if the cardiologist used the term "vegetation", he most problably saw changes to the surface of one your valves..
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hello, yesterday I posted a similar question (pacemaker recipients). like I wrote, I take bisoprolol (metoprolol belongs to the same group of beta blockers),
additionally to the pacemaker and Eliquis. Immediatedly after the implanation I had A-Fib's. Now 11 months later , have persistent A'Fibs, they are without symptoms. I never got propafenone..
I wonder, if a pacemaker + beta blocker is useful, therefore I posted my question. I'm glad that you also think about this combination.
hello! I would like to know, if other PM recipients (dual chamber PM) take beta blockers. I tried to find hints in the medical journals, so far without any result. I got a PM nearly one year ago. It was twice adapted by the cardiologist, without a positive effect. I get tired after maybe 100 meters (bicycle). .this should not happen.I think my medication with the beta blocker (bisoprolol) might be the cause.
before I will make an appointment, ,it is important for me to know if other people also take this medicine. + a pacemaker.
.bisoprolol reduces the heart rate, in contrast the pacemaker activates, . maybe the beta blocker prevents a quick adaptation, when I start cycling.
Hi Wally, your medical history is worth reading it several times ! . I want to be sure, if I understood everything properly. I'm a pacemaker recipien myself, but a different one. they implanted a two chamber-pacemaker (two electrodes, one in the right atrium and one in the right chamber/ventricel). I read that you got a ICD 2001, which was replaced by a CRT-ICD 2015 (to resynchronize the two chambers of your heart). my question is, how did they replace them? do you know that?
hi, just one question: a total heart block, 3 level, means that the atrium and the ventrikel don't work together anymore I had this last january. . they implanted a pacemaker, you did not mention a pacemaker in your post.I presume that you might have level 2 or 1.. possible?
@predictable , I realize that the sentence "so long as these A-Fib's are asymptomatic, no treatment necessary". this can be misunterstood. I mean an ablation is not necessary, on the other hand a "blood thinner" is needed .
hi @predictable ,I am so sorry reading your experience with a TIA, I know, how you felt the first days, as long as you did not know, if a serious stroke would happen. (husband had a TIA 2012) .you and my husband were lucky ,
referring to your questions about the "watchman", ( in memory of my cardiac problems: : A-fib's , mitralvalve insufficiency, minimal invasive mitralvalve reconstruction/repair April 2016)
I asked my cardiologist last november, if the implantation of this device would be useful. for me, so I could stop the bloodthinner (Eliquis).
he denied, no advantage for me , as I had to take aspirin lifelong instead of a bloodthinner. that does not make sense, he said. he showed me a paper about the risks of aspirin.
I know according to the guidelines of the european cardiology society, that after the implanation of the watchman, the person needs a 6-months treatment with an anticoagulant. until there is enough tissue to cover the device. afterwards aspirin..for such a short period they prescribe one of the new anticoagulanties, no monitoring necessary, patients do not need instructions/lessons (warfarin)
.In this context an interesting observation: in the years before april 2016 (operation) .I had paroxysmal A-Fib's. the cardiac surgeon did not an ablation at the end of the operation, as there were some problems and he did not want to extend, too dangerous, he said. until january this year I had no A-Fib's anymore. unfortunatedly,(january this year) there was a disconnection between the atriums and the ventrikels. so I had to go into the hospital and they implanted a two chamber pacemaker. immediatedly I had a lot of A-Fib's (AT/AF burden too high)..they are asymptomatic. Last september I visited a meeting in cologne/germany (main themes were A-Fib's and the new guidelines) I learned that 30-40 % of the pacemaker recipients have A-Fib's, even the persons with no history of them.
so long as these A-Fib' are asymptomatic, no treatment necessary.
I must confess, that the presence of so many A-Fib's daily scares me a bit, how can my heart cope with them???
@bock. INR is not suitable for monitoring the blood clotting under a therapy with the new "blood-thinners", like xarelto or eliquis.due to the possible effect on the INR. some patients show an increase, other patients do not. which laborator does make the test plays a role also.