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AIVR?

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General fitness, health and nutrition
Published
31 October 2003
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3 November 2003
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  1. Had a 24-hour Holter on Tuesday after a week of constant annoying
    "palpitations". (I have had 2 -3 afib episodes per year since 2001,
    converted on my own or with the help of Cardizem).

    I recently switched to a new cardiologist when I moved a few months
    ago and was evaluated by himat that time: echo, echo-stress, PFT,
    lipid profile, all within normal range.

    I just heard from him and he said the Holter showed "accelerated
    idioventricular rhythm at the rate of 50" and that it's self-limiting,
    doesn't require any particular treatment and is not life-threatening.

    Ironically, today was the first day in over a week that I did not have
    the palpitations...but it has been one heck of a week. I lost a lot of
    sleep and was a bit depressed over it.

    Any helpful comments & suggestions would be appreciated.

  2. Quoted message said:

    Had a 24-hour Holter on Tuesday after a week of constant annoying
    "palpitations". (I have had 2 -3 afib episodes per year since 2001,
    converted on my own or with the help of Cardizem).

    I recently switched to a new cardiologist when I moved a few months
    ago and was evaluated by himat that time: echo, echo-stress, PFT,
    lipid profile, all within normal range.

    I just heard from him and he said the Holter showed "accelerated
    idioventricular rhythm at the rate of 50" and that it's self-limiting,
    doesn't require any particular treatment and is not life-threatening.

    Ironically, today was the first day in over a week that I did not have
    the palpitations...but it has been one heck of a week. I lost a lot of
    sleep and was a bit depressed over it.

    Any helpful comments & suggestions would be appreciated.

    You may be on too much cardizem. Would suggest you ask your doctor about
    this.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  3. MD/PhD said:
    Quoted message said:

    Had a 24-hour Holter on Tuesday after a week of constant annoying
    "palpitations". (I have had 2 -3 afib episodes per year since 2001,
    converted on my own or with the help of Cardizem).

    I recently switched to a new cardiologist when I moved a few months
    ago and was evaluated by himat that time: echo, echo-stress, PFT,
    lipid profile, all within normal range.

    I just heard from him and he said the Holter showed "accelerated
    idioventricular rhythm at the rate of 50" and that it's self-limiting,
    doesn't require any particular treatment and is not life-threatening.

    Ironically, today was the first day in over a week that I did not have
    the palpitations...but it has been one heck of a week. I lost a lot of
    sleep and was a bit depressed over it.

    Any helpful comments & suggestions would be appreciated.

    You may be on too much cardizem. Would suggest you ask your doctor about
    this.

    I only took Cardizem when I had the afib episodes. Daily, I take
    Toprol XL 50mg.

  4. Quoted message said:
    MD/PhD said:
    Quoted message said:

    Had a 24-hour Holter on Tuesday after a week of constant annoying
    "palpitations". (I have had 2 -3 afib episodes per year since 2001,
    converted on my own or with the help of Cardizem).

    I recently switched to a new cardiologist when I moved a few months
    ago and was evaluated by himat that time: echo, echo-stress, PFT,
    lipid profile, all within normal range.

    I just heard from him and he said the Holter showed "accelerated
    idioventricular rhythm at the rate of 50" and that it's self-limiting,
    doesn't require any particular treatment and is not life-threatening.

    Ironically, today was the first day in over a week that I did not have
    the palpitations...but it has been one heck of a week. I lost a lot of
    sleep and was a bit depressed over it.

    Any helpful comments & suggestions would be appreciated.

    You may be on too much cardizem. Would suggest you ask your doctor about
    this.

    I only took Cardizem when I had the afib episodes. Daily, I take
    Toprol XL 50mg.

