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    Old 09-17-2005, 03:18 AM   #1
    calendula
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    Unhappy sinus tachycardia

    For years I have been treated for a-fib. Now was told I never had that and have sinus tachycardia. For two weeks my heart has skipped, fluttered, etc it seems almost constantly. Worried, nervous.Am wearing a 24 hour monitor as I speak. Am exhausted and wonder about my future. Am on toprol and another b/p Rx. Toprol has given me a tightness and pain in my chest. Restless at night, not sleeping well. What causes this problem? I try to take care of myself. :

     
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    Old 09-17-2005, 02:58 PM   #2
    dreamer89
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    Re: sinus tachycardia

    I don't know what a tachycardia is for sure, but I too started to have some dull aches and pains in my chest when I started on torprol, once I reached about 50 mg or more they started, then the doctor said if the ace inhibitors don't help stop that he would do furthur tests.

    it did however stop those darn heart palpatations that seem to occure quite frequently when at rest, never at work, until today. jow for the sleepness it was the oppisite for me, it made me sleep alot, but once I adjusted it my sleep patterns went back to normal.

    many people have trouble sleeping on beta blockers there are many theories I am sure, but the most I have heard is that because your heart can't respond to adrenalin like before the body responds with an upping of the dose of adrenalin and of course other organs aren't blocked including the brain or whatever causing over alertness,

    torprol is cardiac specific, if torprol is causing problems with their side affects, I adjusted to mine that is why I haven't got completly off of them, besides they stop me from having migraine attacks like before, ask the doctor about switching to some other drug, like my doctor told me you don't know what will work for a specific person except by trial and error, which is a pain I know but there is no other way at this time.

    RR

     
    Old 09-17-2005, 05:55 PM   #3
    calendula
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    Re: sinus tachycardia

    dreamer40,
    Thank you for responding.I see my Dr. this coming week for 24 hour monitor results and thyroid blood test results. I think she will order a stress test. I feel alert at 9pm...unusual for me....you might have something there about the adrenalin.Thanks alot, Calendula

     
    Old 09-17-2005, 10:41 PM   #4
    r0cky
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    Re: sinus tachycardia

    Hey! If it makes you feel any better, I was on an event monitor for 30 days back in March ... well, I went to the doctor because I had a sore throat and we got on the topic of heart stuff, so I asked about the results. Apparently the cardiologist hadn't even sent her the results! Randomly last Thursday I received a call from my doctor and she had finally received the event monitor results and had a chance to look at them. She noticed some moments of sinus tachycardia (which, dreamer40, just means a heart rate faster than 100 bpm) ... so she said she'd leave me some samples of Toprol and I could come pick them up later that day.

    I did and began taking them on Friday. She's starting me out on 12.5 mg and I'm supposed to double that in the next couple of days and then go see her in two weeks.

    Well, much like you, the side effects are beating the heck out of me! Sure, it slows my heart down - in fact it's now consistently around 50-54 beats per minute! But, the negative side of things is that I can't sleep at night, I can take a nap during the day but only for about an hour, and yet I'm soooo fatigued that sleep SHOULD come easily (but doesn't). My fingers and toes feel cold/weird, my back aches, my arms hurt, and even my chest hurts (and I was not having chest pain until I started this pill).

    I feel heavy, I feel like a zombie, it's making my anxiety and depression notably worse, and I can't for the life of me exercise because just walking to the kitchen takes away whatever small amount of energy I still had.

    So, anyway, I do not think it has ANYTHING to do with what you're doing and it certainly doesn't mean that you're not "taking care" of yourself ... I think it's just the Toprol.

    How much are you taking?

    I'm scared that I have to take this for another two weeks AND that I have to double the dosage in the next few days.

    I've done a lot of research on the drug and it seems the side effects you've mentioned are absolutely normal for this particular medicine.

    Here's to us feeling better soon!!

     
    Old 09-18-2005, 10:24 AM   #5
    dreamer89
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    Re: sinus tachycardia

    if the medications are bothering you already with such a low dose I would tell the doctor and try something else, if your doctor isn't helping you get another, I have a clinic I go to and get several doctors to choose from each time I go, I just find out which doctor is which days sometimes they have mroe than one there at a time,

    I understand the lowered ability to just walk, let alone exercise, your heart rate is too low, even with 50 mg torprol that I am on my heart rate isn't that low, and a reduced heart rate means lowered oxygen avialble to the body and less blood to the extremtie which means cold hands and feet,

    that is why it is hard to exercise with a heart rate that won't go high enough to provide o2 to the body putting you into lactace overload, and subsequent fast twitch muscles doing most of the work since they dont' require as much o2 for metabolism but sure increases lactic acid build up faster than the body can compensate. which translate into muscle pain and extreme I got a sit down or I will collapse scenario.

    I used to be at 100mg torprol and suffered exactly what you describe couldn't even getup and do some dishes before i felt like collasping,

    I take lisionpril 20 mg which seems to be enough with the 50 mg torprol to manage the pressure and still I am able to exercise better than before, even jogging, but today I have decided to increase the quality of my diet, I have been gradually improving my diet, increasing the fat a little until I lose all interest in it (I was actually drinking less milk in the long run than using 2 percent), now I am decreasing it even more, the fat content some more to help get some of this weight off, which I am sure will make a big difference as it will decrease the amount of heart rate I need to exercise.

    as to the milk thing I was drinking 2 percent and I and my hubby would require 2 or 3 gallons a week to reach a satiaty point with it, (I love milk) but once I went to whole milk one gallon lasts me and my husband a week. one glass a day does me if I drink it, I am finding now that I only drink it every other day. I drink way more milk than my hubby so you can see I drank most of the milk overall too.

