tachycardia post ablation

[Guest guest]

I should have paid better attention to those who mentioned tachycardia

post-ablation. My afib event of yesterday morning changed to either a slow

atrial flutter, or to plain old sinus tachycardia... it persists this morning..

in bed at 111 bpm, I'm sure higher now that I'm up. I know a couple people

have mentioned this happening to them after their ablations, so I'm now curious

as to how it ended for you.

Also, despite the fact that I had an ablation because of my everlasting poor

rate control, I was told to simply up my atenelol by 50 mg to keep my heart rate

slow. While I was at the Dr. yesterday, my rate was about 95.. I took an extra

25 mg atenelol when I got home and watched my heart rate RISE for several hours,

topping out in the 130s where it stayed the remainder of the day.

Last night I took 100 mg atenelol before bed, and for about 10 minutes my

heart rate dipped into the 80s/90s and then raised up again.. this time into the

140s?

Anyone ever heard of atenelol having an opposite effect on heart rate? I find

this quite curious, and am going to wait to talk to the cardio this morning

before I take my next 100 mg. Would love to hear opinions if anyone has them!

Stef

[Guest guest]

> Anyone ever heard of atenelol having an opposite effect on heart

rate? I find this quite curious, and am going to wait to talk to the

cardio this morning before I take my next 100 mg. Would love to hear

opinions if anyone has them!

Stef: I think you should talk with your doc about switching away from

beta blockers if you indeed are having vagal fib, which it sounds like.

Here's a post by Hans Larson on the subject: " Prevention of vagal type

LAF. Beta-blockers and antiarrhythmics with beta-blocking properties

(sotalol, propafenone) are strictly contra-indicated for vagal

afibbers as they will significantly worsen their condition. "

Gordon

[Guest guest]

Hi Stef, Sorry to hear that you have had an episode of AF post ablation

You must be very disappointed. As you know mine returned after only two weeks

when I was off all medication.

Since them I am back on bisoprolol 10 mg and diltiazem 200 slow release. I

have a flutter and have had some rapid heartbeats especially in the morning,

but so far it seems to be keeping it under control until I can have a

cardioversion [can't wait]. As this a-fib makes me feel so insecure. I always

think my heart rate goes up after I take the bisoprolol, but then I am scared

not

to take it in case it gets worse. They were going to try me on flecanide,

but decided against it as I had an MI about a year ago although the angiogram

did not detect any abnormalities.

I hope your rate settles soon. They keep telling me that even though I have

had this episode of a-fib it does not mean the PVI has not worked, so we

must keep positive. Pat

[Guest guest]

thanks Gordon - I'm actually on atenelol AND propefenone... doubly whammy it

appears! I'll talk to my dr. this morning.. I am going to start being weaned

off these at the end of May, so perhaps we can just start a little earlier!

At the end of my Tikosyn run, the dr. had upped me to 1000 mcg per day, and I

swear my afib was the worst it ever was.. no one would admit that I was possibly

over medicated, and the 48 hours of no medicine, while I waited to switch to

Rhythmol, was the calmest my heart had been in ages.. I actually converted out

of my current afib event during those 48 hours, which was not the norm!

And interestingly enough... at the end of my Tikosyn run, when I was having

hard and fast afib every other day, is when my atenelol dose was upped to 175

mg... they never lowered it after my ablation, since they didn't want to " mess "

with anything at that point, but when I was not having afib prior to upping the

Tikosyn my dose was just 50 per day, and now I'm up to 200? hmmm... makes ya

kinda think about it...

note to self: call cardio and ask to lower atenelol to zero

stef

gheld1190 ggheld@...> wrote:

> Anyone ever heard of atenelol having an opposite effect on heart

rate? I find this quite curious, and am going to wait to talk to the

cardio this morning before I take my next 100 mg. Would love to hear

opinions if anyone has them!

Stef: I think you should talk with your doc about switching away from

beta blockers if you indeed are having vagal fib, which it sounds like.

Here's a post by Hans Larson on the subject: " Prevention of vagal type

LAF. Beta-blockers and antiarrhythmics with beta-blocking properties

(sotalol, propafenone) are strictly contra-indicated for vagal

afibbers as they will significantly worsen their condition. "

Gordon

Web Page - http://www.afibsupport.com

List owner: AFIBsupport-owner

For help on how to use the group, including how to drive it via email,

send a blank email to AFIBsupport-help

Nothing in this message should be considered as medical advice, or should be

acted upon without consultation with one's physician.

[Guest guest]

Agree - sometimes bradycardia can be pro-arrhythmic.

Quarter Acre Orchids quarteracreorchids@...> wrote:

thanks Gordon - I'm actually on atenelol AND propefenone... doubly whammy it

appears! I'll talk to my dr. this morning.. I am going to start being weaned

off these at the end of May, so perhaps we can just start a little earlier!

