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@jansecc

I had a heart attack with stent insertion on 9-23-24; I am attending cardiac rehab which I will complete on 1-20-25; I have developed premature atria tachycardia and just picked up an an event monitor today; will be see cardiac physiologist on 1-13-25 for the second visit; he is suggesting sotalol; I’m 85% decided to give it a try but don’t want to be chasing medication and wonder the harm in living with the irregularity. I am an otherwise active, healthy, 81 year old with no other frailities.

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Replies to "I had a heart attack with stent insertion on 9-23-24; I am attending cardiac rehab which..."

I think you mean PACs or 'premature atrial complexes', some call it premature atrial contractions. They are benign unless they adversely affect your mood and sense of well-being, and unless their 'burden' rises past about 100 events, or beats, in a 24 hour period. Atrial fibrillation's burden is excessive at 3%.

If what you meant is SVT, or supra-ventricular tachycardia, that's a whole nuther ball of wax, and it usually does take an ablation to get rid of it. Otherwise, it would involve rate control, meaning metoprolol, bisoprolol, diltiazem, or whatever your cardiologist prescribes. This does little to stop the SVT, but it should help to keep the rate down if your HR is high during SVT.

Provided the runs of either arrhythmia are short, and don't happen more than about once a day, they are, as I said, benign for the most part. They are unsettling, though, and they may indicate advanced cardiomyopathy or oncoming electrical disorder that will need more attention.

Please listen to your expert health care provider. They know more about you, and what else about you might mean another protocol entirely.