I'm having tachycardia issues

Posted by MGMolly @Erinmfs, Nov 23, 2021

Hi,

I'm new to this group, but not new to Connect. I'm having dizziness when I walk for exercise, and I've had tachycardia for quite some time, my doctor has ordered a heart monitor for 48 hours and an echocardiogram. I had my heart tested at Mayo in 2014, so in looking at my old records, I had tachycardia back then even! Is there anything I should know, and questions I should ask next week when I go in for this procedure?

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

@windyshores

@shoshin I drink a cup of low sodium V-8, which if full of potassium, which was recommended on an afib forum. I also take magnesium at night. I wonder if you have read anything about these.

My attacks are sporadic and have been widely spaced more recently so I really feel for all the posters here having continuous problems.

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Yes, minerals--including copper, potassium, magnesium, & calcium (generally no one should be taking calcium supplements: elevated calcium levels prove problematic in a number of ways), figure largely in healthy heart function.

For my part, I'd avoid V-8 because of its sodium content. A better solution: Coconut water (not from concentrate; Trader Joe's brand is excellent with good price/value). Coconut water features a good ratio of potassium to magnesium.

Magnesium supplementation (with magnesium taurate or glycinate) must be balanced against other mineral consumption. Too much magnesium supplementation, for example, has been observed to elevate heart rate (even into arrhythmia).

But all of this should be considered...only after blood testing (see what I recommend above)--& then discussed with either a registered dietician or naturopath (someone with pronounced interest/training in diet & other environmental factors in health)...or, I suppose, with your physician--if s/he is knowledgeable about the roles of diet--including supplementation, & other environmental factors in health, including heart health.

Note, however: Blood tests for copper are not generally useful & diagnostic (of anything. Copper shares complex relations with iron & zinc (which are beyond the ken of most physicians).

Most physicians default to prescribing...iron supplementation...even though most Americans consume a standard diet already heavy with iron additives/supplementation (heavy meat diet too), whether for sub-clinical or clinical anemia.

By the way: Both copper deficiency & anemia (including sub-clinical anemia) are associated with heart arrhythmias (e.g., atrial fibrillation).

That's the standard (in legacy clinical practice) recommendation; Take magnesium (either taurate or glycinate) in the evening. That's about as "progressive" as conventional/legacy medicine generally gets.

Instead of sodas or tea & other beverages, try drinking coconut water periodically throughout the day. Probably safe to take a magnesium taurate/glycinate supplement in the evening (500 mg).

For my part, after the blood tests & consultation with a naturopath, I began supplementing with copper (glycinate) & reduced my zinc supplementation (from 40 mg to 15 mg daily). In just 3 days my Atrial Fibrillation Burden (the percentage of time the heart spends in afib over any given measurement period)... decreased by 5% & now a week later is still dropping.

There are published data (from peer-reviewed studies) indicating that an Atrial Fibrillation Burden of 11% or higher is associated with a significant increase in the risk of stroke.

Note: The Apple Watch (I have Apple Watch 8) offers the capability of measuring either Atrial Fribrillation Burden or incident atrial fibrillation, which is very accurate & useful (FDA-approved). I strongly recommend all those interested in & concerned about their health/heart health to purchase an Apple watch 8, which also allows one to take a medical grade EKG--& export the EKG strip/reading to your health-care provider as a digital file. Garmin also offers a smartwatch, the Garmin Venu 2 Plus, that tracks heart function & takes a medical grade ECG (also FDA-approved).

I also have an in-home 24/7 EKG measuring device (Fourth Frontier 2x) that I wear both for continuous measurement (especially useful during sleep) & during fitness workouts (to insure that I do not over-exercise & strain my heart). This device/technology also features A.I./machine-learning software that assesses & learns from prior heart-performance data to provide information & guidance about how much strenuous activity, especially exercise or fitness activities, one should be doing (to ensure good cardiac conditioning & safety).

Afib Burden is increasingly regarded as a significant diagnostic metric (vs. whether or how frequently one experiences paroxysmal afib--let alone persistent or permanent afib). So knowing one's Atrial Fibrillation Burden would be important (for you & for your healthcare provider).

Stay safe & good luck!

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@shoshin

Yes, minerals--including copper, potassium, magnesium, & calcium (generally no one should be taking calcium supplements: elevated calcium levels prove problematic in a number of ways), figure largely in healthy heart function.

For my part, I'd avoid V-8 because of its sodium content. A better solution: Coconut water (not from concentrate; Trader Joe's brand is excellent with good price/value). Coconut water features a good ratio of potassium to magnesium.

Magnesium supplementation (with magnesium taurate or glycinate) must be balanced against other mineral consumption. Too much magnesium supplementation, for example, has been observed to elevate heart rate (even into arrhythmia).

But all of this should be considered...only after blood testing (see what I recommend above)--& then discussed with either a registered dietician or naturopath (someone with pronounced interest/training in diet & other environmental factors in health)...or, I suppose, with your physician--if s/he is knowledgeable about the roles of diet--including supplementation, & other environmental factors in health, including heart health.

Note, however: Blood tests for copper are not generally useful & diagnostic (of anything. Copper shares complex relations with iron & zinc (which are beyond the ken of most physicians).

