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Had everything including a heart catheterization still multiple PVCs
I just spent three days in the hospital ended up getting a heart catheterization The doctor said you could drive a truck through my arteries. He wanted me on 50 mg of Metropol. The problem is with 50 mg of Metropol. My heart rate drops into the low 50s and makes me feel crappy plus it bottoms out my blood pressure at around 110/55. Anybody else gone through this it’s really driving me nuts.
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Almost all metoprolol users experience some degradation of energy, and it is due to the very property it was prescribed to impart. When in tachyarrhythmia, it works okay....small 'o' okay, at least for me (it's the only experience on which I can call). Others say it works well for them. Some complain about unwanted characteristics of its therapy, while others don't. In my case, it put me into long pauses, so long that the ER nurse came running in to find me chatting with my wife. She held her two forefingers about eight inches apart and said they'd watched my heart stop for 'that long' on their monitor.
If this treatment is sufficiently annoying or worrying that you'd like it addressed, I would take it up with my cardiologist. Maybe he/she would want you to back off on the intake, say to 25 mg daily, spread over two doses. It's not as if no patients of theirs has ever responded too much and that they need an adjusted dose.
Curious that your catheterization revealed wide open coronary arteries (meaning no blockages), and your doctor prescribed Metoprolol. Given that it's a heart rate medication, it's possible your doctor has prescribed Metoprolol to address another heart issue? You may want to have a discussion with your doctor.
My Doctors write up :
Left Main Normal. Left Anterior Descending PROXIMAL: Normal MID: Normal with moderate myocardial bridging DISTAL: Normal DIAGONAL BRANCH: Normal Left Circumflex CIRCUMFLEX PROPER: Normal. Non-dominant. OM(1): Normal OM(2): Normal Right Coronary artery Normal. Dominant. PDA: Normal PL: Normal Left Ventricle EF: 60-65% Aortic Pressure: 116/62mmHg LVEDP: 15mmHg
In his summation, he says very clearly Metropol for PVCs because my PVCs become far more aggravated with heart rate increase. I go from one maybe two every hour to 10+ per minute when my heart rate goes above 90.
Unfortunately, on a hotlter my burden never went above 4%
The metoprolol had been prescribed as a rate control medication when I saw a cardiologist for the first time after a formal (ER) diagnosis of paroxysmal AF about three months earlier. Then, three years went by before I was given the angiogram, and that was to rule out ischemia as the cause of my AF. Had they found significant blockages, the EP would have declined to ablate me as his efforts would probably have been successful for only months, if at all. So, a waste of resources on a badly diseased heart. Fortunately, I was given a thumb up by the surgeon manipulating the catheter in my arm. My guess is that it's standard to give bisoprolol, metoprolol, or diltiazem to AF patients to keep a lid on their hearts IF they do go into AF now and then.
Sounds like a thoughtful guess, still probably best for the patient in question to get a more definitive answer from the doctor.
Certainly, the person's doctor is really the only authority.