is going to prescribe Inderal 20mg 3xday instead, due to high LA cost and help ease the dizziness. If the Inderal doesn't work, or I get bad asthma, then I think she said Atenolol was next. Anyways, the Inderal took about 40 minutes to kick in, and helped pretty good, not instant results, but took the edge off the tach, for at least four hours, then had a slight elevation of 100-115 for about an hour, started feeling anxious again, so I took another Xanax, and now it is back down again. Sometimes I feel like this Xanax is double-edged sword, half the time it calms me down, and the other time it gets me really edgy and crabby. I told the Dr. I would try another SSRI, she was talking about maybe Cymbalta, which I'll try, but wonder why she would want me on an antidepressant, when I'm anxious. I do want my hormones checked, she didn't think it was necessary, the only part of the meeting I didn't like. But, at the major hospital, you can get your own tests done, and so I thought of doing that, and then sending her the results when I get them, since I obviously wouldn't know what I'm looking for. I don't know what tests to ask for tho. I had thought my hormones have been messed up for some time, and have talked in the past before all this happened. Never got anywhere with that, and than this happened. Anyways, off to bed, I always hate going to bed, because every morning I wake up, I get to look forward to the BAM, fast heart rate upon rising. I even keep water next to my bed, and Xanax, sometimes if it feels really fast, like 130, I'll take a Xanax, drink my water and lay there or sleep for another hour till the Xanax kicks in and then I don't get as bothered by it. Can't wait for the day it doesn't do that anymore! I've changed my diet this last 2 weeks, cut out my favorite 3 7-up's a day and hardly no sugar. Little sugar withdrawal. Trying really hard. Curious about the salt tho, she said to definetely not eat more salt, but I thought my previous Cardiologist said to eat more salt? Anyways, I hope your doing well yourself, and thank you so much for your inspiration. I really look forward to hearing from you. Being new to this, I feel quite alone where I am. Michelle
Hey there, had a question. Today has felt like my breathing is a little hard, and I've got a very mild sore throat, light coughing and nose slightly stuffy. I'm really worried about the Inderal affecting my asthma. I called the pharmacist, after my Dr. had already left for the day, and she warned me against taking it, but said Atenolol is probably better for me. Do you know anything about a beta blocker that can help the tachycardia and not affect asthma? Also, my Dr. specifically wanted Inderal because it helps people with panic, do you know of any other ones that help also with this? Thank you, Michelle
Michele, you have a cold, quit worrying about it. Take the Inderal and stop thinking about it. YOU ARE OBSESSING DARLING!!! The more you think about it the more you think it is going to happen. YOu have a cold, if you have get over your cold and still have it then yes maybe switch.
I'm going to have to start paying you for counseling time, haha. Seriously though, I really really appreciate you taking the time to keep reassuring me on things. I really am trying to get better. My breathing was much better last night, and is still good this morning, I do think it's just a slight cold. Can you tell me though, and if I"ve asked I'm sorry to ask again, this Inderal is affecting my short term memory, how long did you think the side effects can take up to? I'm not wanting to eat either, because I notice now when I do, my hr goes up. Since I have learned about this tachy, I am paying attention to everything, this sucks! My family is thinking I'm really weird on these meds, and I obviously can't drive yet. She has me on 20mg Inderal 3xday, but I think I may need to go up. This morning woke up at 6am, took Inderal in bed, went back to bed until 8am, then got up. My heart rate was 125. About a half hour later was down to 100. Now it is 89, just standing. Honestly not trying to obsess, (quit laughing), just wondering if by day three it should be working a little better. My bp isn't low, the lowest I think was 96/67? Other than that its' been around 100-120/70-80. She started me on the lowest dose for side effects, but should I try to let the side effects go away before uping the dose? I'm so confused. My pharmacist said that some people take it four times a day before it only stays in the system 5-6 hours. And I could tell yesterday that after 6 hours, my hr started going back up. I have never been good with patience, (laughing again?) so I always like seeing results fast. By the way, you know I told you before my friend who is a heart nurse, and she was telling me to get to an electrophysiologist after I got my results? She was telling me that only he can tell me what I have and what to do for it? I told her that my Dr. talked to a Cardio and this is the plan they think I should start with before going to a specialist, and she refuses to talk to me now because she thinks I'm making a big mistake and should take my life a little more seriously. She said my Dr. has no business treating me, and I should be seeing a specialist. She makes SVT sound like a huge deal, but then she also thinks that ALL SVT should also have an ep study. I guess that's when I get all second guessing my Dr. and get scared. I'm just glad that I have this board to come too, with all my obsessive worries! How are you doing?
Hon, you've got to calm yourself down and relax. I can understand where you're coming from cause I've been there too. But I am telling you from expierence (and like a lot of other people on here) the faster you relax and stop panicing the quicker your syptoms will subside. When my sinus tachycardia started (out of the blue one day) I was in tach for about two weeks!! No warning, nothing. My doctors kept brushing me off saying I was crazy and it took two and a half weeks to get a cardiologist to get me on some meds. Needless to say, not until I calmed down and realized that my life was not in jeopardy did I finally start feeling better. Take my advice, do five minutes of light cardio a day (and work yourself up), drink lots and lots of water, and watch what you eat a little closer. Not only will you start feeling better but you will manage stress much better and feel better! I am now off of my meds and doing fine. JUST CALM DOWN AND FIND SOMETHING TO KEEP YOUR MIND OCCUPIED!
