Ongoing heart problems. Advice please??

I have been diagnosed with inappropriate sinus tachycardia, which until recently I was kept stable(ish) on Ivabradine 5mg twice daily. This seem to have reduced efficiency so I was increased to 5mg three times a day. I just don't feel right on this dose. My heart rate seems fine but I seem tight chested with occasional chest pains. I go dizzy more easily and sometimes experience the feeling that my heart skips a beat and i go dizzy occasionally pass out and when I do come to it feels as though my heart is gonna pop out of my chest and Iam flushed.


I have seen my GP who has limited knowledge of my condition so he wrote to my consultant. I now have an appointment (brought forward) from my original appointment in december.





If anyone out there has knowledge of this drug or even this condition, or anyone who has experi enced these symptoms. Am I worrying myself unneccessarily. I dont want to take vital care from somebody else but at the same time I feel unable to continue.Ongoing heart problems. Advice please??
Ivabradine is a new-ish drug used for fast heart rhythms. The total dose you take is the usual one however usually in 2 doses rather than divided into three- sounds like your GP is being careful not to give you a bigger dose than your body can cope with.





Have your blood pressure checked asap and make sure its checked both when lying down and then on standing. If your BP falls when you get up then this is likely to be a side effect of the medication and so this is easily remedied by a change of meds. There are many meds that can control an inappropriate sinus tachycardia.





If your blood pressure shows no change then insist that you are seen sooner as this could be a more serious type of tachycardia and should be investigated as a matter of urgency. If you have trouble getting seen, please present at accident and emergency the next time symptoms occur- even if it's just to put your mind at rest. Be assured that you won't be wasting anybody's time- you'll be kicked out pretty quickly if nothings wrong but at least you would get to see a cardiologist.Ongoing heart problems. Advice please??
please go to your docs and get a quicker referral





los


x
I have irregular heart beat I have atrial fibrillation, my pulse varies left and right. I take drugs to keep near enough.





It can serious obviously but is treatable and causes me no problems, the drugs I take are antenolol and digoxin as well as Lisinoprol to control my blood pressure.


If your chest feels like there is a belt being tightened around it dial 999 and get an ambulance better to be safe than sorry
I know that this isn't that helpful but you are going to have to wait until the consultant gets to the bottom of it and in the meantime find someway of taking your mind off things, I would strongly suggest that you carry a card in your wallet to let others/first aiders know that you are currently having heart complaints and are taking the ivabradine. Worrying will cause stress and even add to the problem. (Tachycardia is where the heart beats irregularly in your case caused by the sino-atrial node.)


Take care
Hopefully the ';consultant'; is an Electrophysiologist (a cardiologist who specializes in heart rhythm). In the meantime, find more information at the Heart Rhythm Society webpage. If you are actually passing out with this, you shouldn't wait until December.
You could have a read here





http://en.wikipedia.org/wiki/Inappropria鈥?/a>





http://en.wikipedia.org/wiki/Ivabradine