Tachycardia

I have tachycardia with POTS.
I couldn’t tolerate Midrdine or Fludrocortisone - my doc will keep trying different meds…
Good luck and don’t give up trying!

Have you had an echo? I had a preop echocardiogram and they found HOCM.

I have had a couple echos latest one was probably 3 years ago. They all come back normal.

I just can’t handle the constant worrying and the always feeling like crap.

@fastheart12
Are you seeing a cardiologist only? If you are do you have the ability to get an appointment with a Electrophysiologist (EP). They specialize in electrical functions of the heart. They are eperts in dealing with PACs, PVCs, and electrical issues of your heart.

I would try to get an appointment with one it made a real difference in my treatments.

Also, has anyone address the worrying you are doing and the stress it causes. Have your cardiologist talked to you about the role of stress, worry, anxiety, has on compounding the problem with PACs, PVCs, irregular heart beasts, etc. If not asked them and advise you are really worry about them.

I asked to be referred to a electrophysiologist but my cardiologist just said that there is not anything different they would do for me. I am going to see my primary today so I will see if she has any suggestions and I will mention to her about a EP. I have been in anxiety medication for years now. They help, but it doesn’t stop the feeling of being sick all the time. They have made the panic attacks less and when I have an episode they are more manageable.

Hi
Well in stopping Bisoprolol a BB my pro-BNP went down from 189 to 1.3 on half and 79 on stopping it.
Some meds like BBs can push up the stress lovel of your heart.
Check it out, I say first to see of meds are causing the anxiety.
cheri JOY

I am unable to take beta blockers due to the fact the when they tried metoprolol my BP went really low, and it made my PVCs increase.

@fastheart12
Asked your primary care to refer you to a EP.

A regular cardiologist are very good but an EP are experts on electrical functions of heart.

How about seeing a mental health counselor? Do you have access to psychiatric or psychology medication specialist? They can really look at all medications you are on see if anything is causing your side affects and then find a medication that works for you.

Also I know you probably have heard this but trying to find something you like to do with also help with anxiety, stress, which lead up to panic attacks. Has anyone gone over what causes panic attacks with you. The only fight or flight response to anxiety, stress, worry releases adrenaline so you can fight or flight. In todays world we don't do that so that adrenaline builts up in body. It can only take so much and then has to release it "Panic Attact."

My psychiatric medication specialist went over this with me when I went through PTSD diagnosis that evolved into a anxiety/panic disorder.

Most specialist will also discuss with you lifestyle changes. Finding and exercise (with doctor permission) or a hobby that you would like to do or have done in past. They occupy your mind off this and hopefully you can enjoy the activity.

Regarding your medications have your doctors gone over them recently to see if still the ones you should take and or the dosage? Things change, additional medical and mental issues can come up and other medications can affect what you are taking.

I self referred myself to my Mayo EP at Jacksonville Florida. My regular cardiologist wanted to get a ICD device but when I had my consultation at Mayo EP he wanted to do both a ICD and pacemaker to help with electrical issues in my heart.

I also so a heart failure doctor who speicalises in heart failure. He did not agree with the medications I was on and the dosage. He changed one and doubled the other. It is why if you can seeing a specialist in the field you are having issues is really highly beneficial.

And if they agree with your other doctors fine but at least knowing experts in that field agree with your treatments.

@tuckie
I know don't all have a major medical institution they can go to like me (Mayo Jacksonville).

You will see (and before I read your post) suggestion of did she have access to a psychiatric medication specialist to look over your medication to see if any are contributing to her anxiety and feelings.

People change and sometimes medications that worke or no problems now are a problem. Also taking a lot of medications really needs to be closely looked at by specialist.

When I needed a anxiety/depression medication my psychiatric medication specialist was concerned with what she wanted to prescribe as it was known to affect Q-waves in my heart so she coordinated with my electrophysioligist and heart failure doctor before recommending it to me. So you really need to look at any medications you are taking side affects as causing the issues you are having. Then if any medications are affecting other medications.

If you don't have a medication specialist like I have most of the time a pharmicist will go over all with you and give you information on side affects and contradictions of medications you are on. I know CVS offers this to customers and also at Mayo they offer this.