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tragus stim? Pill in the pocket Flecanide?
Heart Rhythm Conditions | Last Active: Nov 5 7:20pm | Replies (28)Comment receiving replies
@diane987654321 I believe I have both vagal and adrenal afib but mostly vagal. Heart rate in the 30's for you was scary!
I am curious about your treatment in July. Did the ER wait some hours before doing the shocks? I have never had a shock but find that some ER's are more patient, I guess you could say, than others in terms of how long to wait to do a cardioversion. I have never been shocked or given anything besides a diltiazem drip One hospital put me in the ICU due to low bp and was too conservative I think with the diltiazem so it lasted 7 hours. One ER started talking cardioversion after two hours.
One time paramedics gave me a full bolus of diltiazem despite me saying to give me half, and my bp went to 60/30. Lots of variation. At this point I know enough and declined a second bolus in hospital and told the doc it would drop my systolic 60 points. They always ask if I am in the medical field. No, I am an experienced patient!
I looked up amiodarone and it says it is used for ventricular arrythmias. Is that true? Does it reduce your heart rate?
I take mixed Magnesium- Country LIfe "Magnesium" ( oxide, aspartate, taurinate, citrate)- usually 600mg and occasionally 900mg. I take it at least 2 hours away from calcium.
What do you do for high blood pressure? Is your afib considered valvular?
My EKG and stress test indicate "Left ventricular hypertrophy. ST-T wave
abnormality." but the echocardiogram doesn't show LVH. I have minor regurgitation in 3 valves.
Ejection fraction 65%. It has been 6 months since my last episode and I am praying to make it a year. I know this may progress and knock on wood a lot. Good luck!!!!
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Six months is good! I hope yours never comes back! 65% is a terrific ejection fraction.
No one has called it valvular afib. I think I had the substrate to have afib given my low heart rate and then my covid caused heart inflammation kicked it off. I think Covid caused the left atrial enlargement which made my mitral valve leak, and probably my decades of frequent PVCs set the stage. I've been struggling with accepting the fact I won't figure this all out, really bugs me not to know how this all happened. I have unprovable theories galore.
I was on lisinopril, prior to covid it was 10 mg. I was up to 40 mg last week and was nowhere near target. My internist switched me to Voltaren 160 mg this week. I'm not optimistic. I want to add a low dose of spironolactone but he is all excited about it causing high potassium with the voltaren. My Mom had uncontrolled hypertension for decades, she saw a nephrologist who added 12.5 mg spironolactone about 20 years ago. She is never over 130/80 now, and she 87!
Amiodarone is a dirty drug. It is FDA approved for ventricular rhythms, and it does work, but is used off label a lot for atrial fib. You can use it with people who have coronary artery disease so Cards likes it. In the hospital in July, about 2 hours after I converted, my heart rate was dropping in the low 40s so they had to stop it. They started me on 200 mg a day orally when I was discharged, I was down to 100 mg/day after a few days then 50 mg, then 50 mg every other day and finally gave up when my HR was 36 while grocery shopping. I think it was starting to bother my lungs too. I think if I ever have to go on amiodarone again I'll start at 50 mg a week.