With PMR we have other comorbidities. As I tapered My pred from 8 to 7 3/4 I noticed increased palpitations …? Blame it on prednisone? Adrenal insufficiency ? My asthma inhaler?
I decided to contact my pulmonary to, perhaps, change the inhaler, Breo, which has arrhythmia as an adverse effect.
A person on my pulmonary support group had that happen to her and I see a study suggesting a connection.
Oh.. this is all so much work!
It is that!!!!!
I know; I am a retired anesthetist. The beta agonist not the steroid causes heart irritation .
Just saw the cardio normal EKG in the office but atrial flutter showed in the ambulance rhythm strip.
I could see the atrial flutter myself. It converted in the ambulance just when the paramedics were contacting the doctor for the next move.
I gave those strips to ny cardio who copied them because my EKG was normal in his office today. . The increased diltiazem plus Mg seems to have calmed stuff down.
They were not EMTs; it was a qualified paramedic.
Hi, just to say that I have SVT Supraventricular tachycardia and everytime I change my dosage whether up or down I seem to get palpitations episodes. I think it's possibly the body adjusting to new dose?
I was getting palpitations (is that the same as AF?) when I was on a higher does of pred, something I haven't suffered since I gave up eating wheat. Then following a conversation on here, I realised that the latest brand of pred I had been given contained wheat starch in very small amounts. No problem since I switched back to the previous brand.
Palpitations is just the common name given to the feelings in the chest created by irregular heart beats - of all sorts. There are several different reasons, some totally innoculous, some less so and some that need medical attention.
Now that is interesting I had other problems until I stopped eating wheat, don't think it it makes a difference with the AF though.
Well, the thing that intrigued me most was that I reacted to such a little amount, which kind of confirms my suspicion that I have an actual allergy to wheat, rather than a wheat intolerance that is related being a fructose malabsorber. What I forgot to ask the pharmacist was whether the tabs are also gluten free. I tested negative for celiac because I had already stopped eating wheat when I was tested, but I could be non celiac gluten intolerant. Since, I also don't react well to rye, barely, wheat and even oats, I have followed a strict gluten free diet for the last 15 years. I had an amusing conversation with the consultant on the diabetes prevention programme, who insisted that I needed to eat whole grains as part of the diabetes prevention. 
And the thing that intrigues me most atm, is whether all the above contributed to the inflammation that gave me PMR, because it seems to me that the gap in the knowledge with PMR is that they don't fully understand the risk factors, apart from being viking. What I would like to know is whether the incidence of PMR in, for e.g. Asians or Africans increases when they move to north west Europe or North America, which would make a stronger case for it being environmental, rather than genetic. Maybe one day, that step in the process will be figured out by someone and PMR would be a thing of the past.
Anyway, I digress. At least my curiosity has survived my current lethargy and brain fog.
"who insisted that I needed to eat whole grains as part of the diabetes prevention" - oh for goodness sake ...
I believe that Indian heritage residents in the UK who develop inflammatory arthritis and then return to the sub-continent find their symptoms disappear almost entirely. The incidence of PMR in Asians and African is very low - almost negligible. So the question turns to whether those who DO develop it, have the odd northern European in their family tree.
Or, that all they need is a bit of a sunshine! A friend told me last week that his father had PMR but it disappeared when he went to live in Malta. They seemed a bit hazy about how long he had been ill for beforehand. Though I have noticed that I feel significantly better on warm sunny days, especially my energy levels, but I put that down to the warmth more than the effect of the sunlight. I saw that there have been some small studies that indicate that Vit D supplementation is beneficial for the inflammation in PMR. Though the improvement coincidentally took the magic 18 months to take effect. 
So I have a open mind about that one.
Dunno - I like Malta but it has WIND and wind is awful for me. Even here which isn't quite as warm as Malta, especially in the winter, but warm in summer nevertheless. Too warm last week - now it is a rather noisy monsoon. I sort of feel sorry for the hoards at Lake Garda, especially on campsites built on a steep slope ...
Tales from the Pharmacy...
Hi from the USA!
What is the itch.
Recovered from covid, need to increase prednisone. How much?