    You may be on too much Toprol. An AIVR of 50 means your atrial rate must have
    been very slow (less than 50). Again, would suggest you ask your doctor about
    it.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

  5. MD/PhD said:
    Quoted message said:
    MD/PhD said:

    [email hidden] wrote:

    > Had a 24-hour Holter on Tuesday after a week of constant annoying
    > "palpitations". (I have had 2 -3 afib episodes per year since 2001,
    > converted on my own or with the help of Cardizem).
    >
    > I recently switched to a new cardiologist when I moved a few months
    > ago and was evaluated by himat that time: echo, echo-stress, PFT,
    > lipid profile, all within normal range.
    >
    > I just heard from him and he said the Holter showed "accelerated
    > idioventricular rhythm at the rate of 50" and that it's self-limiting,
    > doesn't require any particular treatment and is not life-threatening.
    >
    > Ironically, today was the first day in over a week that I did not have
    > the palpitations...but it has been one heck of a week. I lost a lot of
    > sleep and was a bit depressed over it.
    >
    > Any helpful comments & suggestions would be appreciated.

    You may be on too much cardizem. Would suggest you ask your doctor about
    this.

    I only took Cardizem when I had the afib episodes. Daily, I take
    Toprol XL 50mg.

    You may be on too much Toprol. An AIVR of 50 means your atrial rate must have
    been very slow (less than 50). Again, would suggest you ask your doctor about
    it.

    Actually, I was only taking 25mg of Toprol daily. When I called the
    doctor last week to tell him about the "palpitations" he suggested I
    up the Toprol to 50mg.

    I don't understand. Could you explain why you're suggesting lowering
    the dosage and how it relates to AIVR?

    How do you describe what it is, its causes and what your treatment is?

  6. Quoted message said:
    MD/PhD said:
    Quoted message said:

    On Fri, 31 Oct 2003 17:43:18 -0500, "Dr. Andrew B. Chung, MD/PhD"
    <[email hidden]> wrote:

    >[email hidden] wrote:
    >
    >> Had a 24-hour Holter on Tuesday after a week of constant annoying
    >> "palpitations". (I have had 2 -3 afib episodes per year since 2001,
    >> converted on my own or with the help of Cardizem).
    >>
    >> I recently switched to a new cardiologist when I moved a few months
    >> ago and was evaluated by himat that time: echo, echo-stress, PFT,
    >> lipid profile, all within normal range.
    >>
    >> I just heard from him and he said the Holter showed "accelerated
    >> idioventricular rhythm at the rate of 50" and that it's self-limiting,
    >> doesn't require any particular treatment and is not life-threatening.
    >>
    >> Ironically, today was the first day in over a week that I did not have
    >> the palpitations...but it has been one heck of a week. I lost a lot of
    >> sleep and was a bit depressed over it.
    >>
    >> Any helpful comments & suggestions would be appreciated.
    >
    >You may be on too much cardizem. Would suggest you ask your doctor about
    >this.

    I only took Cardizem when I had the afib episodes. Daily, I take
    Toprol XL 50mg.

    You may be on too much Toprol. An AIVR of 50 means your atrial rate must have
    been very slow (less than 50). Again, would suggest you ask your doctor about
    it.

    Actually, I was only taking 25mg of Toprol daily. When I called the
    doctor last week to tell him about the "palpitations" he suggested I
    up the Toprol to 50mg.

    I don't understand. Could you explain why you're suggesting lowering
    the dosage and how it relates to AIVR?

    How do you describe what it is, its causes and what your treatment is?

    You might want to read all the posts here before you listen to his
    advice. Several people have posted many published articles that
    contradict his views. Be careful.

    Dave

  7. Listen, you can believe or disbelieve any information you get on this board,
    thats entirely up to you, however, any responses by Dr, Chung have been short,
    sweet and on the money. Whether you like some of the things he says or not has
    nothing to do with the fact that in cardiology he knows his stuff...

    complex

  8. (Complex592) said:

    Listen, you can believe or disbelieve any information you get on this board,
    thats entirely up to you, however, any responses by Dr, Chung have been short,
    sweet and on the money. Whether you like some of the things he says or not has
    nothing to do with the fact that in cardiology he knows his stuff...

