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I am clinically stable with my A-fib.  I also have SVT's which are scary to experience.  I am very leary to excert myself for fear of having more SVTs.  What can be done about SVTs or what can you do to prevent them?
Best Answer
612551 tn?1450022175
COMMUNITY LEADER
My AFib symptoms are not as strong as yours.

My untreated AFib caused my HR (Ventricle) to run at about 130 at rest.  After a couple of years trying to get the HR down below 100 at rest we used beta blockers only, up to 100 mg twice a day of Metoprolol.  The best that could do was get my resting HR down to about 80, not bad, but the side effects were troubling.  I finally settled on 100 mg once a day and live with a resting HR about 90.  Then last week my Cardiologist put me on a Calcium Channel Blocker once a day and 50 mg of Metoprolol once a day.  I take the BB in the morning and the CCB before dinner.  My resting HR now gets as low as the mid 60s, and I feel a lot more energetic and more exercise tolerant.   This may be the medication regiment I can live with.  But, as the CCB seems to be the "magic" for me, I'll ask about dropping the BB and taking CCB twice a day.  I've never trusted the slow/extended release pills to be good for a full 24 hours.  I'd like to see two doses of the CCB that together add up to a little more than my current one dose, which is 425 mg (a high dose level)  The CCB is a generic form of Diltia XT, and is called Diltiazem XR.
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1302576 tn?1273270866
Thank you Debbie for the good suggestion.  No I have not seen one yet.  
mary
Helpful - 0
503607 tn?1275671579
Have you seen an electrophysiologist for an EP study?  I had Afib and SVT and had both issues ablated in January.   So far so good.  It maybe worth a consult and may offer a permanent cure and help get you off the medications.  Good Luck!
Helpful - 0
1302576 tn?1273270866
Jerry,

I also maybe an error on my post.  My Diliazem is 240mg.  I guess that it is the same as yours.  What does this medication do to the heart?  What happens if you stop taking it?  I heard that the ablations are successful, however, the longer one is in A=fib then the harder it is to get out of it.  My mother never did get out of it but she had a controlled heart rate.  Always good to hear from you.  Thank you.
mary
Helpful - 0
612551 tn?1450022175
COMMUNITY LEADER
Mary,

I have re-read my post and see one error, my Diltiazem XR is 240 mg (I mistyped 420mg).  The story remains the same, just an error reporting my does level.

There are such things as a heart Ablation which I know is often helpful to people with severe AFib symptoms.  In fact I have a colleague (about my age) who underwent Ablation to treat AFib and he is doing great, even expects to get off of all medications soon, including no more Warfarin.  He may stay on an aspirin.
Helpful - 0
1302576 tn?1273270866
Good to hear that your new medication has  lowered your heart rate.  I also take that same CCB and it weems to help me.  My Dilitiazem XR is 375mg.  I believe that the Cozzar and the Digozin help also.  I just hope that I stay in a good rhythm.  And I hope that your heart will continue to be good.   I appreciate all the help that you have given to me.  Thank you.
mary
Helpful - 0
1302576 tn?1273270866
Thank you for telling me about your situation.  I do not know how you live with constant A-fib.  When I was in i constant for two weeks I was in the bed.  My heart rate was around 158.  Does your heat rate stay low?

The doctor asked me if I wantd to come off of coumadin and I was not sure what to say.  I now take two baby aspirin and two mega doses of fish oil each day.  He alo has me on a beta blocker, CCB, digoxin and Cardizem.  (not sure what that is, I guess the CCB)  )Cozaar, digoxin and cardizem)

I am limited as to what I can do.  I have to pace myself.  When I try to overdue my heart will either g into A-fib or SVT but just for a little bit.  I guess that I am blessed that so far i have come out of it each time.  I do get concerned about stroke but I geuss the fish oil and the aspirin will help.

I also have aortic and mitral valve moderate regurgitation.  My mother had hers both replaced at the age of 75.  

I appreciate all of your input.  You certainly have helped me a great deal.  I thank you.
mary
Helpful - 0
612551 tn?1450022175
COMMUNITY LEADER
Has your doctor expressed any concern about clot formation due to AFib?  If you have AFib episodes rarely, perhaps it isn't a major concern, but it may be that you should at least make use of aspirin to reduce the risk of clof formation, and possible stroke.

I hope I am not adding something else to cause you fear, but I offer the idea because I know many people take aspirin to help reduce heart problems.  Some people, on the other hand, don't tolerate aspirin well.  I seem to do alright with it and have taken a 1/2 does every day for years.

I suffer from permanent AFib, but my symptoms are not difficult as yours are.  I take aspirin and warfarin to reduce risk of stroke and beta and calcium blockers to slow down my HR.  With all of this I feel reasonable and can even engage in moderate physical activity.  No mountain climbing or running, but I can walk and do yard and house work and have no problems.

Not sure if my story helps, but it may be that you could reduce the frequency and intensity of AFib and SVT by taking a low dose of beta blocker and/or calcium channel blocker.  The CCB works the best for me.
Helpful - 0
1302576 tn?1273270866
I am not sure what the doctor was trying to tell me about the A-fib.  If I excert myself, then I sometimes go into a-fib but it will only last for seconds.  I think that I have potential to have more problems with the a-fib down the road.  When I first had a-fib last year, 911 was called since I could not even stand, talk and had difficult time to breath.  I am definitely scared of another a-fib situation.

However, the new SVTs were scary too since they smackd the breath out of me with a fast heart beat, but only lasted 15 seconds.

Thank you for our input.
mary
Helpful - 0
612551 tn?1450022175
COMMUNITY LEADER
I don't follow the "clinically stable with my A-fib", are you saying you are in permanent (stable) AFib?  If so, I hope that is being considered, and treated to assure you clot risk is under control.  

As for SVT, I don't think there is anything one can do to prevent them.  Some find some relief taking medications such as Beta Blockers.  
Helpful - 0
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