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Heart Disease (Expert Forum)
Re: PSVT or Panic Attack
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve Prolapse, Pacemaker, PAD, Stenosis, Stress Tests.
Re: PSVT or Panic Attack
by Cleveland Clinic, MD, Jan 01, 1995 12:00AM
, Jan 01, 1995 12:00AM
Posted By CCF CARDIO MD - CRC on November 24, 1998 at 15:53:53:
In Reply to: Re: PSVT or Panic Attack posted by Denise on November 24, 1998 at 14:15:35:
Hi Dr. CRC,
Thanks so much for supplying me with such informative and valuable
information!
While I was typing my story, I would refer to my sinus tachycardia as
unknown. Well, the fact is the electrophysiologist said I have
"inappropriate sinus tachycardia". I didn't want to use this term
because from what I've seen on the forum, some of the docs at CCF feel
this is quite rare and the term is used too loosely.
The Tenormin works quite well for controlling my heart rate while
taking a shower and going up stairs and such. I'm wondering a little
about my dosage. I know this forum is for general purposes, but I
would like to know what you would do in this situation.
My cardiologist and electrophysiologist (electro for short because that
is a mighty long word) are two separate people. I had an appointment
with my cardiologist to go over my complete blood work and see how I
was feeling after my ablation. When I was in there, he noticed my
resting heart rate was 104 at the time. I told him my resting rate has
been high (for me) since the ablation. He said I shouldn't run around
like that because I would "wear out my equipment". He said he wanted
me to increase the Tenormin to 50 mg per day. I said, "Are you sure
about that"? He looked into my eyes and said "What, do you think I've
been doing this for two months or something"? I laughed (as he did)
and pretty much called him God (had to swell that head, don't know how
he fits through the door sometimes)! I have been with him for over 12
years because he follows my MVP with MR, so I am comfortable harassing
him. Well, needless to say, I started 50 mg.
I went to the electro the next week for my month after ablation
appointment. He asked me if the higher heart rate bothered me. I said
"Sure it bothers me because I didn't have it before the ablation". He
implied that running around with a heart rate of 100 +/- 5 would not be
a problem on a daily basis. He said if it were 140 the heart would get
fatigued and that would cause a problem. The question to you (finally)
is:
Would you keep your patient on 25 mg of Tenormin with a resting rate of
100 +/- 5 or would you increase your patient's Tenormin to 50 mg and
have them go around with a rate of 84 +/- 5?
The 25 mg of Tenormin was handling the shower and stair problem. My
heart rate wouldn't get above 110 doing either. This leads to another
question. Although the Tenormin keeps my heart rate lower going up
stairs, I still feel exhausted when I get to the top. Does that make
any sense? Is this normal?
I would like to get away with as little medication as possible. Can
you give me a few hints here as to what you would do (throw the dog a
bone)? I would be very greatful.
I would like to just have 25 mg, but don't want to cause any damage to
the ole ticker! I also know two women (one 36 and the other 42) with
POTS and ola that is one scary thing there. They are both disabled by
POTS. They also have the "inappropriate sinus tachycardia". They say
I have some same symptoms as they have, but they don't think I have
POTS by all means. They just encourage me to get checked for a
dysautonomia and get it under control before it really affects me (if I
have one). What are your thoughts about dysautonomias?
Again, thanks for inquiring on how I am doing and supplying all the
info to me. You are wonderful!
Happy Turkey Day!
Denise
;-)
--------------------------------------------------------------------------------------------------------------------
Dear Denise,
Q: Would you keep your patient on 25 mg of Tenormin with a resting rate of
100 +/- 5 or would you increase your patient's Tenormin to 50 mg and
have them go around with a rate of 84 +/- 5?
A: I would put the question back to you. Which is more distressing - the side effects of the higher dosage of medication or the faster heart rate? You pays your money and takes your choice. (If it were me I would probably take the higher dosage of medication).
Thanks again for all of your previous comments - Happy Thanksgiving ^_^.