I so appreciate what you guys are telling me, I'm sitting here bawling right now, because I can't convince myself I'm ok. What is wrong with me? I'm taking what they have told me to take and doing what they have said, and I still have this terrible fear in my head that something is not right with me, and I can't control it. I feel like I'm calm, obviously not right now, but say, like in the mornings, and certainly at nights, and yet my hr is still high. Why did this happen all of a sudden? And, I know mnmnmn told me not to worry whether it is svt or st but I can't stop wondering which one it is, to me it is something I want to know. The other thing is, I'm hot and cold all the time, one extreme or the other, and I asked my Dr. about my hormones or other testing, but she didn't recommend it. She tested my thyroid and it was normal. I just don't know what to do anymore, and I'm trying so very hard to control this and my anxiety. I really am. I'm trying to do light exercises, but when I feel my hr go up, I instantly become afraid, I hate it when it goes high and starts skipping. I can't get out of that panic cycle once i'm in it. Michelle
I finally made myself for a 15 minute walk today. I felt yucky, and dizzy, when I got back in I checked my pulse, of course, it was 100 - Which I know is good. I sat down for a minute to clear my head, then checked my pulse again, bp was 90/57, pulse 51. Huge difference? Anyways, I wish the med would even everything out and the side effects will go away soon. My Dr. said at least a week, but the pharmacist said more like two weeks. I can't eat or drive either. (by the way, my Dr. told me to monitor my bp and heart rate, that was why I was doing it)
I called the top Electrophysiologist at a heart hospital in our state, and talked to his assistant/secretary. She was so nice. I told her my history, my anxiety/worries and what my Dr. was doing. She said that is what they would do too, so I'm on the right track. They don't just jump to EP studies and ablations right away either. They wait until they are severe, but the only thing that did bother me, is that she said almost everyone that has svt will get it ablated after some time, because it almost always progresses until meds no longer work. That wasn't what I wanted to hear. She said, "it could be twenty years from now though" My fault for calling. I'm having some pac's right now, so trying to just ignore them, I hate them. I'm sure I sound like a basket case to you guys, but at least it's somewhere I can go where I can talk. Thanks for listening to me. Michelle
Ok Michele... here goes. Hunny your mind is playing tricks on you. Your obsessing and you are only making your self worse. You have GOT to find to find a way to get your mind off your body and how you feel. While coming on here and talking about how you feel is good for you, I think that it is only making you think about other problems and how you feel more. I understand if you dont feel comfortable with someones answer but if multiple people tell you the same thing, even if you have a few that go the other way, you need to trust them. For example, I along with several others on here, as well as most importantly your physician, have told you that everything you have is ok. That what you are doing is very appropriate (ie the inderal), and your just obsessing. With your condition, the mere thought about your heart rate can subconsciously cause your heart rate to go up because you have trained your mind to worry about it. The mere thought of how do I feel or how is this going to make me feel, is going to affect what really happens. Because you have trained your mind the last week or so that what you have is bad, that it makes you feel bad, that you are going to get all of this stuff to happen to you, etc. YOU HAVE GOT TO QUIT. Michele you are going to make yourself worse both physically and you already have mentally. It doesnt matter what you have specifically, they are treated in the beginning the same way. You need to find a way to make yourself quit thinking about this and how you feel. Here is what I recommend Michele. One, like I told you before you need to get a counselor, NOW!! Two, you need to quit thinking about this, talking about this, obsessing about this. Take 7-10 days, take your inderal, take your xanax. Take your pulse and blood pressure in the morning and in the evening, maybe once before you inderal and once a couple hours after your inderal. Write them down in a book and then close the book and put it away, out of mind out of site. Then go act like you would on a normal day. Clean, run around and do errands, watch TV, whatever... just DO NOT THINK ABOUT HOW YOU FEEL, WHAT YOUR HEART IS DOING, OR WHAT YOUR MEDICATION IS DOING. Thinking about it every waking minute is going to produce more symptoms, more problems (its that mind games thing). Dont come on here and read posts, dont talk to your friends about how you are feeling, dont think about what you have or what it might be, NOTHING. If you start thinking about it, pinch yourself or something and MAKE yourself think about something else, read a book or something. If you have a period during the day when you suddenly feel bad, sit down, relax and read a book or something. Dont think about what it might be, what is your heart doing, etc. You have to take control of your mind Michele, it is now doing you harm. Dont change your life because of what MIGHT happen. As I said before you need to give your body several weeks to adjust to medications, especially your SSRI. In a couple weeks, then think about how you feel, but think about the positives, not the negatives. But you have to find some way to quit obsessing about this Michele, its affecting your health. Be strong, I know you can. Now wipe your tears away (I know you have them) and go read a book or start some crafts or something.