New to group, wanted to share my arrhythmia story.

Posted by dcshannon @dcshannon, 18 hours ago

Hi, I am glad I found this group, as its interesting when doctors rarely tell you who to talk to to share stores, offer help, encouragement or where to ask for help outside a clinical setting.

Well, lets see...I am 55 now and I was officially diagnosed with PCVs, atrial flutter and supraventricular tachycardia in January 2021. I started having heart issues in October of 2019, with no obvious trigger. Except I was a sugar addict and had an extremely high-stress career.

So after an ER visit with pcvs and an extended 3-4 heart rate of 160bpm, the doctors said...oh you're fine. It did calm down as they did nothing to fix it in the ER. That week, I saw my primary doc, who advised me to take Lexapro. I eagerly and happily gobbled it up. But after about a month of minor arrhythmia, I developed akathisia. Didn't sleep much for almost a month. And the palpitations went nuclear during this time.

Suffice it to say, my quality of life was poor and thought I should end it. But Thanksgiving day I was able to talk to an emergency psychiatrist and they said "get off it now"...but do it slow. I did not. I went cold turkey. As you can guess, the palpitations got worse, and I had some memory loss because of the abrupt change. I saw no alternative.

Anyhow, weeks passed and I started to feel much much better. Now off of the Lexapro and trying to re-coup some memories, my doctor thought it would be a good idea to put me on Xanax. In my stupor, I gobbled that up too. This went on for about 6-8 months of arrhythmia problems, anxiety (induced in part by larger and larger does of benzos). They put me on Xanax, valium and klonopin. I became very dependent and pleaded with my doctor to help me get off of it.

Meanwhile the arrhythmia did not improve. In July of 2020 my doctor thought to give me 150mg of metoprolol. I ended up in the ER with a resting HR of 38. Thought that was the end. I reduced it to 50 of the next few days and felt better, but no improvement on the PVCS. I was getting 6-10K a day.

The constant adrenaline surges were insane. I wanted to run marathons, but all I wanted to do instead was sleep, which was extremely challenging. Eventually, I learned to live with it, except it made my depression worse, feeling that it will never stop.

Eventually got an appointment with a cardiologist in October of 2020, who adjusted my meds and got me into an EXCELLENT electrophysiologist. He did all the tests. The worst was the stress test where they pump you up with drugs and get your heart rate up without exercise. Had to have the "antidote" to correct it.

Anyhow, got the official diagnosis, and unfortunately I was NOT a candidate for ablation, as he said, your arrhythmia is very hard to know exactly which node is activating it. But gave me flecainide with does an excellent job of controlling 99% of the issues.

I still have breakthroughs as he said I would, and they usually happen when I am most stressed or sick. I have had 3 bad breakthroughs this year lasting a few days to a couple weeks at a time.

They do shut me down sometimes, but I try to keep on keeping on. But as many of you have talked about, the adrenaline surprise surges are the absolute worst. I try to lean into them most of the time and realize...I have had these. They won't kill me. Help is close by. I am safe.

I keep repeating that, and it does help. I do a lot of distractions to help. It helps maybe 50-60% of the time.

But there are days, where I am useless to the world and feel like I am never going to get better. There are more days though where things are awesome. We still travel, I have taken up new hobbies and went back to college to get my archaeology degree. (Even though I can't do the physical part, I still write).

I don't and can't hold a "regular" job as I have too many accommodations. So I am my own boss, set my own hours.

But ultimately, I think it's the lack of control and knowing how to accept that.

I try all the techniques to stop them, vagus nerve stuff, supplements, breathing, meditation. Nothing helps stop them in their tracks. Just time. For whatever reason, when the breakthroughs start, they just have to run their course. And the more I learn about viruses, specifically covid/long covid and EBV re-activation and the role of inflammation, the more it makes sense for what is happening to me.

I have learned how much inflammation can affect the heart and cause irritation/agitation and how to control "some" of that with food, no alcohol, caffeine, wheat, chocolate (sad face) and too much sugar.

Anyhow, that is long. I hope that helps, that we are not alone in this.

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

From your history and your writing of it, sounds like you had the pedal to the metal for too long, and your heart didn't like it. Reading your story got my heart racing. I wish you could do something to flip the switch back to normal. The longer you can stay calm and balanced (tai chi or yoga?) in both body and mind, the greater the chance that your heart will forgive you.
I am truly sorry if I am way off base here, but this is long distance and anonymous. My alternative was to withhold my thoughts, which might not have been helpful😕.

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Thanks for you comprehensive introduction and all that sharing. I have nothing to offer since you have good care, but I would urge you, strongly, to seek at least one more consultation with a different EP. I know there are scads of great, top tier, EPs who specialize in complex cases, which you appear to be.

If you have the energy, motivation, and the resources to travel some, I can suggest two that I know of (not personally, not as a patient) who are highly regarded in the field. The first is Dr. Andrea Natale at the Texas Cardiac Arrhythmia Institute in Austin (call and ask for Norma, his personal assistant and scheduler). He was trained by Dr. Pierre Jais in Bordeaux, France...the great guru of modern electrophysiology. Natale travels and has privileges in at least half a dozen hospitals in the USA where he does catheter ablations. The other is Dr. Pasquale Santangeli at Cleveland Clinic.