At the end of my Tikosyn run, the dr. had upped me to 1000 mcg per day, and I

swear my afib was the worst it ever was.. no one would admit that I was possibly

over medicated, and the 48 hours of no medicine, while I waited to switch to

Rhythmol, was the calmest my heart had been in ages.. I actually converted out

of my current afib event during those 48 hours, which was not the norm!

And interestingly enough... at the end of my Tikosyn run, when I was having

hard and fast afib every other day, is when my atenelol dose was upped to 175

mg... they never lowered it after my ablation, since they didn't want to " mess "

with anything at that point, but when I was not having afib prior to upping the

Tikosyn my dose was just 50 per day, and now I'm up to 200? hmmm... makes ya

kinda think about it...

note to self: call cardio and ask to lower atenelol to zero

stef

gheld1190 ggheld@...> wrote:

> Anyone ever heard of atenelol having an opposite effect on heart

rate? I find this quite curious, and am going to wait to talk to the

cardio this morning before I take my next 100 mg. Would love to hear

opinions if anyone has them!

Stef: I think you should talk with your doc about switching away from

beta blockers if you indeed are having vagal fib, which it sounds like.

Here's a post by Hans Larson on the subject: " Prevention of vagal type

LAF. Beta-blockers and antiarrhythmics with beta-blocking properties

(sotalol, propafenone) are strictly contra-indicated for vagal

afibbers as they will significantly worsen their condition. "

Gordon

Web Page - http://www.afibsupport.com

List owner: AFIBsupport-owner

For help on how to use the group, including how to drive it via email,

send a blank email to AFIBsupport-help

Nothing in this message should be considered as medical advice, or should be

acted upon without consultation with one's physician.

[Guest guest]

Thanks Pat - I am just home from the hospital... my rate was so so on Monday..

fast but seemingly tolerable. Tuesday morning was a different matter... I

walked down a flight of stairs and backup, although not fast, and at the top

thought I would black out. Then I was driving and had to pull over for fear of

blacking out.. I turned right around and headed to the ER where my rate was 195

in aflutter... my bp was extremely low, thus the blacking out.. that's never

happened before.

In the ER they gave me cardizem, despite it never ever having converted me

before, and I had a consult with an endocronologist, who thinks I'm highly

overmedicated for my thyroid. My body doesn't say so, but the numbers sure do,

so my synthroid dose was lowered, my atenelol dose was lowered, my rhythmol dose

stays the same, and now I have an additional 130 mg of cardizem to add to the

mix. I hate it when they just pile pills on top of other pills...

And today they agreed to cardiovert me at 2pm, since I still hadn't converted.

I felt like I went into the car dealer with a broken headlight and ended up

needing a new engine! And yes, I think I was dissappointed, but more annoyed

that I had to go through the whole rig-a-marol again.. I am so very tired of the

hospital. I'm thinking positive thoughts, though, and will just go from here!

Stef

STahaney@... wrote:

Hi Stef, Sorry to hear that you have had an episode of AF post ablation

You must be very disappointed. As you know mine returned after only two weeks

when I was off all medication.

Since them I am back on bisoprolol 10 mg and diltiazem 200 slow release. I

have a flutter and have had some rapid heartbeats especially in the morning,

but so far it seems to be keeping it under control until I can have a

cardioversion [can't wait]. As this a-fib makes me feel so insecure. I always

think my heart rate goes up after I take the bisoprolol, but then I am scared

not

to take it in case it gets worse. They were going to try me on flecanide,

but decided against it as I had an MI about a year ago although the angiogram

did not detect any abnormalities.

I hope your rate settles soon. They keep telling me that even though I have

had this episode of a-fib it does not mean the PVI has not worked, so we

must keep positive. Pat

[Guest guest]

Oh nuts, Stef. I am so sorry you are having to go through this. Hope they

get the med cocktail right and things calm down for you. It has to be very

frustrating and sounds damn scary when you think you are going to black out.

Never a good feeling.

Lil

In a message dated 4/26/2006 7:42:25 PM Pacific Standard Time,

quarteracreorchids@... writes:

I felt like I went into the car dealer with a broken headlight and ended up

needing a new engine! And yes, I think I was dissappointed, but more

annoyed that I had to go through the whole rig-a-marol again.. I am so very

tired

of the hospital. I'm thinking positive thoughts, though, and will just go

from here!

[Guest guest]

Hi Steph, Glad they are going to cardiovert you that will make you feel much

better. I am still waiting for the cardioversion, when I went into the ER

my INR had droped to l.4 just my luck so I have had to wait for 2 weeks in

normal range. It is now scheduled for next week. Can't wait. I know what yu

mean about the broken headlight could not have put it better myself.

Sorry to hear about you blacking out, that must have been a horrible

experience.

Good luck, I hope things settle down.

Pat