Effects Of Higher Heart Rates
There are no medications that can selectively increase HR, but studying patients with atrial fibrillation provides some insights into the effects of elevated HRs. The RACE-2 study was a thought-provoking and potentially revealing clinical trial that questioned the canonical thinking in regard to HR.56 This guideline influencing trial compared two rate control strategies in patients with atrial fibrillation. The strict rate control group had a HR goal of less than 80 bpm. In the lenient rate control group HRs of up to 110 bpm were allowed. This study established the non-inferiority of higher HRs with a numerical signal towards better outcomes. Although the findings of the RACE-2 study cannot be generalized to patient populations in sinus rhythm the results may provide a first clue that higher HRs are not always detrimental.
What Is The Purpose Of These Afib Heart Rate Slowing Drugs
The rate controlling drugs do serve a purpose. In addition tomaking AFib feel ess bad,they also help to prevent your heart from beatingso fast with AFib that it could put you into heart failure. Our hearts simplycannot keep racing 24 hours a day, seven days a week, and keep functioningproperly.
Can I Prevent Bradycardia Or Reduce My Risk Of Developing It
For many people, preventing bradycardia isn’t possible. This is especially true when it comes to bradycardia which happens because you’re in very good physical shape or bradycardia which happens naturally as you age.
Bradycardia is only preventable in cases where it happens because of the following:
- Recreational drug use. These drugs arent prescribed and you dont take them for any medical reason. Avoiding recreational drug use, especially narcotics and cannabis-based drugs, can help you avoid developing bradycardia.
- Infections. Getting infections treated promptly, even infections that seem minor, can make a big difference in preventing long-term heart problems.
- Anorexia nervosa. Receiving treatment for anorexia nervosa can help you prevent long-term problems like bradycardia.
In all other situations, bradycardia happens unpredictably. Because you cant predict when it will happen, you cant prevent it. However, many people will still develop bradycardia because of aging regardless of what they do to reduce their risk.
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Understand Medications And Why They Are Helpful Medications Can Be A Commitment For Life And Health
Medications, for most patients, are the most helpful form of treatment. However, many studies show that patients often stop taking medications because of side effects or their own belief that they no longer need it. Discontinuing medications can be very dangerous!
If you have been prescribed heart medications, taking and tracking your medications is one of the best things you can do for your health.
Tell your health care team about all your other drugs and supplements, including over-the-counter medications and vitamins.
to track your medicines. Also available in Spanish .
Is Bradycardia An Arrhythmia
Bradycardia is an arrhythmia because it is slower than the typical rate. The normal heart rate range for adults is between 60 and 100 beats per minute.
Sinus rhythm is when your heart is beating regularly and normally. Sinus bradycardia means that your heart is beating regularly, but slower than normal. Sinus bradycardia is usually a benign arrhythmia . That means while it’s slower than expected, it also isn’t harmful.
While bradycardia is a medical condition on its own, it often happens along with or because of other conditions. In those cases, bradycardia is often treated more like a symptom than a separate condition.
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High Pulse Rate May Be Side Effect Of Blood Pressure Meds
- Dr. keith Roach
Dear Dr. Roach I have been on blood pressure medicine and cholesterol medicine for approximately 30 years. I am 72. Over the past two years, an average of my readings is 135/85, and my pulse is 103.
I exercise 20-25 minutes every day, farm, play golf, work in my wood shop and stay active. Why is my pulse so high? N.R.
Answer A fast heart rate can be a sign of serious illness, so you are wise to be concerned. However, in your case, the high pulse rate likely is a side effect of the nifedipine. Nifedipine works by relaxing muscles in blood vessels throughout the body, causing them to open up and reducing resistance to blood flow. This causes more blood to flow under less pressure, so nifedipine is a very useful drug for people with high blood pressure, but also those with some types of heart disease.
However, the body often acts to maintain equilibrium, so when a medicine is used on one system, another system tries to compensate. In this case, the heart rate increases in response to the decreased pressure. This is termed reflex tachycardia.
