Atrial Fibrillation (AFib): How can I manage it?

Posted by fred66 @fred66, Jun 13, 2018

I have a fib.. all the time. No blocked arteries. Can't see a dr for 3 months..

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No one should go off any drug including metoprolol other with their doctor s guidance. Metoprolol controls your heart rate so it doesn' t go too high which is typical when go into AFib. so you need this drug to control the rate. Heart rhythm is a different story: that s where you use a drug (antiarrhythmic drug such as dofetilide)or procedure ( such as ablation) to control the rhythm to keep it regular instead of going into atrial fibrillation. Rate and rhythm are two components of your heart treated with different meds and/or procedures
respectively.

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@maryrohrer1

No one should go off any drug including metoprolol other with their doctor s guidance. Metoprolol controls your heart rate so it doesn' t go too high which is typical when go into AFib. so you need this drug to control the rate. Heart rhythm is a different story: that s where you use a drug (antiarrhythmic drug such as dofetilide)or procedure ( such as ablation) to control the rhythm to keep it regular instead of going into atrial fibrillation. Rate and rhythm are two components of your heart treated with different meds and/or procedures
respectively.

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I take metoprolol tartrate to control a non-sustained ventricular arrythmia (as per my cardiologist). I do not have atrial fibrillation nor do I have high blood pressure. I actually have more than one type of arrythmia. I have been on metoprolol (12.5mg×2) for 4 years. It works well for me (so far). Betablockers are often used to control arrythmias.

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@predictable

Hi, Fred. Finally got back from the doctor's office; my blood test was good -- recovery to good coagulation was documented! Glad to know a bit more about your situation and what worries you.

I share enlarged heart with you, even the thickening of the heart muscle on the side, which is better than on the point. I hope that yours, like mine, doesn't even warrant an EF test -- a measurement of the "ejection fraction" of the amount of blood that is pumped out of your heart every second or so. For me, a trip to the hospital (especially the emergency room) has not seemed necessary despite sweating, anxiety, and shortness of breath. Your anxiety prompts me to ask what you can pass along about your medication. Some common meds trigger anxieties, but anxieties also are a normal reaction when an organ puts out some strange movements or pain.

It would be good idea to have a talk with your cardiologist about your symptoms and, in particular, what symptoms might be risky enough to warrant a trip to the hospital. I hope you can call the cardiologist and have a brief discussion on these points, but if not, I hope you can find another physician or medical care organization to check you out.

Here at Mayo Connect, we're not equipped to give specific medical advice, because we're patients with some experience but neither trained medical experts nor able to imagine your problems without direct examination. Can we help you find a path to a medical team that would ease your concerns and give you a good picture of your status? Martin

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Does anyone know what the "normal" EF percentage is? At what % should it be a concern?

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@sue225

I take metoprolol tartrate to control a non-sustained ventricular arrythmia (as per my cardiologist). I do not have atrial fibrillation nor do I have high blood pressure. I actually have more than one type of arrythmia. I have been on metoprolol (12.5mg×2) for 4 years. It works well for me (so far). Betablockers are often used to control arrythmias.

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I had been taking the same meds dosage and frequency. I suffered an esophageal spasam; could not breath at all. Got my first trip on a gurney! I found out this was one of the possible side effects of metoprolol tartrate. I had been taking this med for a long time without incident. Just be aware a very scary episode.

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@jfperrone

I had been taking the same meds dosage and frequency. I suffered an esophageal spasam; could not breath at all. Got my first trip on a gurney! I found out this was one of the possible side effects of metoprolol tartrate. I had been taking this med for a long time without incident. Just be aware a very scary episode.

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I had similar effects from what we suspected was an attack by the virus. Wife had problems about a week.earlier after playing with an affected person earlier in February before virus was known to be here

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@jfperrone

Does anyone know what the "normal" EF percentage is? At what % should it be a concern?

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Believe should be about 60%. ?

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Am 68 and have had afib for long time! Cardiologist not concerned as it’s not constant! Research supplements like fish oil, coq10

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@wilcy

Am 68 and have had afib for long time! Cardiologist not concerned as it’s not constant! Research supplements like fish oil, coq10

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That depends upon how long or often it occurs. You should have a 24 hour monitor to see if there are any other arrythnias. Chronic AFIB can cause a clot do develop in the atrium...you need an echo. If. you are having symptoms such as dizziness, palpitations or syncope (fainting). P.S. get a second opinion. Mayo cardiology is fantastic. I travelled theer to be evaluated for a cardiomyopathy.. You are in good hands. I saw Dr Steve Omen. Be well

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@jfperrone

Does anyone know what the "normal" EF percentage is? At what % should it be a concern?

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@jfperrone hi I just noticed your question on ef and even tho I didn't have afib i did have a low ef for many years. My old heart was enlarged and I suffered with Ventricular tachycardia I had an ef as low as 5 % at the beginning and got as high as 50 % at it's best. What I was told was for my age 50 was a good number I was in my mid 50's. Clinically you are diagnosed with Congestive heart failure at 30 % or CHF for short. So I hope that helps with your question but as others have said we are just patients not doctors and can only tell you what we experienced. I will say that 60 % sounds like a good number for normal since my Heart transplant my new heart is in the 60's.
I hope you have a blessed day
Dana

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'just diagnosed with afib. I was put on eliquis and metoprolol. What has your experience been? Can metoprolol cause hair thinning? (25mg 2x day)

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