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Medication for Arrhythmia - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Heart Rate and Rhythm Disorders
Answered by

General & Family Physician
Practicing since : 2008
Answered : 3391 Questions
User :   hello
User :   i had an ectopic episode which lasted 14 hours last january
Doctor :   ok
User :   I now have benign vcs and pacs and nightime breathing issues
User :   pvcs
Doctor :   may i know your age ?
User :   39
User :   female
User :   was very fit
User :   weight was seven stone seven pounds
Doctor :   ok
User :   now has to be eight stone 4 pounds otherwise I have night time breathing issues
Doctor :   so right now what are the problem that's bothering you the most ?
User :   my cardiologist has told me I have a normal echo, benign pvcs... and tilt test normal...however he said i had a few prolonged beats on my holter but didnt explain, this worried i got out my ecg to put my mind at rest and it read 461 qtc which is borderline long qt
User :   my cardiologist emaield me yesterday and said in february it was 399 which is fine.....i had another pvc episode this week and had to go to a and e and my qtc was 456
User :   do i have anything to worry about....??
Doctor :   borderline elongated QT in something we dont treat it and let it as be as its not fatal
User :   and why is that?
Doctor :   also can you please tell me what all medications are you on ?
User :   the pill thats it
Doctor :   for your condition Beta blocker medications are the mainstay of therapy
Doctor :   you can discuss the right Beta blockers with your physician
Doctor :   also since the symptoms are often precipitated by physical exertion or emotional upset, it is appropriate to restrict physical activity
User :   but i thought you said you dont treat it??? or is this for pvcs
Doctor :   Pvcs
User :   i do a lot of sport and have stopped as im too worried.....i get pvcs kick in about 150 pulse rate
User :   why should i restrict physical activity is it dangerous
Doctor :   yes you need to stop doing rigorous exercise and play strenuous sports
User :   but thats linked to long qt not pvcs
User :   pvcs you can push through......
Doctor :   yes it is at it will aggravate your symptoms
User :   so im confused
Doctor :   let me explain to you
User :   so could it be dangerous
User :   ok
Doctor :   see both the conditions whether a mild arrhythmia or borderline QT our main aim it to give rest to the heart
Doctor :   there are also extra precautions you need to take
Doctor :   like
Doctor :   1) stop alcohol and caffeine intake
Doctor :   2) Stop over-the-counter nasal decongestants that may contain adrenaline such as medications containing pseudoephedrine
Doctor :   and BOTH do require the usage of Beta blockers
User :   ok I wss on betas but came off because i was so sluggish
Doctor :   so its like you are treating 2 conditions with 1 medication
Doctor :   you should only stop or start a medication under medical supervision
User :   becasue i had one borderline reading does that mean I have it?
Doctor :   Only after a physical examination is right to fix the correct dosage for you
User :   so you suggest no gym until i get sorted
Doctor :   yes
Doctor :   no gym
User :   im still a little confused - so could I actually have borderline long QT
Doctor :   you need an ECG to see if any changes have come in 3 weeks from now
User :   i had one tuesday it was 446
User :   february was 399
User :   january when i had an episode was 461
Doctor :   it is increasing
User :   no....january it was high, feb it was low and tuesdy in the middle
Doctor :   you need to consult a cardiologist
Doctor :   you can be given new beta blockers
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