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6 days ago · Weaning off Metoprolol in Heart Rhythm Conditions

Thanks much. I read a lot, but putting that info with my feelings of an Afib exacerbation is difficult for me to do, and local support groups seem to be a thing of the past in the age of the internet. Thanks again.

Sun, Oct 13 2:38pm · Weaning off Metoprolol in Heart Rhythm Conditions

Perhaps someone here, you, or others, can edify me about the feeling of afib. All summer long, I thought I was cured, well, the feelings in my chest were just about absent, but my pulse was often irregular. Afib (once diagnosed, no one should use this comment to self diagnose) produces an irregularly irregular heart rhythm.

Bigeminy, Trigeminy, etc., not from Afib, is a regularly irregular rhythm.

So, my most recent visit to the Internist, my family doctor, said I'm not always in afib, he said mine is Paroxysmal in nature, though he's never run an EKG. I had seen a Cardiologist he communicates well with, and the Cardiologist wanted to try one shock to restore the rhythm. That would have been a three day hospital stay, and I'd been started on Sotalol while being monitored, prior to the shock. But I have other health conditions, I'm not symptomatic, and I decided to wait it out, losing 25 lbs in the meantime.

I'm working hard around the house all summer. I was less symptomatic. I developed a leg infection (dry skin), fever, elevated heart rate, no afib symptoms. But now, colder days upon us, marginally cold, and periodically during the day, I feel the fluttering. Ventricular rate is made irregular by it, but still below 76 to 80, and when I'm relaxed, in the 60s.

But the fluttering is on my left side, a source of afib is the Pulmonary Veins; the only veins in the body that carry oxygen enriched blood; and they are in the left side of the heart.

When I developed afib last November, my heart was banging all over the place, in the hospital. No one was concerned. For a few months after discharge, it banged. But since then, mostly I haven't felt much inside. How many people often feel their afib as a fluttering, and when you do, where do you feel it, if at all.

Sat, Oct 12 12:59pm · Weaning off Metoprolol in Heart Rhythm Conditions

I worry about these posts misrepresenting metoprolol.

I take:

200 mg at 7:00 AM of Metoprolol Succinate, then 25 mg Metoprolol Tartrate in the afternoon, about 2:00 PM, then 150 mg of Metoprolol Succinate at about 8:00 PM.

I take 200 mg Phenytoin in the morning, and 300 mg Phenytoin (for seizures) in the evening.

75 mg Ranitidine in the evening.
20 mg Zocor in the evening.
Vitamin D3 in the morning.

If you read the drug monographs, I should be tired beyond belief, but here I am.

I was told by my cardiologist that I could take 400 mg (as 200 mg twice a day) of Metoprolol Succinate, and I'm sure stop the Tartrate, but it's working, why mess with it. My family doctor maintains my meds, and the afib. The cardiologist also said to lose 30 lbs, I've lost 25+ since he told me. And I don't routinely get exercise.

That it may affect some in more pronounced manners is a given, but people reading this thread may be put off wanting to take a medication that is likely beneficial to them.

Best regards….

Tue, Jun 25 4:52pm · Summer SAD in Depression & Anxiety

I was the usual Winter SAD sufferer. I started taking Vitamin D3 2000 IU (oral soft capsule) once a day, year round. I have several disorders, not related to SAD, but medications for one, seizures, can effect Vitamin D levels. Once I started taking one soft capsule per day, I stopped having the Winter SAD Symptoms.

I mentioned this to my neurologist, she ordered blood tests. She actually said she wanted to be sure I was taking enough, which I was.

The D3 I take is over-the-counter, i.e. non-prescription form. It has worked for me. I don't take other vitamins, I don't take Mega vitamins, and I avoid Vitamin enhanced drinks. Just a good diet and one Vitamin D3 per day.

Sat, Jun 8 1:51pm · Weaning off Metoprolol in Heart Rhythm Conditions

Life time of PVCs. On and off. One doctor offered anti arrhythmic drug, I declined because my situation technically wasn't dangerous. He switched me from Atenolol to Acebulolol, the PVC occurrence plummeted. All was well.

Incidentally, it was too much quality chocolate at Easter that started my worse episode of PVCs that lasted months, that was the cause of the PVCs above.

Years went by. The usual stuff, periodic tests, everything's OK. Last November, the afib started. They were going to do a Adenosine Stress Test, that would have been followed by a Heart Cath. My wife worked for a cardiologist that was not infrequently angry at these extra tests, he believed there is a group of doctors that get a cut of the insurance by doing needless tests. I told them no stress test, get rate controlled, anticoagulation in place, and I'll see my own doctors.

My cardiologist is very well known, he saw no reason for the stress test, neither did my family doctor, and, in a way, I had one. They withheld the Metoprolol, most of it, on the day of the stress test I refused. Having been told that I'd have an Echo Cardiogram the following morning after admission, here it is, three days later and still no test. So they sent me for one, prior to discharge, or so I thought. During my echo cardiogram, my heart rate was 160, I didn't even know that, but they refused to discharge. They finally gave me the full Metoprolol, I was discharged the following day, and they bumped it up more. My cardiologist bumped it up more still.