    If it is so good, then why is his "stuff" contradicted by so many
    published papers? Is he right and are the published papers wrong?

    Dave

  9. The issue is cardiology advice and yes screen your studies, many are biased and
    incorrect. Look to see who is doing the
    study and what the connection is. ETC.
    Every year we hear of studies and every year the studies are reversed and last
    years wonders become this years nightmares. Havent you noticed the trend.

  10. (Complex592) said:

    The issue is cardiology advice and yes screen your studies, many are biased and
    incorrect. Look to see who is doing the
    study and what the connection is. ETC.

    You seem to imply that the published papers are wrong and he is right.
    Is that what you are suggesting? Is he right and are the many
    published papers wrong?

    Quoted message said:

    Every year we hear of studies and every year the studies are reversed and last
    years wonders become this years nightmares.

    Well, if I apply your logic, maybe all those things about statins
    being bad might be true next year. That would be a nightmare, wouldn't
    it.

    Quoted message said:

    Havent you noticed the trend.

    I've noticed some trends, but not that one.

    Dave

  11. Quoted message said:
    Quoted message said:
    MD/PhD said:

    [email hidden] wrote:

    > On Fri, 31 Oct 2003 17:43:18 -0500, "Dr. Andrew B. Chung, MD/PhD"
    > <[email hidden]> wrote:
    >
    > >[email hidden] wrote:
    > >
    > >> Had a 24-hour Holter on Tuesday after a week of constant annoying
    > >> "palpitations". (I have had 2 -3 afib episodes per year since 2001,
    > >> converted on my own or with the help of Cardizem).
    > >>
    > >> I recently switched to a new cardiologist when I moved a few months
    > >> ago and was evaluated by himat that time: echo, echo-stress, PFT,
    > >> lipid profile, all within normal range.
    > >>
    > >> I just heard from him and he said the Holter showed "accelerated
    > >> idioventricular rhythm at the rate of 50" and that it's self-limiting,
    > >> doesn't require any particular treatment and is not life-threatening.
    > >>
    > >> Ironically, today was the first day in over a week that I did not have
    > >> the palpitations...but it has been one heck of a week. I lost a lot of
    > >> sleep and was a bit depressed over it.
    > >>
    > >> Any helpful comments & suggestions would be appreciated.
    > >
    > >You may be on too much cardizem. Would suggest you ask your doctor about
    > >this.
    >
    > I only took Cardizem when I had the afib episodes. Daily, I take
    > Toprol XL 50mg.

    You may be on too much Toprol. An AIVR of 50 means your atrial rate must have
    been very slow (less than 50). Again, would suggest you ask your doctor about
    it.

    Actually, I was only taking 25mg of Toprol daily. When I called the
    doctor last week to tell him about the "palpitations" he suggested I
    up the Toprol to 50mg.

    I don't understand. Could you explain why you're suggesting lowering
    the dosage and how it relates to AIVR?

    How do you describe what it is, its causes and what your treatment is?

    You might want to read all the posts here before you listen to his
    advice. Several people have posted many published articles that
    contradict his views. Be careful.

    Dave

    I've been reading , an occasionally contributing to, this ng for a
    long time and I think I'm old enough to determine who to listen to
    (and who not to).

    For example, your reply was not helpful and unfortunately has taken
    the thread into a meaningless pro/con direction.

  12. Quoted message said:
    MD/PhD said:
    Quoted message said:

    On Fri, 31 Oct 2003 17:43:18 -0500, "Dr. Andrew B. Chung, MD/PhD"
    <[email hidden]> wrote:

    >[email hidden] wrote:
    >
    >> Had a 24-hour Holter on Tuesday after a week of constant annoying
    >> "palpitations". (I have had 2 -3 afib episodes per year since 2001,
    >> converted on my own or with the help of Cardizem).
    >>
    >> I recently switched to a new cardiologist when I moved a few months
    >> ago and was evaluated by himat that time: echo, echo-stress, PFT,
    >> lipid profile, all within normal range.
    >>
    >> I just heard from him and he said the Holter showed "accelerated
    >> idioventricular rhythm at the rate of 50" and that it's self-limiting,
    >> doesn't require any particular treatment and is not life-threatening.
    >>
    >> Ironically, today was the first day in over a week that I did not have
    >> the palpitations...but it has been one heck of a week. I lost a lot of
    >> sleep and was a bit depressed over it.
    >>
    >> Any helpful comments & suggestions would be appreciated.
    >
    >You may be on too much cardizem. Would suggest you ask your doctor about
    >this.

