Meds to stop Afib

Posted by phillipdobrien @phillipdobrien, Sep 9, 2023

A 75 year old woman I know says she takes meds that stop her Afib. She may be talking about Metoprolol or something like it which I don't believe stop Afib. Are there actually meds that stop Afib. I take Eliquis to help avoid a stroke nut I haven't heard of meds that stop Afib. I would love to know if there are.

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It CAN BE bad. The medical profession will advise you, prior to a MIBI stress test, to abstain from any tea, coffee, alcohol, chocolate, and added is that even decaf still has some residual caffeine that can affect the test results. In fact, tea also contains theobromine, which is also a stimulant, but I don't really know if some or all of that is removed during the decaffeination. I have never looked for the answer.

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@joaf37

I saw your comment about your triggers and thought this might add further value or insight. I am still a patient of Mayo and have been for years but go to Vanderbilt in Nashville, TN for "routine" cardio care) because of proximity to the city where I live now per my job. Initially within 4 appointments, they did the correct tests (which Mayo had always done and local MDs had not) , identified that I had Afib, discovered that I had had a heart attack in the past (which was and still is a shock) and recommended a cardioversion which I did. Per your message the fist thing following the cardioversion was to immediately give up alcohol, anything with caffeine and all chocolate for 30 days. Then there's a re-test. Bingo per your comments above ! I was advised to do that permanently and did so immediately. It was extremely difficult and still is. Giving up wine having lived in California for years and someone who enjoyed wine in cooking with meals and the like was in the "yikes" category. Add to that chocolate and all these drinks with caffeine (and decaf) ... I admittedly was a diet coke addict. Decaffeinated drinks are tough to find. I hope this adds value ... glad I just discovered Mayo Connect recently to see experiences of others.

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It was a rough 10 days to decaffeinate. Try A&W root beer- no caffeine.

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@shoshin

To your wonderful book suggestion, I would add that of now-deceased (in 2022 after a long bout with pancreatic cancer) cardiologist Dr. Stephen Sinatra's "The Sinatra Solution: New Hope for Preventing & Treating Heart Disease" (see: https://www.rejuvenation-science.com/sinatra-solution).

The Sinatra Metabolic Heart Protocol forms the basis of my extensive lifestyle & supplementation regimen that has contributed to a substantial reduction in my measured Atrial Fibrillation Burden (which now consistently measures below the clinically significant 11% threshold).

Note: I take no synthetic or pharmaceutical compounds...to address any of my post-acute autoimmune myocarditis (including the heart arrhythmias) & other Long Vax symptoms, which include a debilitating suite of G.I. symptoms, dysautonomia, abnormal blood clotting, & mast cell activation syndrome--among others.

Although deceased, Dr. Sinatra's Web site is still up & running & I periodically visit it to read & re-read his wonderful Blog posts, including one he wrote just before he died...on the subject of the escalating rates of acute myocarditis following vaccination with the Covid-19 mRNA 'vaccines.' These are readable, non-technical Blog posts that often provide information & insight...that can be further pursued--or even referenced through a literature search using PubMed.

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Appreciated your comments and the referral to the Sinatra web site. Will check that out today.

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@nancymulloy

Decaf is also bad??

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Per your decaf question and very helpful comments: The advice on the caffeine/decaf was not specific. I dropped both. However, being so restricted in what I could drink I did try some decaf green tea recently and was surprised at how it affected me .. negatively and it was fairly quickly. I've concluded when there are few dietary restrictions overall I was not aware of how any one food would affect me. It's been an eye opener.

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@obdoc2001

It was a rough 10 days to decaffeinate. Try A&W root beer- no caffeine.

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I may have replied to this twice ... thanks for the tip -- much appreciated!

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@joaf37

Per your decaf question and very helpful comments: The advice on the caffeine/decaf was not specific. I dropped both. However, being so restricted in what I could drink I did try some decaf green tea recently and was surprised at how it affected me .. negatively and it was fairly quickly. I've concluded when there are few dietary restrictions overall I was not aware of how any one food would affect me. It's been an eye opener.

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Thank you. I’ll watch my decaf coffee intake now

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I have never been a coffe person but found the Mocha.. i only do half a satchet now from Aldi (Alcafe) is amazing.... half a satchet only contains i think 2 mg's of coffee .... if i have a full one geez i notice a huge difference in my heart. I have electrical problems and on medication for 17,000 ectopic heart thuds a day that came after my 3rd Covid vax. It is called cordilox 180mg. i used to have 80gm twice a day and wasn't helping but having started this slightly higher version at night finally i have found a difference in my heart. hopefully that helps someone here take care everyone

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I'm pretty sure nothing stops it except an ablation. I had mine in April 2022 and have not experienced any abnormal heart rhythm since. She's probably talking about heart rhythm control..

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@koleke

I'm pretty sure nothing stops it except an ablation. I had mine in April 2022 and have not experienced any abnormal heart rhythm since. She's probably talking about heart rhythm control..

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Tikosyn (dofetilide) stops it for me. I don't think I would ever want an ablation since they don't seem to last. Been happy with Tikosyn for the past 8+ years.

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Whatever works, don't break it! Or fix it. That said, neither drugs nor ablation seem to be the final 'fix' for atrial fibrillation, not in quite a number of cases. It's not readily apparent to me what the numbers are, but if you google the question about AF's progressive nature, and ask google for the apparent success of ablations over cases over time, a great many require novel approaches or to be re-ablated after a few years. I don't know that this is necessarily a bad thing since ablation, and drugs, don't offer to 'fix' the electrophysiology of a wonky heart. Instead, they offer management. Ablation doesn't stop the AV node re-entrant circuits; it just blocks those impulses from entering the endothelium of the atrium and causing the ectopic/mistimed beats. If my heart could be returned to its non-ablated state, it would immediately resume fibrillating. That problem hasn't changed. And the empirical evidence suggests strongly that the process of electrical disorder continues, which is why so many ablatees require a second or a third ablation in time. Similarly, the drug doses seem to rise, or eventually they don't work any longer and another drug is substituted.
The previous poster has done well (no hard feelings.. 🙂 ), and it should encourage us that a great many also go long spells with just a pill. Great to see, personally. But, I know of several people who have had several ablations until one finally provided the relief they sought. Thankfully, one has not had repeat AF for over four years, while another is an unfortunate mess and finally had to have a pacemaker installed. She practically lived in an ER this past year.
I hope I don't come across as pessimistic. I am free of AF seven months now, and my heart seems to be steady, even when climbing a long flight of steps oceanside nearby. Over 250 of them with a pitch near 1/3. The previous poster is doing swimmingly, and good for that person. Optimism is what I prescribe, and aggressive pursuit of competent care. Don't take it lying down!!

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