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breeves5 avatar

High heart rate desperate medication

Heart & Blood Health | Last Active: 3 hours ago | Replies (2)

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Profile picture for gloaming @gloaming

I don't think you are wearing your heart out, but it sounds like you might be wearing you out. 😀

Has POTS been mentioned....and ruled out?
https://www.health.harvard.edu/heart-health/this-unusual-syndrome-causes-your-heart-to-race-when-you-stand-up
Diltiazem is pretty good and widely prescribed. So is propafenone if flecainide had been tried and didn't work (is there an underlying arrhythmia? Is this why the flecainide?)

How about bisoprolol? Carvedilol?

This is heavy reading, but doable if you steel yourself and just have at it.
https://www.tandfonline.com/doi/full/10.1080/03007995.2024.2318058

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Replies to "I don't think you are wearing your heart out, but it sounds like you might be..."

@gloaming Thanks so much!! 🙂 I have inappropriate sinus tachycardia, but no arrhythmia so not sure why my EP tried it. Are flecanide and propafenone supposed to lower heart rate? They do believe I have POTS, but even with the diagnosis Im not sure how that helps unless there’s different medications maybe? I’m trying nebivolol now but I think it’s making me short of breath. I think it’s most cardioselective but I haven’t heard of carvedilol. Thanks!