Rate control strategy

[Kmm96]

Does anyone just take a fast acting metoprolol or Diltiazam when they go into AFIB, vs. taking a slow release 24 hour dose every single day. It almost seems my AFIB comes on easier when my heart rate and blood pressure is in the low range. Thanks!

[CDreamer]

Some people are triggered into AF when HR & BP are low, certainly happened to me which was part of the reason I was unable to take any heart rate or rhythm drugs.

Pacemaker sorted out most of my problems.

[KMRobbo]

I did not try it when I was on diltiazem but when I was on 120mg mod release verapamil ( another CCB) in the early days of my afib. I got 40mg normal release tabs which I initially tried as pill in pocket but which did not really work as they were too slow..probably 5 hours plus to take effect from my memory. ( my cardiologist said they would be but let me try) . However I decided I would just keep on the 120mg standard release, but when I got issues I did take an extra 40mg std on top of the 120 mod release to try to control it.