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Afib with Rapid Ventricular Response

Heart Rhythm Conditions | Last Active: May 21, 2019 | Replies (30)

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@lisalucier

Hi, @soliloquized. Welcome to Mayo Clinic Connect. Sounds like you have been through a lot over your lifetime related to your heart.

Though we are not medical professionals, I'd like to call in some of our members who've talked about atrial fibrillation for any thoughts they may offer related to your rapid ventricular rate and whether it may be common with afib, like @kenny48 @cynaburst @hopeful33250 @menotpvcs @kancha.

Meanwhile, I'd like to offer some Mayo Clinic information on atrial fibrillation https://www.mayoclinic.org/diseases-conditions/atrial-fibrillation/symptoms-causes/syc-20350624.

How are you feeling about the potential one-time shock conversion and the sotalol your cardiologist is discussing?

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Replies to "Hi, @soliloquized. Welcome to Mayo Clinic Connect. Sounds like you have been through a lot over..."

I trust him. He spoke with my family doctor on the phone while I was standing there, and called the University of Pittsburgh and spoke to a Pharm-D pharmacist while I was there, too, about medication conflicts. I watched a video on YouTube of a man given that procedure, but apparently he wasn't sedated, it wasn't nice to see but was over in an instant. My family doctor said it was probably an Emergency Room visit. When I was in the ER after my hospital stay, but at the hospital my cardiologist has privileges and is part of my care, the ER Cardiologist said they do Electro Conversions in the ER for patients that were in sinus rhythm but have problems going back into afib. He says they can tell the doctor the exact time it happened (afib).

I went to school to be a pharmacy technician, just basic stuff, but never worked in the field, I do read drug literature quite a bit and understand some. At a peak number of PVCs, historically, I was having 5 PVCs per minute, 24/7 for a few months. My PVCs kept me from drinking, from smoking, from doing drugs (I never tried illicit drugs, it's extrapolated from not being able to take many OTC drugs for colds, etc. LOL).

I have a Vagal component to my PVCs, at one time, in the evening, years ago, everytime I swallowed, I'd get a PVC. It was documented but not thought a concern. Now, when I eat, my afib goes nuts, mostly lunch and later. My cardiologist wants me to lose weight, I'm down 15 lbs from refraining from eating and eating less because the afib feeling displeasures me more than not eating. I'm amazed by the PVCs I'm getting with this afib that are followed in seconds by stomach or intestinal turbulence, and this plays out over and over.

I'm not woken up by it, in fact I woke a few days ago and thought I was in sinus rhythm, but soon the jumping around started. I did wake (not due to my heart though) a few nights ago, heart rate was near 100, almost went to the hospital, this is still new to me, but I took a small amount of Metoprolol more, my family doctor is aware and OK with it and it settled down.

Anyway, I'll see the cardiologist early this week, I'll have questions for him too.

Thanks much.