Arrhythmia and Prep for Colonoscopy

Posted by ajnewyork @ajnewyork, Aug 24 2:24pm

I'm wondering if anyone has any experience with colonoscopy prep prescriptions causing abnormal heart rhythms.

I developed atrial flutter in early 2021 and have since had to have two ablations and one pacemaker implantation to correct symptomatic bradycardia. Between the procedures, I have had episodes of tachycardia, some lasting for days. Symptoms have been mostly under control for the past two months through taking a low dose of metoprolol succinate.

I've scheduled a colonoscopy and my cardiologist's office has provided a detailed medical history to the gastroenterologist who will perform it (in a hospital). I've just noticed that the prep prescription ordered by the gastroenterologist lists abnormal heart beats as a "rare" side effect and mentions (in bold) that people with heart problems are more likely to have them.

Of course, I'll consult with both of my doctors, but if anyone has any experience that they could share, I'd be grateful. I did a little web research and it appears that other preps have the same or a similar listing.

Thanks so much.

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

AJ, I'll reply because I am an arrhythmia patient myself, no pacemaker but 5 ablations and rhythm control with Amiodarone for periodic a-fib and PVCs. I just had a colonoscopy two weeks ago and my gastro dr. and I briefly discussed the chance for arrhythmias to arise during or after the procedure. It so happened that I had a run of PVCs going the morning of the procedure, and still had them later that day, but that was my normal pattern. There were NO changes caused by the procedure.

If you are on blood thinning medication, check with your cardiologist/EP to find out whether it's okay to hold off that medication for a few days before the procedure, which is what the gastroenterologist requires. I was okay to hold Eliquis for 5 days before the procedure, and resume it immediately afterward.

It's good that you are inquiring and following up with your physicians. I am sure you will be just fine.

Jennifer

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Yes I was on heart medication for Afib and Aflutter and I was also concerned. I talked to my doctors because I needed to get colonoscopy and also read all the side effects. All turned out fine.

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@jenrev

AJ, I'll reply because I am an arrhythmia patient myself, no pacemaker but 5 ablations and rhythm control with Amiodarone for periodic a-fib and PVCs. I just had a colonoscopy two weeks ago and my gastro dr. and I briefly discussed the chance for arrhythmias to arise during or after the procedure. It so happened that I had a run of PVCs going the morning of the procedure, and still had them later that day, but that was my normal pattern. There were NO changes caused by the procedure.

If you are on blood thinning medication, check with your cardiologist/EP to find out whether it's okay to hold off that medication for a few days before the procedure, which is what the gastroenterologist requires. I was okay to hold Eliquis for 5 days before the procedure, and resume it immediately afterward.

It's good that you are inquiring and following up with your physicians. I am sure you will be just fine.

Jennifer

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Jennifer, thank you so much for replying to my post and I apologize for not acknowledging it earlier (I wasn't aware of any notification from the system that anyone had responded). It is reassuring to hear that your procedure went well and that there were no complications. I canceled the upcoming procedure but will reschedule it. Thanks again.

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@lorettabesser

Yes I was on heart medication for Afib and Aflutter and I was also concerned. I talked to my doctors because I needed to get colonoscopy and also read all the side effects. All turned out fine.

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Thank you so much for letting me know this and again my apologies for my late reply. I'm really glad it all turned out fine and am encouraged by it!

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I have paroxysmal Afib (no ablation as of yet). I take Metoprolol and Eliquis. Last fall I had a colonoscopy. My Cardiologist told me to stop the Eliquis for 3 days prior to the Colonoscopy and to start it back in the evening after the procedure. I had no difficulties with the Colonoscopy although the GI doc did say I had been in Afib briefly during the procedure. All went well and I have no reservations about having another Colonoscopy in 4 years as recommended. Anxiety is the enemy of all Afibbers. Take heart and good luck to you. Ann

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