svt and high bp

[mbhakta]

this is third time I have svt/a fib episode within ten days. each time I noted high bp ranging from 149/95 to 156/96. is the high bp main cause of these episodes or high bp was due to these episodes? I don't know. I take bp medicines and sometimes these medicines bring my heart rate to normal range shortly but not always. have anyone similar experience? what do you do for and what what doctors suggests?

[meadfoot]

When I have an svt episode my BP soars but is quite normal at other times so in my case svt is the reason for the high BP not the other way round. My heart rate is manically high when in svt.

I am on a regukar rate control drug and take a rhythm control med as a pill in the pocket to take at the onset of an svt or af episode. I am also on an anticoagulant.

[mbhakta in reply to meadfoot]

thanks masroof!

[BobD Volunteer]

My BP always rockets if I have such events. I take BP meds all the time so it is anti arrhythmic drugs which terminate any events and bring my BP back down so as far as I am concerned it is the high heart rate causing the BP.

[mbhakta in reply to BobD]

Thanks BobD!

[allserene]

I have noticed that my BP is high since starting Beta Blockers in April. Oh I know they are supposed to bring it down, but 17% of people have the opposite response. Before April, my BP was 128/78 with pulse 70, and I thought that was great..... On these betas, my pressure is 150/80 with pulse 63.... I am seeing the EP Nurse/Practitioner on Wednesday and I will ask to terminate beta blockers. I was taken off Eliquis anti-coags in August, much to the horror of the afiber crew who seem to like the idea of anti-coags for life......

[cuore in reply to allserene]

I would appreciate your posting where you got the research for the 17% of the people who have the opposite response to beta blockers in terms of BP.

I must be in that 17% category. Before my being diagnosed with AF, my blood pressure was being controlled with a diuretic and ACE inhibitor. Once a beta blocker, an anti-arrhythmic, or a calcium channel blocker was added, my blood pressure increased. I have not taken an ARB yet but have an appointment with my GP this Wednesday to see if an ARB will work.

Right now I am taking 300mg x 2 propafenone ( anti-arrhythmic with beta blocker properties) and 10 mg rampril ( an ACE inhibitor), yet my systolic reaches 200.

Due to my 3rd ablation 3 1/2 months ago, I am now in sinus rhythm albeit bradycardia most of the time. Also in contrast to other post I have read on this site, when I would be in arrhythmia, my blood pressure would go lower, not higher.

So this arrhythmia has caused havoc to my BP.

[allserene in reply to cuore]

I think there is something to this contra-indication with betas... My source was Science Daily and the articles was entitled " Common hypertension drugs can raise blood pressure in certain patients"....Oh found it ! Here is the link> sciencedaily.com/releases/2... When I see the Ep nurse/practitioner on Wednesday I will show her this (I have printed it off)... The risks of fluctuating bp at the 150 level is real.. I am going to ask to get off betas (very, very gradually this time as I dont want a 150 HR event )

[cuore in reply to allserene]

Thank you so much for this article. I ,too, will print this article and bring up the renin test when I see my GP Wednesday also. I believe there should be studies of the link between blood pressure and arrhythmia and how drugs combined for these two conditions can negatively impact both.

[Tayfun in reply to allserene]

When I have an episode of SVT my BP usually went up to 180/110, my BP was alway around 128/78. Last September I was put on Propranolol 40mg (Beta blocker) to lower my HR, because it was constantly around 100 when resting. My HR went way down on Propranolol, between 45-56 when sitting in the office, there were days when I stood up and walked and my HR would stay in low 60´s. Interesstingly my diastolic BP went up while on Propranolol, it is constantly between 100 - 120, my GP wanted to start Calcium channel blockers but I couldn´t agree because my HR on Propranolol was already to low. I discontinued Propranolol last Saturday and had 4 episodes of SVT, 3 times waking me in the middle of the night with HR ranging between 150-160, went to the E.R., BP was 156/125, they just sent me home... My resting HR is now ranging from mid 60 to 75, diastolic BP stayed at 95-100 though.

[mbhakta]

thanks for sharing your expience. you should consult your ep.