Most physicians default to prescribing...iron supplementation...even though most Americans consume a standard diet already heavy with iron additives/supplementation (heavy meat diet too), whether for sub-clinical or clinical anemia.

By the way: Both copper deficiency & anemia (including sub-clinical anemia) are associated with heart arrhythmias (e.g., atrial fibrillation).

That's the standard (in legacy clinical practice) recommendation; Take magnesium (either taurate or glycinate) in the evening. That's about as "progressive" as conventional/legacy medicine generally gets.

Instead of sodas or tea & other beverages, try drinking coconut water periodically throughout the day. Probably safe to take a magnesium taurate/glycinate supplement in the evening (500 mg).

For my part, after the blood tests & consultation with a naturopath, I began supplementing with copper (glycinate) & reduced my zinc supplementation (from 40 mg to 15 mg daily). In just 3 days my Atrial Fibrillation Burden (the percentage of time the heart spends in afib over any given measurement period)... decreased by 5% & now a week later is still dropping.

There are published data (from peer-reviewed studies) indicating that an Atrial Fibrillation Burden of 11% or higher is associated with a significant increase in the risk of stroke.

Note: The Apple Watch (I have Apple Watch 8) offers the capability of measuring either Atrial Fribrillation Burden or incident atrial fibrillation, which is very accurate & useful (FDA-approved). I strongly recommend all those interested in & concerned about their health/heart health to purchase an Apple watch 8, which also allows one to take a medical grade EKG--& export the EKG strip/reading to your health-care provider as a digital file. Garmin also offers a smartwatch, the Garmin Venu 2 Plus, that tracks heart function & takes a medical grade ECG (also FDA-approved).

I also have an in-home 24/7 EKG measuring device (Fourth Frontier 2x) that I wear both for continuous measurement (especially useful during sleep) & during fitness workouts (to insure that I do not over-exercise & strain my heart). This device/technology also features A.I./machine-learning software that assesses & learns from prior heart-performance data to provide information & guidance about how much strenuous activity, especially exercise or fitness activities, one should be doing (to ensure good cardiac conditioning & safety).

Afib Burden is increasingly regarded as a significant diagnostic metric (vs. whether or how frequently one experiences paroxysmal afib--let alone persistent or permanent afib). So knowing one's Atrial Fibrillation Burden would be important (for you & for your healthcare provider).

Stay safe & good luck!

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@shosin I referred to low sodium V-8. It uses potassium instead of salt. The afib forum suggested this to me.

I have to take calcium for osteoporosis due to dairy allergy.

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@windyshores

@shosin I referred to low sodium V-8. It uses potassium instead of salt. The afib forum suggested this to me.

I have to take calcium for osteoporosis due to dairy allergy.

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I hear you--& I'd still favor coconut water over V-8.

And there's still the matter of calcium (supplementation) impairing iron absorption (by suppressing the action of ferroportin). Btw: Low-iron/sub-clinical/clinical anemia are associated with incident atrial fibrillation.

Cheers!

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@shoshin

I hear you--& I'd still favor coconut water over V-8.

And there's still the matter of calcium (supplementation) impairing iron absorption (by suppressing the action of ferroportin). Btw: Low-iron/sub-clinical/clinical anemia are associated with incident atrial fibrillation.

Cheers!

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I have now gone almost two years without an episode. I have never gone that long. I believe it may have been my cancer meds that caused the frequent attacks.

I have no choice on the calcium supplementation. My hemoglobin, and hematocrit, are fine. I take a B complex with folate daily too.

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@shoshin

If your physician has not already, he might--on your request, run a number of (indispensable) blood tests, namely, a general metabolic panel; CBC with differential & platelets; iron, TIBC, & Ferritin panel; & a full thyroid panel with TSH.

Most physicians--& certainly cardiologists, are completely unaware of--or under value, the role of diet (including supplementation) & blood nutrient levels...can & do play in heart function. For example, I've yet to meet an M.D. clinician who is aware of the role of...copper in heart rhythm. Copper deficiency (linked to levels of iron & zinc, which are complexly related) can cause...arrhythmia--& almost NEVER is diagnosed by physicians or cardiologists (they are quick, however, to prescribe or increasingly to recommend aggressive interventions like catheter ablation (which does NOT cure arrhythmia...but does generate about an $80,000 bill for an half-hour procedure).

And copper, iron, & zinc are only some of the many dietary & environmental factors that physicians might address & consider. Sleep position, for example, plays a role in heart arrhythmias too (when was the last time your physician/cardiologist asked you whether you sleep on your left or right sides or on your back--or face down? Never...would be my guess.

Yet there is a sizable scientific (peer-reviewed) literature (don't believe me: do a search on PubMed--it's open to the public)...suggesting that left-side sleepers are more inclined to experience...arrhythmias.

Net-net: There are so many environmental & even behavioral factors clinicians can & should consider & investigate...before proceeding with pharmaceutical and/or surgical interventions!

All the best & stay safe 🙂

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I have an appointment with my primary next friday i'm taking metoprolo a week I see very very little change how long does this take to work?

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@soapopera123

I have an appointment with my primary next friday i'm taking metoprolo a week I see very very little change how long does this take to work?

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A good reference for drug pharmacokinetics, onset of action, duration of effect, etc.--for Metropolol or any other drug: https://www.medicine.com/drug/metoprolol/hcp

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