Anyone else here with IST switch to or add ivabradine

I’m currently taking 100mg of metoprolol succinate twice daily (200mg total) for inappropriate sinus tachycardia/SVT that got much worse after an infection. The side effects of taking a dose that high are pretty terrible, but I still frequently feel my heart bounding out of my chest. It wakes me up or keeps me awake at night. I don’t want to raise my dose any more, even though my cardiologist gave me the all clear to increase it as I need to, because I’m having shortness of breath that gets more and more unbearable with each dose increase. Has anyone switched to ivabradine or added it on to your medication? If so, how did that go for you?

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u/cilexip — 7 days ago

Struggling with being uncomfortable all the time

I have IST that significantly worsened following an unknown virus (probably covid if I had to guess lol). I had to be hospitalized for SVT around a week and a half/2 weeks or so after the infection happened, and my anxiety has been hell since then. I take 200mg of metoprolol succinate daily (1 dose of 100 in the morning and 1 dose of 100 at night), and somehow that still isn’t enough to stop me from waking up with an uncomfortably fast heart rate nearly every night once it gets past the peak concentration time.

I’m sick of moving even slightly and feeling my heart rate shoot up for no good reason. I’m sick of the side effects from taking such a high dose of metoprolol. I’m sick of just trying to relax and constantly being aware of a bodily function that I shouldn’t have to worry about

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u/cilexip — 15 days ago
▲ 1 r/sleep

I took double my usual melatonin dose (2.5mg to 5mg) and my heart rate is significantly lower?

Has anyone else had this happen to them? I didn’t think melatonin had much of an effect on HR. My usual HR only goes down to about 85 while resting, but it’s at 72bpm currently. Is this normal or should I be worried

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u/cilexip — 2 months ago

Is there any testing for adenomyosis other than a transvaginal ultrasound?

So a few years ago, I got an ultrasound to look for any issues that could be causing my severe vaginismus and menstrual irregularities. Obviously due to the vaginismus I opted for an external ultrasound. The results mentioned a possibility of adenomyosis, but that the testing was inconclusive because they can’t diagnose that without a transvaginal ultrasound. My doctor never even said anything about it to me, lol, so I’m left wondering what the point of getting testing was.

I have most of the common symptoms- 10/10 period cramps that completely take my breath away, giant blood clots, severe cramping after orgasming or any sexual stimulation (it seems like this is rather common among people with adenomyosis), iron deficiency, and periods that last 9+ days and start randomly unless I’m on birth control pills. My period isn’t crazy heavy, I’d say it’s moderate, but I do occasionally soak through a big pad overnight.

And lastly.. if there is some other way to find out if this is causing my issues, is it even worth it? Is there something better than birth control pills? At this point, I’m just relying on the hormones to keep it somewhat under control, but they don’t get rid of the extremely painful cramps (including after stimulation/orgasm), giant clots, or withdrawal bleeds that last over a week.

Thanks for any answers or help, because I’m sick of my uterus

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u/cilexip — 2 months ago

Do we keep our original houses after buying new ones?

Hi! I want to buy a bigger home, but I can’t decide between getting a new one or keeping the small home I’ve already worked so hard to decorate. Are we able to switch between houses or do we only get one at a time? Thanks for any replies 🧚‍♀️

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u/cilexip — 2 months ago

Will we keep our accounts and progress once the devs upload the full game?

Hi, I’m super happy to be playing pixie hollow again!! I just want to know if I should keep spending a bunch of time on it now, or wait until the full game is launched. I don’t want to have a bunch of items and ingredients and then get sad if our accounts will be reset.

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u/cilexip — 2 months ago

Froze up on my first DOA call

So I had my third clinical today (I’m a basic emt student). We were on the way back to the station after 7pm to clock out and leave when the medic got called to a DOA. I felt fine when we got there, confident even, but when I walked into the house and saw the dead guy I sort of freaked internally and froze when I was supposed to be helping the others log roll him into the body bag. Heart racing, teared up a little, shook a little bit. It was super jarring to see a human body with no human in it, laying in bed. He was only maybe dead for a day, in rigor mortis and dependent lividity. I still ended up watching everything and helping carry the body out. Is it normal to feel so freaked out about it? Do you get used to it over time? I feel so stupid for just standing there while everyone else was putting in work.

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u/cilexip — 3 months ago

Has anyone ever fainted while getting a lash tint/lift?

Today I got my eyelashes tinted for the first time, and as soon as the tech started touching around my eyes I got extremely dizzy and lightheaded and had to sit up and drink water. I ended up getting it done and it turned out good, but has this happened to anyone else? I’m just wondering wtf could have caused that honestly. I want to keep getting them done but I’m not sure if I should

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u/cilexip — 3 months ago

Anyone know any local places that specialize in benzodiazepine/narcotic addiction?

Sorry if this question isn’t allowed. Nashville or any other nearby cities (~1 hr) would work too. I’m looking for an addiction/SUD specialist that can help me taper off the meds I’m currently dependent on. Thanks for any recommendations.

