PVCs and roller-coaster Bisoprolol. Need advice, please

[AnnieKato]

My daughter has 24% of PVCs but NO symptom, so she has to rely on Zio Path to check her PVCs burden.

Sep 2019, Bisoprolol 2,5mg/day. PVCs went down to 12%.

Nov 2019, they increased to 5mg/day hoping that it'd lower further number of PVCs. Unfortunately, it went up to 22% (!)

Dec 2019, back to 2,5mg, PVC down to 9,8%.

Now, PVCs go up to 27% (!)

1-What happened?

2-Do you think increasing to 5mg would help- although 5mg didn't work last year? Heart rate varies from 39-150

3-In the past, Metoprolol, Diltiazem made her condition worsen ! Ablation failed!

Since she has no symptoms, we don't want Sotalol or another ablation. We’re thinking about stopping everything

What do you think?

Thanks,

[Hidden]

I see it’s several hours since you posted Annie and so far, no one has responded. This is probably because although we try to be a helpful bunch of folk, we are not medically trained which means we cannot comment on medication, this really has to be discussed with your doctors. Although we can comment on alternative medications, we really must not encourage anyone to change or stop their medication because the consequences could be catastrophic!

I’m sure you will understand and hopefully, others with more experience of your daughters problems may be able to offer some helpful advice.......

[AnnieKato in reply to Hidden]

Thank you for your kind words.

Yes, I agree with you about you cannot comment on medication.

I think I should ask"your experience with Bisoprolol" instead of "your advice"

[Ppiman]

I have read that ectopic beats have no long-term consequences unless they increase significantly during exercise. Is that what you have been told. or does that not apply when there are so many of them?

I would, myself, be guided by a specialist, however.

Steve

[KMRobbo]

Has her medical team advised the PVCs are benign or otherwise? Why did your daughter have an ablation?

[AnnieKato in reply to KMRobbo]

Why did my daughter have an ablation? It's a question that I've asked myself many times.

-1st EP performed ablation (that failed) because her PVCs is greater than 20%

-2nd EP said since she doesn't have any symptom and no heart problem so we just can watch out and check Echo every year

-3rd EP gave her Bisoprolol. We have appointment with him next week. I think he'll push us to perform ablation . I just wonder about to try or not to try Bisoprolol 5mg before doing anything else.

[Hidden]

I would like to share what cured my episodes of PVC's from two years ago.I started to take vitamin K2(natto) on its own as i heard it takes calcium out of soft tissue and arteries and puts it back into teeth and bones...only i ended up with PVC's when ever i tried to walk or do anything physical.You are supposed to use K2 with Vitamin D, i didnt.Long story shorter..

I found an article on the internet from Med Pub which suggested increasing magnesium.I choose to use Magnesium taurate as this is mainly found in only one organ in the body...the heart.Within two weeks i was able to walk up hills and cycle again with out the Pvc triggering.

I still had the odd one for the following 2 months....but after that that i havent experienced any for the last 18 months.

I am not a Doctor more of a scientific engineering background....

I would continue with your prescription and introduce daily magnesium in your daughters protocol, I found Magnesium taurate the best, but there are several types that also so work.Glycinate, Orotate, Threonate, Malate will do more or less tge same without causing harm.If you start to see things settle down, then address what triggers are causing low magnesium , high intake of carbs and sugar, stress, calcium intake, low vegetables.

Leafy greens like spinach contain lots og magnesium.

Magnesium is the hearts best friend and will certainly help it to settle things like PVC's down.please research The York Cardiologist (youtube) and Dr Carolyn Dean and see if you find this helpful.Best Wishes.

[AnnieKato in reply to Hidden]

Thank you,

I gave her Heart Calm (Mg Taurare, Potassiun, Coenzym Q10, but nothing changed. Maybe She didn't take it long enough?

[Hidden in reply to AnnieKato]

Unfortunately we all respond differently to the various types of magnesium, depending on age and health...and it will take up to week before you really notice any improvement.

The best all rounder and most easily absorbed is Magnesium Glycinate, most magnesium supplements are inexpensive unless you choose the remag from Dr Carolyn Dean.

You need to bring the daily intake to 400-500 mg and this may take a week before you see improvement and notice results.

You can also make magnesium water...just put a capsule in a cup and add boiled water and sip this throughout the morning to start with.You can also put it into a sprayer and apply to arms legs and torso...the skin absorbs it very quickly.I used to spray over the heart area when i first began using this treatment.People often went to Communual baths for epson salts for this very reason....the body loves magnesium,

When people are very low in Magnesium they will often feel out of sorts as the levels rise, this is due to the enzymes 300+ switching back up.They may sleep longer too a more restful sleep, and feel calmer.

One final point i would like to say, do not change whatever prescribed drugs you are using without your Doctors approval...I am wondering if your daughter has been checked to see if her calcium levels are too high.This is worth considering.

Persevere...this does work. CoQ10 is good for some but the better version for others is Ubiquinol.Hope this reassures you, i will answer any time you message thankyou.

[AnnieKato in reply to Hidden]

Thank you,

We won't do anything without Doctor's approval.

I'll ask her doctor for checking her calcium level. We did check Mg and potassium. They're both normal

[Hidden in reply to AnnieKato]

Okay thankyou for replying.Hopefully you can settle these disconcerting episodes down all together.

[zccups]

Hi Anna, I had 3 ablations 2 on left side and 1 on the right. I have normal fibs for the past 2 years and I take Sotalal 2x a day.

[Elli86 in reply to zccups]

Hi zccups.

How did you get on with the sotalol? I’ve been told to change to these. I don’t get on with flecanaide amor bisoprolol.

[Karendeena in reply to Elli86]

Hi there, I had to change from bisoprolol and flecainide as they stopped working for me. I am now on 40mg sotolol twice per day and apart from some flutters I am ok on it. BP and heart rate tend to be a bit on the low side though

[Elli86 in reply to Karendeena]

Hi Karen.

I was warned by my EP that my heart rate would drop but it’s nothing to worry about. He said I’m to go on 80 and if it drops too far then drop it too 40. Not sure if I want to swap drugs yet again. Still making my mind up. Although not great on bisoprolol. Definitely a huge step up from flecainaide though

[zccups in reply to Elli86]

I am ok no problems todate.

[sbmargo]

I had successful Ablation, but it made my resting heart rate go way up, so now I must be on blood pressure meds. I was on Sotalol and several others, and now I'm on Amlodipine Besylate Tabs 5 mg, which seems to have fewer side effects for me. I'm not happy to have to be on bp meds, but talk to your doctor. I had refused the blood thinners while I still had aFib, but that was risky, since a stroke is not something to play around with. I wouldn't contemplate "stopping everything" without medical advice. It's one thing to drop dead, but it's horrifying to think of having a stroke and all the things that means. Please don't risk it.Good Luck.

[AnnieKato in reply to sbmargo]

Thank you for your kind words. We won't stop treatment without medical advice.

We have appointment with doctor next week.

The reason I refuse Sotalol because my daughter has low heart rate and BP. Sometimes, her pulse goes down to 36 !!!