    I only took Cardizem when I had the afib episodes. Daily, I take
    Toprol XL 50mg.

    You may be on too much Toprol. An AIVR of 50 means your atrial rate must have
    been very slow (less than 50). Again, would suggest you ask your doctor about
    it.

    Actually, I was only taking 25mg of Toprol daily. When I called the
    doctor last week to tell him about the "palpitations" he suggested I
    up the Toprol to 50mg.

    I don't understand. Could you explain why you're suggesting lowering
    the dosage and how it relates to AIVR?

    An underlying AIVR of 50 bpm will not appear if the sinus rate is more normal at
    greater than 60 bpm.

    Quoted message said:

    How do you describe what it is, its causes and what your treatment is?

    What is AIVR?

    A regular heart rhythm that arises from the lower chambers (ventricles) of the
    heart.

    What causes AIVR?

    Heart muscle cell(s) in the ventricles that have intrinsic pacemaker activity.

    What is the treatment for AIVR?

    When symptomatic, back off on any medications that may slow the atrial rate.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  13. Quoted message said:
    (Complex592) said:

    Listen, you can believe or disbelieve any information you get on this board,
    thats entirely up to you, however, any responses by Dr, Chung have been short,
    sweet and on the money. Whether you like some of the things he says or not has
    nothing to do with the fact that in cardiology he knows his stuff...

    If it is so good, then why is his "stuff" contradicted by so many
    published papers?

    There are "good" studies and then there are "bad" studies.

    Quoted message said:

    Is he right and are the published papers wrong?

    He writes truthfully. Some published papers either present erroneous data or offer
    erroneous interpretations of "good" data.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com/

  14. Quoted message said:
    Quoted message said:
    Quoted message said:

    On Sat, 01 Nov 2003 04:55:03 GMT, "Dr. Andrew B. Chung, MD/PhD"
    <[email hidden]> wrote:

    >[email hidden] wrote:
    >
    >> On Fri, 31 Oct 2003 17:43:18 -0500, "Dr. Andrew B. Chung, MD/PhD"
    >> <[email hidden]> wrote:
    >>
    >> >[email hidden] wrote:
    >> >
    >> >> Had a 24-hour Holter on Tuesday after a week of constant annoying
    >> >> "palpitations". (I have had 2 -3 afib episodes per year since 2001,
    >> >> converted on my own or with the help of Cardizem).
    >> >>
    >> >> I recently switched to a new cardiologist when I moved a few months
    >> >> ago and was evaluated by himat that time: echo, echo-stress, PFT,
    >> >> lipid profile, all within normal range.
    >> >>
    >> >> I just heard from him and he said the Holter showed "accelerated
    >> >> idioventricular rhythm at the rate of 50" and that it's self-limiting,
    >> >> doesn't require any particular treatment and is not life-threatening.
    >> >>
    >> >> Ironically, today was the first day in over a week that I did not have
    >> >> the palpitations...but it has been one heck of a week. I lost a lot of
    >> >> sleep and was a bit depressed over it.
    >> >>
    >> >> Any helpful comments & suggestions would be appreciated.
    >> >
    >> >You may be on too much cardizem. Would suggest you ask your doctor about
    >> >this.
    >>
    >> I only took Cardizem when I had the afib episodes. Daily, I take
    >> Toprol XL 50mg.
    >
    >You may be on too much Toprol. An AIVR of 50 means your atrial rate must have
    >been very slow (less than 50). Again, would suggest you ask your doctor about
    >it.

