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    I have been diagnosed with a combination of various rhythm problems, inappropraite sinus tachycardia, atrial flutter and ridiculous numbers of PVC's, couplets and bigeminy. How many ablations have you had to try to sort it out? I had an EP study with the aim of ablating both atrial flutter and the PVC's. I had only taken half a dose being afraid of some of the effects of flec. If I take all the meds to suppress the rhythms, while my heart does not stop beating anymore, it still completely kicks the pressure out from under me. My cardiologist has put me on high doses of Flecainide Acetate and Atenolol. wipes out all my rhythm problems in one go........... The atrial flutter decided not to make an appearance during the EP study, but once the catheters were in there my heart went so fast the couplets were completely overriden. If I don't take all the meds, enough to keep a decent pressure, my rate and rhythms run away. I don't really want another ablation, but would be willing to try. However i have developed intermittent shortness of breath and tightness in the chest sometimes at rest and with any kind of slight exertion. Looking up side effects of Flecainide I do not see any mention of shortness of breath, a common side effect of the often taken beta blocker medications. I am on 250mg of slow release Flecainide and 100 of Atenolol. At that point the EP wasnt really sure of what was going on said it was all getting a bit dangerous. Since then i have tried Propranolol, Verapamil, Metoprolol Atenolol and Flecainide and had another holter monitor which just showed every thing we had seen before. And i still dont understand how all of this made me so sick that i ended up in hospital for two weeks. THe rhythms just kept going on and on like yours... It has been unstoppable/ unsolvable for the last couple years. I don't really want open heart surgery, but if a MAZE procedure might help... It is always tough changing around the meds, but I have to do something. As your heart goes wild, are you losing and muscular functionality... I literally start gasping for air when i move around. I think you should discuss with your doctor as soon as possible. Glad to see you back:) What is your current dose of Flecainide? If he concludes that it isn't related and you can continue therapy... I was talking to an anaesthetist at my work who said that the combination of these two drugs cause quite a strong negative inotropic effect on the heart, so when i am walking around my heart cannot get itself together enough and cardiac output is not what it used to be, therefore i get short of breath trying to compensate for this...........sense to me kinda. I'm on flecainide and beta-blockers, ace inhibitors and calcium channel blockers too. HR goes 180 and wild rhythms if they are not super medicated. Now, we medicate the rhythms away, but I pacemaker does the rhythms instead. The flecainide does upset my tummy to a degree, but the worst is the negative inotropic effects bundled together to give me nearly no blood pressure. I see my ep again on Friday and am hoping he can come up with another great idea to ablate, medicate or surgically remove all the rhythms components and just let me be 100% paced. Flecainide has been the only drug that has actually worked. I guess some things we will never fully understand. The docs just kept increasing the number of drugs I was taking and the amount of each one. I have been on this drug for quite awhile, and don't recall ever having this particular side effect. then that's great news that you've found the drug that works for you! He also looked up Flecainide and saw that Dyspnea is a common side effect......there u go. I came off my medication cold turkey for a holter monitor, and the effects were horrendous. Anyway the holter monitor picked up a variety of problems including a resting heart rate of 180.......figure. The flecainide was the first drug that actually seemed to really work at all. In January, I was taking 300mg metoprolol, 200 propranolol, lisinopril, 360 diltiazem... So i have been officially diagnosed with Innapropriate Sinus Tachycardia, aswell as Hideous amounts of PVC's couplets and the odd bout of Supraventricular activity. I guess time will tell as to whether my EP will wanna go back with the burning stick again at some point. Metoprolol Lopressor - Side Effects, Dosage, Interactions - Drugs Metoprolol tartrate stopped increase shortness of breath - AF. Metoprolol - forum.
     
  9. ncore XenForo Moderator

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