I really enjoyed reading about your experiences, because I continue to debate the merits of SSRIs versus beta blockers in dealing with anxiety-induced arrhythmia. As I know you know, I suffer from anxiety that causes my heart to beat extremely rapidly, and occasionally to skip beats. For a long time, I was convinced that a beta blocker was the only thing that could help me. If my heart is going too fast, what better cure than a medication specifically designed to slow the heart? However, my doctor was reluctant to prescribe beta blockers, wanting to focus on the cause of the symptom (the anxiety) rather than the symptom itself (the arrhythmia.) She said that if the cause is dealt with, then the symptom will go away. However, if the cause remains valid, the symptom can always manifest itself, even if it is being treated separately. My cardiologist felt the same way. He likened the situation to a leaky faucet, suggesting that alleviating my symptoms with beta blockers would be like laying out a lot of towels on the ground to soak up dripping water, while treating my anxiety, whether by lifestyle changes or anxiety meds, would be like replacing the faucet itself. Needless to say, the more logical solution is to replace the faucet. That made a lot of sense to me, and instead of pushing for a beta blocker, I chose to start an SSRI medication to reduce my anxiety. I've been on 20 mg of Lexapro for almost four months now, and I am loving it.
Although it took about six weeks before I started to feel the effects of the medication, I am now calmer than I have been in years. Situations that used to terrify me I am now able to face head-on. Anxious thoughts no longer torment me at all hours of day and night. Even when I do become anxious, the anxiety doesn't seem quite so insurmountable. It's as if its blade was dulled so that it can no longer pierce my skin.
That being said, I do experience bad episodes of anxiety on rare occasions, and these instances can lead to racing heartbeat and irregular pulse that cause me to wonder if I should request a beta blocker to take on an as-needed basis. On the other hand, I am more aware than ever that my difficulties are caused by my mind, not my heart, and I don't want to try to alter the natural rhythms of my heart when I should be focused on my mind. I am glad that there are others who can testify that the heart can be pacified without being directly forced into obedience. It reinforces in my mind that I have made the right choice, and that my heart is going to continue to beat happily for many years to come!
Thanks for posting and keep us updated ...
Happy to read you are making progress, but admit I (and perhaps others) don't know what OCD is (a quick search on Medhelp didn't help).
You may have connected yourself with anxiety in the past, but I missed it, or forgot it.
Thankfully my experience with any noticeable level of anxiety didn't show up until I entered my senior (golden?) years. I had heard it said: "growing old ain't for sissies", guess I'm a sissy.
As for BB and CCB in my case, I need them to lower HR so I don't think I can translate your experience to my situation - or did I overlook?
Happy New Year.
Your experience is very similar to mine: With an essentially healthy heart, I have found certain SSRIs (zoloft, especially) to be very effective in reducing my hyper-awareness of ectopics--and without the side effects that beta blockers can produce!
I got around to looking up OCD: Obsessive–compulsive disorder.
Will I'm sure I have some anxiety, a growing anxiety with advancing age, I don't connect it in any way with my AFib problem. I have never taken any medication specifically for anxiety but I have many years on beta blockers which I believe cause me some fatigue problems, maybe add to a dreaming problem.
I'll step back to read only on this post.
Thanks guys, you are great!
Of course, with "real" heart problems, SSRIs don't work.
Beta blockers are in my case great to use if needed. They can help if my anxiety is very high for some reason. But it feels great not having to take them permanently.