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Cardiologist doubled my metoprolol to treat PVC
Heart Rhythm Conditions | Last Active: 3 days ago | Replies (26)Comment receiving replies
I am glad to discover this site. A little history...
In the spring of '22 started having SVTs in my upper chamber. I had 2 ablations that summer neither one worked for more than two weeks. In November 2022 I had a pacemaker implanted and my 3rd ablation for SVTs. That solved issue until last summer when I began to have minor arrhythmias in my lower chamber and they have increased. After the pacemaker I was prescribed metoprolol succ 25 mg per day. My cardiologist increased my metoprolol succ ER twice within the past month to 50 mg twice a day, to 100 mg per day. Yesterday, I was at my EP and he said I should either treat have this problem treated with medicine or have an ablation. Has anyone else had an issue similar to this? Are these arrhythmia issues just persistent and continuous.
I apologize for the length of this post.
Replies to "I am glad to discover this site. A little history... In the spring of '22 started..."
I had severe episodes from age 14 to 19. Read in newspaper column that some people are SEVERELY sensitive to caffeine. After quitting coffee etc, I had NO problems for YEARS, until lately without thinking I was eating coffee ice cream from the US. Once I put 2 plus 2 together, I stopped the coffee ice cream and fine. That med you are taking has bad side effects. At age 75, I take NO meds for anything. I investigate the CAUSE of the problem.
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Hi @ruthieann , I have myself had many ablations some lasted a while, and others were not as successful. The fact that you EP Physican is using both procedures and or medication I found, during my arrythmias days, was necessary. What I'm saying is an EP that knows how to use both is a valuable physician. My first EP Cardiologist and my most successful was very versed with both and under His care i went the longest without major shocks. My problems became worse when one EP i had was I thought a bit too aggressive and did an unsuccessful ablation to try and eliminate medication. It only made my problem worse when I was taken off the meds that were working and my heart had a massive arrythmia, which I can't prove, but my problems went downhill from there. I never went back to him, and I did find a great EP but the damage was done. That led to my Heart transplant but please know I'm happy with the outcome. So it sounds like you have one of those EP's that is looking at all options to best decide a plan.
One other thing you mentioned upper heart which in my experience is the source of AFIB and now you have a lower chamber or the Ventricles. My problems were with the lower chambers and the EP doctors who handle AFIB are not usually the same ones that handle the lower. I once went to an AFIB EP doctor who told me that and referred me to a collogue of his who was that one I mentioned as one of my best EP doctors. So, something to check on. maybe ask about whether he is experienced with the lower chambers and if you should see a different EP for that issue. The type of medications are different also. I was not on the meds you mentioned. Hope that helps let me know if I can answer any other questions.
Blessings