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u/cilexip — 3 months ago

Possible causes of chest pain in a 21 yo female?

Hi, I’m 21F, 5’2, alternate between 170-180lbs/77-82kg (no doctor has mentioned anything about me needing to lose weight, surprisingly). I’ve had one confirmed episode of SVT that lasted over a day- valsalva maneuver, diltiazem, and 6mg + 12mg adenosine didn’t fix it. IV metoprolol finally got it down, slowly. Atrial flutter was mentioned as a possibility by both the ER doctor and the hospital cardiologist (plus dad has it, it showed up around the same age I am) but they never confirmed with me, and I don’t have the ecg strips from when I was given adenosine to confirm. Strong family history of heart issues on my father’s side, and diabetes/hypertension on my mother’s side.I have inappropriate sinus tachycardia and hypertension that worsened greatly following an unknown infection. I take metoprolol succinate 75mg twice daily.

Over the past couple months, I started having left and right arm soreness/pressure, for which I got an ecg, and that showed up normal. They discharged me without doing any blood tests/chest x ray. A few weeks ago, the left side of my chest started hurting intermittently, sometimes sharp, sometimes dull/achy. Mostly pinpoint pain near the middle or right at the top of my breast. Occasionally it’ll be in the middle or on the right. It hurts to press on the painful areas, and the pain seems to be ABOVE the ribs, not deep within. I don’t think it has any correlation with my eating, but my heart does race and pound after I eat meals/I will get sharp pains right below the breastbone that change with movement. I burp a LOT. I also usually get shortness of breath about an hour or two after taking my metoprolol, which is weird as my doc said the meds should help with that.

It also seems to happen more before I head out to class, so I’m wondering if it’s something to do with stress, but as a woman I’m very cautious about being told “it’s just anxiety.” Of course I HOPE that’s why

I have a follow up with my cardiologist and PCP in a couple weeks, but I’m just wondering if anyone here has any suggestions for what could be causing it.

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u/cilexip — 4 months ago

Anyone with a cardiac arrhythmia switched from metoprolol to nebivolol?

I take metoprolol succinate ER 75mg twice daily. However, ever since I started it a few months ago, my exercise tolerance has decreased significantly. I can barely sleep, I’m constantly out of breath (even while doing nothing), sweating my ass off all the time, etc. It feels like I’m carrying an extra 100lbs on my back. I mainly take it for inappropriate sinus tachycardia/SVT but my BP is also high.

I’m in EMT school right now, so I need to be able to move a lot. before I started metoprolol, I could stay moving all day without getting out of breath. Now it’s a different story.

I have heard that nebivolol is more cardio selective than metoprolol, and that it has fewer side effects (like shortness of breath, sleep issues, sexual dysfunction). I’m wondering if anyone has switched over to it safely without having any kind of scary issues with their heart rate. Also, my resting blood pressure is still slightly high even with the 150mg daily, so I can afford to lower that a bit if it takes more nebivolol to keep my heart rate down. Thanks for any responses!

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u/cilexip — 4 months ago

Could this wipe indicate a GI bleed? And what’s with the yellow greasy stuff? (Warning: pic is disgusting)

21 year old female, 5’2 175lbs

Extra info: I have mild anemia that I take iron supplements for and high blood pressure/inappropriate tachycardia (I take metoprolol for both of those)

I have been having occasional bowel movements that result in blood in the toilet and on the paper after I wipe. Both dark and light blood, plus this weird yellow greasy substance. Frequent diarrhea, like butt burning diarrhea, sometimes several times a day. Period-like lower abdominal cramping when the symptoms get bad. URGENT needs to poop. It happens at random and seems to get better then worse then better then worse. This has been going on for probably around a year, but I have over $6k in medical debt currently so I need to know if this is something really serious or if it looks to be just hemorrhoids/stress related. Thanks for any responses

Edit: I also take 3 month long birth control and occasionally skip the placebo week, so I have had no true menstrual period in a looooong time. I do get massive clots during the placebo week in case that’s relevant.

Also, a strong family history of colon cancer. My father’s grandmother died of it, and he has had precancerous polyps removed

u/cilexip — 4 months ago

Anyone else in here have a heart issue and/or work in EMS?

I really want to get off this stupid clonazepam, but I also have a heart issue (inappropriate sinus tachycardia and at least one svt episode so far, I take metoprolol for it) and I’m currently training to become an EMT. When is the best time to start a taper? Should I just jump into it now, or should I wait until I am settled into a job?

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u/cilexip — 4 months ago
▲ 4 r/askCardiology+2 crossposts

What is up with these zio patch ecg strips? Did I have a heart attack?

Specifically number 6

21f 5’3 170lbs

Edit- I went to the ER on May 4th due to radiating arm, neck, and back pain and a “feeling of doom” but they ran an ekg and said I was fine. No blood tests were done. For context, I was wearing the patch due to an unexplained episode of tachycardia (170 bpm for 15+ hours- diltiazem, multiple attempts at the valsalva maneuver, and both doses of adenosine were unable to break the tachy) that landed me in the hospital for days

u/cilexip — 5 months ago