The Echo Cardiogram was normal, the same as one I had last year, except afib was now present. The same doctor, also very well known, interpreted both. But think, it was done with my heart at 160, I'd think I'd have chest pain if there was restriction, and there should have been additional changes in the EKG.

I'd rather have a normal rhythm, but converting, and maintaining it isn't without risk too. The literature on Sotalol says Highly Symptomatic patients should only use it, I'm not, at that point. Younger patient's are similarly given Sotalol, it's a quality of life thing.

I just read an article the other day, urging doctors not to over medicate Afib patients, the article cited 110 as a target heart rate, interesting yours said the same. I was used to mine in the 50s, I'm in the upper 60s at rest now. (Summer will probably be higher).

Sat, Jun 8 7:56am · Weaning off Metoprolol in Heart Rhythm Conditions

I'll have to give it a peek. We watch via the Roku, and for non-YouTube videos on other sites, often you can Video Cast them from the Tablet Computer through the Roku. It just sends the video address to the Roku, somehow, you can shut the tablet off once the video starts.

I get emotional about music. Not listening often, I could drive across the country and back and never turn on the radio. But when I listen, I listen to evocative stuff, some quite weird, some classical, a lot of Electronic music, but darn, my afib acts up then, too, short runs breaking through, not really runs per se, just faster than my resting heart rate at the time for several beats.

I went to get my PTINR taken for the Coumadin, and I got into an altercation with another driver, it took hours for my heart to settle down. But I'm talking resting Heart Rate in the 60s, and after the altercation, it was in the 80s, but before this all started, on medication, it was in the 50s.

Nightmare Neighbour Next Door, maybe tonight. If I remember, I'll take my heart rate before and during. LOL.


Sat, Jun 8 4:04am · Weaning off Metoprolol in Heart Rhythm Conditions

Sotacor mentioned is known by many as Sotalol, just a note for other readers. Strange how I've become more tolerant to physical exertion, but emotions seem to exacerbate my Afib. It all gets back to the AV node that controls the rate of signals passing from the top of the heart to the bottom. For those that can that are more physically fit have a naturally slower rate than those that aren't physically fit. And the AV Node is controlled by the Sympathetic and Parasympathetic Nervous System, so emotions can create the opportunity for a faster rate in people without Afib, governed by the SA Node, but in those of us with Afib, the Afib (fast Atrial Rate) makes it through the AV node more often and symptoms occur.

This still has me obsessed, a life time of periodic assaults by PVCs has made me hyper aware of my heart, I feel every variation (well, most at least) from normal. I had/have the chance to be converted, but reading the literature on Sotalol, something that was going to be used to prevent recurrence, it says only to be used in highly symptomatic patients and I'm not highly symptomatic. One Cardiologist that does ablation for Afib got to experience it for himself, and though he converted pharmacologically, he said some people have mild Afib and horrible symptoms and others have horrible afib and mild symptoms, he said it's an enigma, just unpredictable. Ugh.

Sat, Jun 8 3:37am · Weaning off Metoprolol in Heart Rhythm Conditions

Tylenol (acetaminophen) and paracetamol are exactly the same drug compound. Being a long time viewer of a plethora of British TV Shows over the years, and more recently began watching many YouTube shows from England, I'm accustomed to hearing it.

As well as:

Lorry for Truck – Bonnet for Vehicle Hood – Cooker for Stove – Digger for Backhoe – Torch for Flashlight – Lift for Elevator – and many more.

One thing my wife and I find fascinating is that for recipes, they use a scale and weigh the ingredients used rather than measure by volume. And the ovens aren't marked in Temperature, they have a numbering system, one show just yesterday placed bread in the oven and said to set it to #7. The husband asked his wife if she knew the temperature for American and other audiences, she did not.

And don't get me started on pronunciation, we have migraines, they have them too, but we say "Mi Grains" they "Me Grains".

If you want a wonderful break from the hectic life, and want to watch some shows on YouTube my wife and I find very restive, look for the shows on English Canal Boats, most are Narrow Boats, but long, 50 to 75 feet in length is common, and there are a series of Waterway Locks that are manipulated by the person or persons on the boats or by Canal Trust Volunteers. At one time pulled by horse, these modern boats are motorized, usually steered by a Till or Tiller at the Stern End, and some canals (England has a vast system of them) go through tunnels not much bigger than the Narrow Boat – one so small on a show we watched a few days ago that the Husband and Wife turned off the boat motor and pushed their 50 plus foot long boat through the tunnel by pressing against the tunnel ceiling with their hands. Many people live on these boats, and the shows are usually about that with video of their travels.

Just remember, England and America are “two nations divided by a common language”.