    Actually, I was only taking 25mg of Toprol daily. When I called the
    doctor last week to tell him about the "palpitations" he suggested I
    up the Toprol to 50mg.

    I don't understand. Could you explain why you're suggesting lowering
    the dosage and how it relates to AIVR?

    How do you describe what it is, its causes and what your treatment is?

    You might want to read all the posts here before you listen to his
    advice. Several people have posted many published articles that
    contradict his views. Be careful.

    Dave

    I've been reading , an occasionally contributing to, this ng for a
    long time and I think I'm old enough to determine who to listen to
    (and who not to).

    I have no idea how long you have been reading the group, nor your age.
    I was just trying to give you a quick heads up in case you have not
    been following the group. There was quite a bit of additional
    information I was going to pass on to you, specific to your problems,
    but I did not have it handy at the time. I'm sorry you were upset by
    my trying to help, and I will avoid doing that in the future.

    Dave

  15. Quoted message said:
    Quoted message said:
    Quoted message said:

    On Sat, 01 Nov 2003 09:37:21 -0500, [email hidden] wrote:

    >On Sat, 01 Nov 2003 04:55:03 GMT, "Dr. Andrew B. Chung, MD/PhD"
    ><[email hidden]> wrote:
    >
    >>[email hidden] wrote:
    >>
    >>> On Fri, 31 Oct 2003 17:43:18 -0500, "Dr. Andrew B. Chung, MD/PhD"
    >>> <[email hidden]> wrote:
    >>>
    >>> >[email hidden] wrote:
    >>> >
    >>> >> Had a 24-hour Holter on Tuesday after a week of constant annoying
    >>> >> "palpitations". (I have had 2 -3 afib episodes per year since 2001,
    >>> >> converted on my own or with the help of Cardizem).
    >>> >>
    >>> >> I recently switched to a new cardiologist when I moved a few months
    >>> >> ago and was evaluated by himat that time: echo, echo-stress, PFT,
    >>> >> lipid profile, all within normal range.
    >>> >>
    >>> >> I just heard from him and he said the Holter showed "accelerated
    >>> >> idioventricular rhythm at the rate of 50" and that it's self-limiting,
    >>> >> doesn't require any particular treatment and is not life-threatening.
    >>> >>
    >>> >> Ironically, today was the first day in over a week that I did not have
    >>> >> the palpitations...but it has been one heck of a week. I lost a lot of
    >>> >> sleep and was a bit depressed over it.
    >>> >>
    >>> >> Any helpful comments & suggestions would be appreciated.
    >>> >
    >>> >You may be on too much cardizem. Would suggest you ask your doctor about
    >>> >this.
    >>>
    >>> I only took Cardizem when I had the afib episodes. Daily, I take
    >>> Toprol XL 50mg.
    >>
    >>You may be on too much Toprol. An AIVR of 50 means your atrial rate must have
    >>been very slow (less than 50). Again, would suggest you ask your doctor about
    >>it.
    >
    > Actually, I was only taking 25mg of Toprol daily. When I called the
    >doctor last week to tell him about the "palpitations" he suggested I
    >up the Toprol to 50mg.
    >
    >I don't understand. Could you explain why you're suggesting lowering
    >the dosage and how it relates to AIVR?
    >
    >How do you describe what it is, its causes and what your treatment is?

    You might want to read all the posts here before you listen to his
    advice. Several people have posted many published articles that
    contradict his views. Be careful.

    Dave

    I've been reading , an occasionally contributing to, this ng for a
    long time and I think I'm old enough to determine who to listen to
    (and who not to).

    I have no idea how long you have been reading the group, nor your age.
    I was just trying to give you a quick heads up in case you have not
    been following the group. There was quite a bit of additional
    information I was going to pass on to you, specific to your problems,
    but I did not have it handy at the time. I'm sorry you were upset by
    my trying to help, and I will avoid doing that in the future.