I hope you find this information useful. Information provided in the heart forum is for general purposes only. Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
In Reply to: Re: PSVT or Panic Attack posted by Denise on November 24, 1998 at 14:15:35:
Hi Dr. CRC,
Thanks so much for supplying me with such informative and valuable
information!
While I was typing my story, I would refer to my sinus tachycardia as
unknown. Well, the fact is the electrophysiologist said I have
"inappropriate sinus tachycardia". I didn't want to use this term
because from what I've seen on the forum, some of the docs at CCF feel
this is quite rare and the term is used too loosely.
The Tenormin works quite well for controlling my heart rate while
taking a shower and going up stairs and such. I'm wondering a little
about my dosage. I know this forum is for general purposes, but I
would like to know what you would do in this situation.
My cardiologist and electrophysiologist (electro for short because that
is a mighty long word) are two separate people. I had an appointment
with my cardiologist to go over my complete blood work and see how I
was feeling after my ablation. When I was in there, he noticed my
resting heart rate was 104 at the time. I told him my resting rate has
been high (for me) since the ablation. He said I shouldn't run around
like that because I would "wear out my equipment". He said he wanted
me to increase the Tenormin to 50 mg per day. I said, "Are you sure
about that"? He looked into my eyes and said "What, do you think I've
been doing this for two months or something"? I laughed (as he did)
and pretty much called him God (had to swell that head, don't know how
he fits through the door sometimes)! I have been with him for over 12
years because he follows my MVP with MR, so I am comfortable harassing
him. Well, needless to say, I started 50 mg.
I went to the electro the next week for my month after ablation
appointment. He asked me if the higher heart rate bothered me. I said
"Sure it bothers me because I didn't have it before the ablation". He
implied that running around with a heart rate of 100 +/- 5 would not be
a problem on a daily basis. He said if it were 140 the heart would get
fatigued and that would cause a problem. The question to you (finally)
is:
Would you keep your patient on 25 mg of Tenormin with a resting rate of
100 +/- 5 or would you increase your patient's Tenormin to 50 mg and
have them go around with a rate of 84 +/- 5?
The 25 mg of Tenormin was handling the shower and stair problem. My
heart rate wouldn't get above 110 doing either. This leads to another
question. Although the Tenormin keeps my heart rate lower going up
stairs, I still feel exhausted when I get to the top. Does that make
any sense? Is this normal?
I would like to get away with as little medication as possible. Can
you give me a few hints here as to what you would do (throw the dog a
bone)? I would be very greatful.
I would like to just have 25 mg, but don't want to cause any damage to
the ole ticker! I also know two women (one 36 and the other 42) with
POTS and ola that is one scary thing there. They are both disabled by
POTS. They also have the "inappropriate sinus tachycardia". They say
I have some same symptoms as they have, but they don't think I have
POTS by all means. They just encourage me to get checked for a
dysautonomia and get it under control before it really affects me (if I
have one). What are your thoughts about dysautonomias?
Again, thanks for inquiring on how I am doing and supplying all the
info to me. You are wonderful!
Happy Turkey Day!
Denise
;-)
--------------------------------------------------------------------------------------------------------------------
Dear Denise,
Q: Would you keep your patient on 25 mg of Tenormin with a resting rate of
100 +/- 5 or would you increase your patient's Tenormin to 50 mg and
have them go around with a rate of 84 +/- 5?
A: I would put the question back to you. Which is more distressing - the side effects of the higher dosage of medication or the faster heart rate? You pays your money and takes your choice. (If it were me I would probably take the higher dosage of medication).
Thanks again for all of your previous comments - Happy Thanksgiving ^_^.
I hope you find this information useful. Information provided in the heart forum is for general purposes only. Only your physician can provide specific diagnoses and therapies. Please feel free to write back with additional questions.
If you would like to make an appointment at the Cleveland Clinic Heart Center, please call 1-800-CCF-CARE or inquire online by using the Heart Center website at www.ccf.org/heartcenter. The Heart Center website contains a directory of the cardiology staff that can be used to select the physician best suited to address your cardiac problem.