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What Other Conditions Cause A Low Heart Rate
Many of the medical conditions that cause bradycardia are more common in people who are older or have underlying heart conditions. Some examples of medical problems that can cause bradycardia include:
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Problems with the hearts electrical pathways: There is a special electrical circuit in our heart that controls each heart beat. Problems with this conduction system can cause the signal to go awry. This is called an arrhythmia.
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An abnormal shape or structure of the heart: The shape and size of the heart can begin to change in response to other medical problems. Examples include high blood pressure, coronary artery disease, or heavy alcohol use. Some people are born with certain defects, too. All of these conditions can affect the conduction system we just mentioned.
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Metabolic abnormalities: The heart requires the right balance of electrolytes and hormones to pump correctly. Conditions like hypothyroidism or low potassium levels can cause the heart to beat too slowly.
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What Conditions Are Medicines Used For
- angina – pain or discomfort in the chest, or shortness of breath
- heart attack – when there is a blockage in a coronary artery
- high blood pressure – also called hypertension
- heart failure – when the main pumping action of the heart is not working as well as it should be
- arrhythmia – a heart rhythm that may be too slow, too fast or irregular. See Chest Heart & Stroke Scotland for more on arrhythmias.
- heart valve disease – when one or more of the four valves in the heart is diseased or damaged. See Chest Heart & Stroke Scotland for more on heart valve problems.
- high blood cholesterol level – also called hypercholesterolaemia, which, if left untreated, increases the risk of having a heart condition.
Understanding Your Heart Rate By The Numbers
If youre curious about your heart rate, you can measure it yourself. First, find your pulse by holding a finger to the radial artery on the inside of your wrist. Then, count the number of beats per minute while youre resting.
Other places your heart rate can be measured include:
- on your neck, alongside your windpipe
- inside your elbow
- on the inside of your groin/upper thigh
- on the top of your foot
When youre determining your heart rate, here are some numbers to keep in mind:
- A resting adult heart rate is normally between
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Will I Have Side Effects When Stopping Amlodipine
Yes, you may have certain side effects when stopping amlodipine. Your symptoms can depend on the reason youre taking the drug.
For example:
- If you take amlodipine for high blood pressure, its likely your blood pressure will increase after you stop taking the drug.
- If you take amlodipine to treat coronary artery disease and angina , you may start having chest pain again after the drug is stopped.
Do not stop taking amlodipine unless your doctor says its safe to do so. If they recommend that you should stop amlodipine, its likely your doctor will decrease your dose slowly over time. This can help lessen any side effects that you may have from stopping the drug.
Different Types Of Medicines
There are lots of different medicines used to treat diseases of the heart, but they all belong to a few main groups, including:
- ACE inhibitors like ramipril
- cholesterol-lowering medicines like simvastatin and other statins
- digoxin
- diuretics like bendroflumethiazide
- nitrates like glyceryl trinitrate tablets or spray
The medicines within each group are similar, but may have minor variations in how they work.
Occasionally, two medicines may be combined into one tablet.
All this means that there is a wide variety of medicines to choose from to best meet your individual needs. Sometimes, the same medicine can even be used to treat a number of different conditions.
A single medicine may have several different names. Each one has an official name, called the generic or non-proprietary name. It may also be prescribed under one or more brand names, or proprietary names.
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What Drugs Are Used To Treat And Manage Atrial Fibrillation
This article will introduce you to treatments for AFib. Other non-medical treatments for this heart disease include, for example, electrical cardioversion, catheter ablation therapy, pacemaker implantation, the Maze procedure, and others. Most treatment programs for atrial fibrillation begin with drugs.
Usually, these drugs are grouped into three large categories:
Some of the drugs used to treat this condition have more than one effect on the heart, for example, sotalol can affect both rates of heart and heart rhythm.