    Dave

    Oh, I see. You didn't have this specific info (quite a bit!) handy
    when you decided to warn me about Dr. Chung. A warning that I did not
    want or need. Now, apparently you have it handy but have decided to
    withhold it from me and the group.

    Nice.

  16. Dave, you've just proved to many news-
    group members that your posts are the ones that are not credable.Don't waste
    your breath on any more nasty remarks cause nobody will listen.

  17. Quoted message said:
    Quoted message said:
    Quoted message said:

    On Sat, 01 Nov 2003 09:37:21 -0500, [email hidden] wrote:

    >On Sat, 01 Nov 2003 04:55:03 GMT, "Dr. Andrew B. Chung, MD/PhD"
    ><[email hidden]> wrote:
    >
    >>[email hidden] wrote:
    >>
    >>> On Fri, 31 Oct 2003 17:43:18 -0500, "Dr. Andrew B. Chung, MD/PhD"
    >>> <[email hidden]> wrote:
    >>>
    >>> >[email hidden] wrote:
    >>> >
    >>> >> Had a 24-hour Holter on Tuesday after a week of constant annoying
    >>> >> "palpitations". (I have had 2 -3 afib episodes per year since 2001,
    >>> >> converted on my own or with the help of Cardizem).
    >>> >>
    >>> >> I recently switched to a new cardiologist when I moved a few months
    >>> >> ago and was evaluated by himat that time: echo, echo-stress, PFT,
    >>> >> lipid profile, all within normal range.
    >>> >>
    >>> >> I just heard from him and he said the Holter showed "accelerated
    >>> >> idioventricular rhythm at the rate of 50" and that it's self-limiting,
    >>> >> doesn't require any particular treatment and is not life-threatening.
    >>> >>
    >>> >> Ironically, today was the first day in over a week that I did not have
    >>> >> the palpitations...but it has been one heck of a week. I lost a lot of
    >>> >> sleep and was a bit depressed over it.
    >>> >>
    >>> >> Any helpful comments & suggestions would be appreciated.
    >>> >
    >>> >You may be on too much cardizem. Would suggest you ask your doctor about
    >>> >this.
    >>>
    >>> I only took Cardizem when I had the afib episodes. Daily, I take
    >>> Toprol XL 50mg.
    >>
    >>You may be on too much Toprol. An AIVR of 50 means your atrial rate must have
    >>been very slow (less than 50). Again, would suggest you ask your doctor about
    >>it.
    >
    > Actually, I was only taking 25mg of Toprol daily. When I called the
    >doctor last week to tell him about the "palpitations" he suggested I
    >up the Toprol to 50mg.
    >
    >I don't understand. Could you explain why you're suggesting lowering
    >the dosage and how it relates to AIVR?
    >
    >How do you describe what it is, its causes and what your treatment is?

    You might want to read all the posts here before you listen to his
    advice. Several people have posted many published articles that
    contradict his views. Be careful.

    Dave

    I've been reading , an occasionally contributing to, this ng for a
    long time and I think I'm old enough to determine who to listen to
    (and who not to).

    I have no idea how long you have been reading the group, nor your age.
    I was just trying to give you a quick heads up in case you have not
    been following the group. There was quite a bit of additional
    information I was going to pass on to you, specific to your problems,
    but I did not have it handy at the time. I'm sorry you were upset by
    my trying to help, and I will avoid doing that in the future.

    Dave

    He didn't sound upset... just wise.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

  18. Quoted message said:

    You might want to read all the posts here before you listen to his
    advice. Several people have posted many published articles that
    contradict his views. Be careful.....

    .....of those who hide their IP addresses via anonymous Usenet
    services.

    http://antwrp.gsfc.nasa.gov/apod/ap970827.html
    Lift well, Eat less, Walk fast, Live long.

  19. Quoted message said:

    I was just trying to give you a quick heads up in case you have not
    been following the group

    Here is you entire posting history per Google. You must be a very,
    very, very self-controlled lurker.

    http://tinyurl.com/tcva

    http://antwrp.gsfc.nasa.gov/apod/ap970827.html
    Lift well, Eat less, Walk fast, Live long.

