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Long Term PAC and PVC Suffer. Need your support and guidance

Heart Rhythm Conditions | Last Active: Aug 5 1:19pm | Replies (97)
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@dennis123

#1- metoprolol, for people with relatively low HR, can make you dizzy and almost faint. Happened to me.

#2- Ask the doc for Flecainide. I had PACs starting after an ablation that took care of afib and was prescribed 100mg 2x/day. I split pill in half to start and it knocked out the PACs. You'll read bad stuff about Flecainide but if you do not have heart disease or havent had a heart attack, it is a great low side effect drug. I have trouble with a lot of drugs and was expecting nothing better with Flec, but I went from a few hundred to a thousand PACs a day to one or two.

#3- Get your anxiety under control. It is a condition not a disease and it is 100% possible to control. Anxiety is one cause of PACs and tachycardia. Metoprolol caused my anxiety after I stopped it and I had bouts of tachycardia until I got it under control mentally. Buy this book "At last a life" by Paul David.

My PACs may be caused by the ablation irritating the heart and they may go away on their own so I will pause the Flec at some point to gauge condition, but am glad so far that Flec knocks them out so quickly.

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Replies to "#1- metoprolol, for people with relatively low HR, can make you dizzy and almost faint. Happened..."
jc76 | @jc76 | Apr 21 6:05am

@dennis123 I find a lot of medical professionals do not look at the stress level causing more PVCs and PACs. I see you mentioned it here.

I have passed this along to my EP and HF doctor many times. What I am finding is a drug that helps with one issue causes more of another. I found that with Mexiltine (spell) reducing the VTAC but causing a lot more PACs and PVCs. I am going to buy the book you mentioned and look into the Flecaininde with my EP after I have another holter monitor.

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