    I noticed by doing that my cravings for ice cream happen only about once a week when before it was everyday, it was if my body wanted a certain amount of fat and would bug me if necessary to get it, by the way milk is basically the only food source I eat with any fat in it, I don't eat much meat anymore especially since drinking the milk, and I have been eating mostly fruits vegies and high quality cereals so I get little fat from other sources, so maybe that is why my body was craving it.

    when I eat soups with meat I end up eating around the meat, just don't have much interest in it anymore. guess my body knows what it is doing. but for me it is still experiemental.

    RR



    so tho higher fat but lower in caloires overall,

     
    Old 09-19-2005, 08:46 AM   #6
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    Re: sinus tachycardia

    I have been on a couple of different beta blockers and a calcium channel blocker. Currently I am taking bisoprolol. If I only had moments of tachycardia I would not take any med and I don't believe my drs. would prescribe it, unless of course it was causing serious symptoms. My tachy was hours everyday and causing terrible fatigue and being a trigger to my NCS (neurocardiogenic syncope). The fact that I needed the beta blocker for the NCS, too, helped. I can't take much w/o it causing fatigue. Beta blockers gave me my life back (quality) and that is what a med should do (I know it's not always the case). The benefit should out weight the side effects.

    If you have Raynaud's bb's could cause it to be worse. They say you shouldn't take them, but my cardio still has me on them. Also, bb's can worsen anxiety, even though for some it helps. I had a side effect of depression on a larger dose, which was remedied by cutting back. Tell your dr. about your side effects.

     
    Old 09-19-2005, 04:05 PM   #7
    calendula
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    Re: sinus tachycardia

    I feel like I need to sleep , but am wired and I don't like it one bit. I am taking 50 mg of toprol and will discuss Rx with my Dr when I see her. Surely there are other drugs to take for this problem????I did some research on Toprol and weight gain seems inevitable. Must decrease calories...easier said than done. I have cut caffiene out and a friend said to cut out sugar and that will help the fast heart rate.
    What is the prognosis for this condition? Does it go away in time?Is toprol a tempory medication? My research said that it is not a drug to take as needed. Like you it is an effort to walk up the stairs or up a hill. Not good.I appreciate hearing from all of you. Support is important and to know what I am experiencing is not just my experience.
    Thanks all.

     
    Old 09-19-2005, 04:14 PM   #8
    r0cky
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    Re: sinus tachycardia

    Haha, I had to walk to my car on the fourth floor of our parking garage at school today and I was soooooo out of breath when I got there. Granted, my heart rate was definitely slow, but ... Not fun! My heart rate stays low on this med., but then I can't do anything anyway because I'm so worn out and get out of breath over nothing!

    I went to my doctor today and told her I didn't want to take it anymore. I told her the side effects it had on me and she said "You think it was the medicine?" as if it was a preposterous conclusion to have come to. I was having chest/arm pain from the meds (or from what I thought were the meds) so she did an ECG in the office and I was fine. Anyway ... she made an appointment for me tomorrow at a specialist who can reassure me about all this and discuss medication details with me ... I will report back what I learn about sinus tachycardia.

    In the meantime, I do not think it goes away in time ... but I'm not sure. Toprol is not a temporary medication (or at least not in the context I've read here online).

    I will keep you in my prayers and thoughts. One thing that will help reassure you a bit: sinus tachycardia is the most common rhythm disturbance diagnosed. So, apparently we're two among many.

    Hang in there!

     
    Old 09-20-2005, 07:37 AM   #9
    jpos
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    Re: sinus tachycardia

    My cardio told me IST was life long and that I would be on meds for the rest of my life. (Mind you IST is rare and I am not saying you have it.) I took Verapamil ER to help with the tachy, because I couldn't take a higher dose of bb's w/o side effects. It helped and I don't believe I suffered any side effects from it. Verapamil ER is a calcium channel blocker. Maybe you can try something like that?

     
    Old 09-20-2005, 02:37 PM   #10
    r0cky
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    Re: sinus tachycardia

    Okay, I think if you're having bad side effects on toprol or anything else, talk to the doctor.

    You know how I said I had just been diagnosed with sinus tachycardia last week and given Toprol, etc? Well, today I went to an EP specialist (because my normal doctor didn't know what to do since the Toprol made me feel bad), she looked at all my tests, did some ECG/EKG stuff while I was waiting in the little room for her (for 2.5 hours!), and then told me there is nothing wrong with me, and that I do not have sinus tachycardia at all. She told me I had some extra beats and that we would do another 24 hour monitor just to see (even though I've already had a 30 day event monitor as well) and reassure me, and then a heart MRI to make sure I don't have what my dad did.

    Other than that, apparently there's nothing wrong with my heart, and no reason for me to have taken Toprol or anything else for that matter.

    ARG. Stressful and frustrating! Anyway, I empathize with you completely on this ... it doesn't help the anxiety/stress when you're constantly being told different things.

     
    Old 10-01-2005, 03:18 PM   #11
    calendula
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    Re: sinus tachycardia

    Thanks for writing,
    Stressful and more stressful for sure. Am feeling a little better.More tests to come. Wait and see. No results back from monitor as of today. Calendula

     
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