  20. Quoted message said:
    Quoted message said:
    Quoted message said:

    On Sat, 01 Nov 2003 09:41:25 -0800, [email hidden] wrote:

    >On Sat, 01 Nov 2003 09:37:21 -0500, [email hidden] wrote:
    >
    >>On Sat, 01 Nov 2003 04:55:03 GMT, "Dr. Andrew B. Chung, MD/PhD"
    >><[email hidden]> wrote:
    >>
    >>>[email hidden] wrote:
    >>>
    >>>> On Fri, 31 Oct 2003 17:43:18 -0500, "Dr. Andrew B. Chung, MD/PhD"
    >>>> <[email hidden]> wrote:
    >>>>
    >>>> >[email hidden] wrote:
    >>>> >
    >>>> >> Had a 24-hour Holter on Tuesday after a week of constant annoying
    >>>> >> "palpitations". (I have had 2 -3 afib episodes per year since 2001,
    >>>> >> converted on my own or with the help of Cardizem).
    >>>> >>
    >>>> >> I recently switched to a new cardiologist when I moved a few months
    >>>> >> ago and was evaluated by himat that time: echo, echo-stress, PFT,
    >>>> >> lipid profile, all within normal range.
    >>>> >>
    >>>> >> I just heard from him and he said the Holter showed "accelerated
    >>>> >> idioventricular rhythm at the rate of 50" and that it's self-limiting,
    >>>> >> doesn't require any particular treatment and is not life-threatening.
    >>>> >>
    >>>> >> Ironically, today was the first day in over a week that I did not have
    >>>> >> the palpitations...but it has been one heck of a week. I lost a lot of
    >>>> >> sleep and was a bit depressed over it.
    >>>> >>
    >>>> >> Any helpful comments & suggestions would be appreciated.
    >>>> >
    >>>> >You may be on too much cardizem. Would suggest you ask your doctor about
    >>>> >this.
    >>>>
    >>>> I only took Cardizem when I had the afib episodes. Daily, I take
    >>>> Toprol XL 50mg.
    >>>
    >>>You may be on too much Toprol. An AIVR of 50 means your atrial rate must have
    >>>been very slow (less than 50). Again, would suggest you ask your doctor about
    >>>it.
    >>
    >> Actually, I was only taking 25mg of Toprol daily. When I called the
    >>doctor last week to tell him about the "palpitations" he suggested I
    >>up the Toprol to 50mg.
    >>
    >>I don't understand. Could you explain why you're suggesting lowering
    >>the dosage and how it relates to AIVR?
    >>
    >>How do you describe what it is, its causes and what your treatment is?
    >
    >You might want to read all the posts here before you listen to his
    >advice. Several people have posted many published articles that
    >contradict his views. Be careful.
    >
    >Dave

    I've been reading , an occasionally contributing to, this ng for a
    long time and I think I'm old enough to determine who to listen to
    (and who not to).

    I have no idea how long you have been reading the group, nor your age.
    I was just trying to give you a quick heads up in case you have not
    been following the group. There was quite a bit of additional
    information I was going to pass on to you, specific to your problems,
    but I did not have it handy at the time. I'm sorry you were upset by
    my trying to help, and I will avoid doing that in the future.

    Dave

    Oh, I see. You didn't have this specific info (quite a bit!) handy
    when you decided to warn me about Dr. Chung. A warning that I did not
    want or need. Now, apparently you have it handy but have decided to
    withhold it from me and the group.

    Nice.

    I suspect he's the one who has been trying to impersonate me (based on the header path
    information). Being that impersonating a physician is a crime, his days are numbered.

    Psalm 37 helps me forgive him. May Psalm 37 help you too.

    --
    Dr. Andrew B. Chung, MD/PhD
    Board-Certified Cardiologist
    http://www.heartmdphd.com

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