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I am absolutely shocked at your story. I can't imagine getting a Lexapro to manage a clearly described cardiac arrhythmia. The drug is usually an additive for treating MDD (major depressive disorder) and has black box warnings all over the place. In my humble opinion, from what I have read and heard from doctors, the longer the A-fib "survives" or "resurfaces" the harder it is to treat as it "spreads" and grows more aggressive with time. The message from some docs regarding A-fib: "it's very common and it won't kill you" is also not helpful. I am one year into this diagnosis and I am getting an ablation ASAP: I have very limited out breaks and I want it contained. I am much older than you, but my quality of life is what I care about. It isn't the time of my life, it is the life in the time I have that is important to me. Good luck, and I agree with others here--get a second opinion!

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Profile picture for shmerdloff @shmerdloff

From your history and your writing of it, sounds like you had the pedal to the metal for too long, and your heart didn't like it. Reading your story got my heart racing. I wish you could do something to flip the switch back to normal. The longer you can stay calm and balanced (tai chi or yoga?) in both body and mind, the greater the chance that your heart will forgive you.
I am truly sorry if I am way off base here, but this is long distance and anonymous. My alternative was to withhold my thoughts, which might not have been helpful😕.

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@shmerdloff You are absolutely right. No doctor ever told me, but I am certain the high stress of an insane advertising job for 20 years and more caffeine and soda that I can even imagine is what did it and my heart said...no more. At my peak in 2018-2019 I was up to 8-12 sodas a days. Surprisingly, I have ever only had one cavity. And ironically...no diabetes. A1C is higher now with all the changes than it was drinking sodas (calculated at my height of about 400g of sugar a day). Yay! So there is some strong evidence.

But yes, you are not off base...I have altered my life drastically. Lifestyle, weight, food, meditation, low-stress environment, job. I have not done tai chi or yoga, but I should. I do archery, which is my zen. But even with all that, they still break through.

I appreciate the thoughts and everything is helpful.

REPLY
Profile picture for gloaming @gloaming

Thanks for you comprehensive introduction and all that sharing. I have nothing to offer since you have good care, but I would urge you, strongly, to seek at least one more consultation with a different EP. I know there are scads of great, top tier, EPs who specialize in complex cases, which you appear to be.

If you have the energy, motivation, and the resources to travel some, I can suggest two that I know of (not personally, not as a patient) who are highly regarded in the field. The first is Dr. Andrea Natale at the Texas Cardiac Arrhythmia Institute in Austin (call and ask for Norma, his personal assistant and scheduler). He was trained by Dr. Pierre Jais in Bordeaux, France...the great guru of modern electrophysiology. Natale travels and has privileges in at least half a dozen hospitals in the USA where he does catheter ablations. The other is Dr. Pasquale Santangeli at Cleveland Clinic.

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@gloaming Thank you so much for the resources. I will look them up and see what additional options I have.

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Profile picture for sjm46 @sjm46

I am absolutely shocked at your story. I can't imagine getting a Lexapro to manage a clearly described cardiac arrhythmia. The drug is usually an additive for treating MDD (major depressive disorder) and has black box warnings all over the place. In my humble opinion, from what I have read and heard from doctors, the longer the A-fib "survives" or "resurfaces" the harder it is to treat as it "spreads" and grows more aggressive with time. The message from some docs regarding A-fib: "it's very common and it won't kill you" is also not helpful. I am one year into this diagnosis and I am getting an ablation ASAP: I have very limited out breaks and I want it contained. I am much older than you, but my quality of life is what I care about. It isn't the time of my life, it is the life in the time I have that is important to me. Good luck, and I agree with others here--get a second opinion!

Jump to this post

@sjm46 Thank you, yes suffice it to say I no longer see that doctor. That's exactly right as I told the doctor at the time, I am not depressed, just looking for whatever helps. I was naive, and eager and I think when we get in vulnerable states, we just want it to stop however that happens. It took me years to be my own advocate, ask questions, bring research papers with me. Some doctors like that...some hate it.

I have been called Dr. Google, on more than one occasion, where I quickly inform them of my sources and provide the documentation. Those doctors don't get a re-visit.

Anyhooo...yes, that is what I have heard as well that it can get worse over time. If my EP said I could get an ablation, I probably would.

I hope the ablation fixes it for you. I have had friends that have had them and most of the time they work perfectly.

You could not have said it any better: "It isn't the time of my life, it is the life in the time I have that is important to me." That is very powerful, thank you and I will have to tuck that into a pocket in my brain.

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Profile picture for dcshannon @dcshannon

@shmerdloff You are absolutely right. No doctor ever told me, but I am certain the high stress of an insane advertising job for 20 years and more caffeine and soda that I can even imagine is what did it and my heart said...no more. At my peak in 2018-2019 I was up to 8-12 sodas a days. Surprisingly, I have ever only had one cavity. And ironically...no diabetes. A1C is higher now with all the changes than it was drinking sodas (calculated at my height of about 400g of sugar a day). Yay! So there is some strong evidence.

But yes, you are not off base...I have altered my life drastically. Lifestyle, weight, food, meditation, low-stress environment, job. I have not done tai chi or yoga, but I should. I do archery, which is my zen. But even with all that, they still break through.

I appreciate the thoughts and everything is helpful.

Jump to this post

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