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1423357 tn?1511085442

Just dealt a major setback following my recovery from ablaltion....

Early Saturday morning, I was awakened with severe arrhythmia from out of the blue.  I had to get back on the Metoprolol which coincidentally I had stopped completely taking only one day earlier. I took a scheduled stress test today that was suppose to see how I was doing off the Metoprolol, but it became a test to see what was going on rather than to see how I’ve progressed since the procedure.  This was nothing like I had before.  I was/am experiencing PAC's with non-sustained runs of SVT thrown in.  Cardiologist wants me back on  my original dose of 100mg per day that I was taking before the procedure back in Nov. and may fool around with other meds before sending me back to the doctor who did the procedure.  He thinks there might be  filament of conductive muscle that he missed during the procedure.  So ultimately, I may have to get another ablation done.  We’ll have to see.  I still managed to get 10 minutes on the treadmill which doesn’t sound like much, but at the end is running 4.2mph up a steep incline.  Doc says at some points, my heart was throwing salvos of SVT between 250 up to 300 beats per minute.  I could have gone more, but he punched me out having gotten enough data.  I'm currently OK, but I feel PACs at least once a minute at rest, and walking about the large building here at work results in SVT and lots of PAC's.  This is not good…….  
Best Answer
1137980 tn?1281285446
Tom do not panic here or even think its a fail until its been confirmed.  I went thru just about the same thing i think a total of 3 times after the ablation was done almost five years ago and one of the worst was the last one which was a little over a year ago where i ended up back in the E,R,  and had to get converted.  My heart surgeon is the one who played around with the meds and we tried probably four of them before we hit on it with antenolol which was perfect for me anyway.  As i always post i take a low dose every morning when i brush my teeth (.25 mgs.) and so far so good.  If the ablator feels they may have missed something or something else reared its ugly head and popped up then i would def. get it taken care of.  I now take the antenolol and have a pocket pill called Multaq that if i go into a sequence of events and can't convert myself then i hit the Multaq and so far i have only had to take a half of one and it def. did the job.  So my docs criteria was this:  If i wake up out of a sleep or feel anything off in my pulse rate regardless of the source and its the pounding and irregular beats i am to take an antenolol..i wait 45 min. and if it doesn't convert i take a secondary antenolol give it another 45 minutes and if it didn't convert to go to big gun Multaq and if i didn't convert after 30 minutes i was to head to the E,R,...so far its worked for me on the rare occasions that it has happened over the last few years.  You may want to toss it past your heart doc and see what they say...the other funny thing Tom is that this may happen...convert and never ever happen to you again....i know it so ***** what you are going thru and i know the disbelief that you feel right now but you are still less than a year out and it may be more common than you think.....Just let us know..we all care about you so much and whenever i see you responding to others posts i don't even bother going into it because i know they are in good hands with you my friend...my fingers are crossed that you will wake up in the morning and it has suddenly stopped..if it happened to me it can happen to you <3
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1569985 tn?1328247482
Keeping you in my thoughts and prayers . . . Hang in there.
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941118 tn?1312281926
Misery loves company I guess.  As you know Tom, I've on my 7th day of feeling like crap. In fact, I'm on a monitor right now!  Hang in there, this may be something that just requires minor med tweaking.  Keep us posted....

Debbie
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Avatar universal
Yes there is a difference because mg citrate works in the citrate exchange portion of the krebs cycle and is not involved in muscle cell pathways to the extent malate exchange portion is. Mg malate is invovled with supplying energy for muscle cell function including heart muscle cell pathways which can misfire if not functioning properly causing heart arrhythmias such as PACs and PVCs. There are many studies to verify the clinical value of mg as related to arrhythmia especially after open heart surgery. I take 425 mg of magnesium malate per day but I take a formula that includes malic acid. This is extremely important because the malic acid is synthesized in the body through the citric acid (Krebs) cycle (in the mitocondria) and it may be at a deficit in the mitocondria of the cell. Malic acid provides the cells with energy and carbon skeletons for the formation of amino acids. Synthesis of proteins, fats and carbohydrates necessary for cellular integrity, normal activity and function are dependent on ATP availability which supplies the energy for their synthesis and actions and malic acid/malate pathway is the pathway magnesium needs to facilitate for proper muscle cell function. Magnesium deficiency causes swelling and disruption of cristae in the mitochondria, with a decreased number of mitochondria per cell so mg and malic acid work together to provide proper functioning of muscle cells. Additionally, only tissue malate is depleted following exhaustive physical activity, even though other key metabolites from the citric acid cycle necessary for ATP production remain unchanged further demonstrating the use of malate in the muscle cell pathways including the heart muscle tissues. I use Source Naturals formula because it includes malic acid with magnesium but if you prefer you could take any form of magnesium and eat a granny smith or green apple and hope for the best. You would probably have to eat ten green apples though to get enough malic acid to make up for the loss. Let me know how you do. I believe that the reason people are confused with the different types of magnesium that are availble is because you have to understand microbiological cellular respiration/function to see how all this works. I have had 2 years just to understand this much. Thanks

This commentary is for informational purposes only and is not meant to diagnose or cure any disease or condition. Please check with your doctor for all of your personal care needs.
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1632539 tn?1456276618
It will be fine! sorry
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1632539 tn?1456276618
Hey Tom, I will be fine. I know how PAC & PVC are anoying. But I am sure if anyone can get through this it is you. I am so grateful for all the advice and support that you have given me. I will be praying for you daily.


Kelly
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