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Avatar universal

MS and Heart

Hi and thanks for taking my question.  Bit of background.  38 year old recent (2 months) N/S, N/D, Relatively fit with multiple sclerosis.  Taking 160 mgs of sotolol twice a day after being diagnosed with runs of Ventricular Tach, PVC's, PAC's, SVT etc and have been on this drug for 15 years or so.   Have up to 20000 weird beats recorded on a 24 hour monitor (same as the VT)  
But, I rarely have VT just the etopics? and PVC's
I can go for 5 months and only have the odd one, then all of a sudden, its back and its nasty....why do they do this?  I cant find a trigger point for them at all
I get really fatigued when I have them, like I am not getting enough oxygen and I keep yawning....my cardiologist says I have lesions from the MS on the Vagal? nerve thats causing these, and he said maybe its an indicator of a relapse of the MS when they come back after being absent for periods of time.
Is this a possibility?
And will I ever be able to gt off the sotolol?
I have a healthy heart so I am not worried, just annoyed with these
Thanks for letting me post
2 Responses
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230125 tn?1193365857
MEDICAL PROFESSIONAL
There is never a clear explanation for why people have these episodes of pvc's.  I think correlating it with flairs of MS is interesting, but i have not seen data to support this.  Is it possible -- maybe, but there is no way to prove it.

I can't really answer the question of if it is ok to stop the sotalol.  It depends on if the sotalol is suppressing your VT.  If the sotalol is suppressing your VT, it is probably not a good idea.   You will need to discuss this with your cardiologist.  I personally have never started sotalol for pvc's or normal heart VT, but if it works, it works.

I hope this helps.
Helpful - 1
Avatar universal
Thanks Doc
I tried a couple of other meds before the sotolol but they didnt work, they classed the VT as idiopathic as there was no reason for them
I have been a member of here for 5 years and have never posted a question before, so I thank you for responding!
I have a really good Doctor here in Australia, and my neuro thinks a bit along the same lines as he does....but like you said, there is no supporting evidence of it
Cheers
Helpful - 0

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