Other Medications For Acs
Metoprolol may be used in the initial treatment of ACS. A cardioselective drug, its a beta-adrenergic blocker that dilates peripheral vascular beds, in turn reducing blood pressure, decreasing cardiac workload, and lowering cardiac oxygen demands. It also may have a mild analgesic effect in ACS-related chest pain. The patients blood pressure must be monitored.
A primary goal of ACS treatment is to minimize muscle cell damage, which necessitates restoring blood flow to cardiac muscle. Drugs that may be used to reduce expansion of the arterial occlusion or restore blood flow to cardiac muscle include:
- heparin or enoxaparin , which helps prevent the original arterial clot from expanding and allows it to break down on its own as a result, the vessel opens and new clot formation is inhibited.
- glycoprotein IIB-IIIa inhibitors, such as abciximab . These drugs bind to glycoprotein IIb-IIIa receptor sites on platelets, preventing further aggregation and stopping expansion of the original clot or formation of new clots.
- fibrinolytics, such as reteplase and alteplase . These agents break down the original clot, opening the vessel for blood flow.
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Carditone Interaction With Blood Pressure Meds
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Common Questions About Sotalol
Sotalol is a type of medicine called a beta blocker.
Like other beta blockers, sotalol works by changing the way your body responds to some nerve impulses, especially in the heart. It slows down your heart rate and makes it easier for your heart to pump blood around your body.
Sotalol starts to work after about 4 hours, but it can take 2 to 3 days to fully take effect.
Usually, treatment with sotalol is long term, even for the rest of your life.
Sotalol is generally safe to take for a long time. In fact, it works best when you take it for a long time.
Talk to your doctor if you want to stop taking sotalol.
Stopping sotalol suddenly can make your condition worse.
If you’re bothered by side effects, your doctor may be able to prescribe a different medicine for your heart problems.
If you stop taking sotalol, it will take about 4 days for it to be completely out of your body.
You will have regular blood tests to check that your kidneys are healthy .
Your blood test may also check that you have the right amounts of potassium and magnesium in your blood. If there’s too little of these in your blood it can cause side effects.
Sotalol is not considered as a typical beta blocker. This is because it is not generally used to treat high blood pressure and is mainly used for irregular heartbeats. Sotalol is classed as a potassium blocker.
There are 4 main types of medicines for treating irregular heartbeats:
- sodium channel blockers like flecainide
How Should I Take My Digoxin
Its very important to take your digoxin exactly as your doctor tells you. Digoxin is usually taken once a day. You should try to take it at the same time every day. If you miss a dose, you can take it if less than 12 hours have passed since your normal dosage time. If more than 12 hours have passed, skip that dose altogether. You dont want to double up on digoxin doses.
It may take several weeks to several months for digoxin to start working. Dont be surprised if you dont feel better right away. Keep taking your digoxin, even after you are feeling better. Dont suddenly stop taking your digoxin. This could make your heart problems worse. Call your doctor if you have any problems taking the medicine.
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How Is Your Sleep
Are you getting at least six hours? If not, you absolutely must. If youre too busy to get between seven and eight hours of sleep, take inventory of your late night activities and see what you can cut out.
Perhaps the culprit occurs earlier in the day and pushes everything out to late night.
For example, are you getting home from work at 7:00 or 8:00 pm due to overtime? This will push everything you need to do after work to a few hours later, delaying your bedtime.
Reassess your need to work overtime, or perhaps youre spending a few hours after work unwinding at a bar.
Can you give this up or at least some of it and go straight home instead?
Or maybe to unwind, you can go to a gym after work, spend less time there than you would at the bar, and kill two birds with one stone: getting home earlier and doing the exercise that can naturally treat your fast heart rate.
Sometimes, life just gets in the way of sleep, but usually, if you sit down and carefully go through your schedule and activities, youll be able to make some cuts and free up your evenings more so that you can get to bed earlier.
And one more thing: If you smoke, QUIT. Smoking raises resting heart rate while youre smoking, and that certainly doesnt help.
Dr. Elnahar has publications in the Journal of Atrial Fibrillation, the Journal of Clinical Medicine and Research, Reports in Medical Imaging, and more.