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» LymeNet Flash » Questions and Discussion » Medical Questions » cardiac craziness

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Author Topic: cardiac craziness
brodius
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I tired to search - but didn't come up with anything exact. As I have posted before, I am just beginning my second month of doxy. My doc just told me to discontinue b/c I have been experiencing severe night time cardiac events. They are so intense and usually begin with strong (see my body move) palpitations. I am so tired when they occur - I don't really know what is going on but it wakes me feeling like I can't breathe with constriction around my heart - today it continued into the day....anyone else get these kind of episodes or have any idea what is going on? I feel exhausted like I've been battered by my own heart!

brodius


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NP40
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Hey Brodius,

Are you seeing an LLMD ?

A friend of our's has a son who has had lyme for about 3 years, and experiences extreme palpitations as well.

They went to our LLMD, and he continued the abx but added muscle relaxant for the palpitations as well. Not sure what specifically, but can find out.


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riversinger
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Yes, I have experienced this. Lately in my treatment this herxing was strong enough that I was put on beta blockers (Toprol.)

The Toprol has mostly controlled the racing heart and the pounding, as well as chest pain and shortness of breath. I did have a full cardiac work-up first, to make sure nothing else needed to be addressed.

Hope things ease up for you.

------------------
Sonoma County Lyme Support
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duramater
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Not sure what you mean by "severe cardiac events." Can you say more?

As far as the heart skipping type feeling, I tend to get that at night to, when walking around (I'm pretty much bed bound), and the week before and a few days during my period.

In addition to the heart skipping, I've had supraventricular tachycardia, and I get very bad chest pain (again, worse at night and around my period). The cardiologist diagnosed me with coronary vasospasm although the most common cause, coronary artery disease, doesn't seem to be a factor for me (uber-low cholesterol, triglycerides, and a clean stress test).

I'm taking magnesium and L-arginine (per the doc) as well as usuing nitroglycerine patches. He didn't give me anything for the skipping because it lowers blood pressure, and I'm already having orthostatic hypotension problems.

Now, I've had all this heart crap before back in '92 and it cleared up until this year after a few months of IV antibiotics. So my question to you is, are your symptoms worse now that you are on antibiotics? Is there a way that you can control the symptoms and continue on the antibiotics? My stuff calmed down a little bit after about 7 weeks of doxy earlier this year, but are at their peak again now that I've been off Abx for a while (since Oct, could't tolerate the doxy any longer).

Also, don't know if you are a boy or girl, but if girl, pay attn to how the heart symptoms relate to your cycle. Maybe you could pulse the doxy during the better weeks and lay off it during the worse times.

~DM


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brodius
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Yes, I am seeing a LLMD - I think he wants to see if the cardiac symptoms clear up if I discontinue the doxy for four days - I would love to know of anything that enables you to take antibiotics without the palpitations.

I was given Toprol before on various occasions prior to being diagnosed and starting on antibiotics - my problem, like with durameter is that I generally have low blood pressure (although it can skyrocket when really sick) and either asthma or something like asthma - so betablockers will be tricky for me.

Interestingly, although currently I am taking Doxy - when I first got sick - I was taking Erthromycin which is when I first knew somthing was wrong and my heart was pounding.

It's hard for me to describe what I mean by what happens at night. It starts with the intense pounding - somehow, I sleep through this though - than, I wake up with either feeling like my heart has stopped or it was being squeezed. I am really weak when this happens - almost too weak to do anything about it - but I usually get up to take anything I can find (haha) to get rid of the feeling - usually this is magnesium and CoQ10 - I debate about waking my husband up (I'm a girl)to take me to the hospital. Honestly, I think I would have difficulty speaking (I feel that constricted) to tell him if I wanted to.

Before doxy - I was having a lot of cardiac symptoms - tachycardia, bradycardia, premature beats - flip flopping - and tremendous weakness. But for the first month - they were gone. But this night time thing is new and getting more intense as I've ignored it and continued to take the doxy.

So DM, - did these cardiac symptoms start with Lyme and does antibiotics make them worse at first and later better? I guess my doctor is trying to figure out if they are a part of herxing...tonight may tell as this is my first day off.


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lou
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I've had a lot of heart symptoms, especially at night which would wake me up repeatedly. Also had worsening, very frightening episode, with herx on IV zithromax. Had to stop it for that reason. I know it was a herx. However, later I resumed this med and did not have a repeat (thank goodness). Think this was because the germ load had been knocked down.

Some people think babesia can also cause heart problems, and I have been wondering about it because babesia treatment also affected my palpitations. At this point I very seldom have any palpitations, and hope it stays that way. Have cut back on the beta blocker dose, and may try doing without one of these days....going off gradually, not overnight.


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Lymetoo
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Could also be from sleep apnea since it happens at night. Check into it.

My dr recently put me on sotalol for the palpitations and tachycardia. However, it hasn't done much for the tachy. I will say it doesn't lower my BP, which is why he switched me from the atenolol I've been on for 3 or 4 yrs. [I have low BP too when on the atenolol.]

I'm thinking about going back on the atenolol, because I can't stand the racing.

As for babesia....all my heart problems began with babesia herxes.

brodius....I would not hesitate to have a full cardiac workup if I were you!

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oops!
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pq
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Get copies of your medical records, including the actual ekg, not just the report. ekgs usu. will have a diagnosis(-es) of the problem.

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cigi
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My heart irregularities began almost 2 years ago when I was on oral doxy. I went to heart specialists, one specifically because he "understood lyme" that do not know what caused my episodes of ventricular tachachardia. (2 episodes). Had a monitor for 2 months. I was put on toprol 100 mg for the past year. My blood pressure is a little on the low side, but around my monthly cycle, nothing gets rid of my shortness of breath,flipping, fluttering...On IV rocephin for the lyme, haven't been treated yet for bart and babesiosis from complications with sustaining the rocephin.

Wish I had an answer, but I don't know how erratic my heart would be without the toprol. It helps but to a certain point. Supplements wise, magnesium and CoQ10.

Good luck -
Cigi


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lou
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Want to clarify that tachycardia still sometimes happens, almost like an alarm clock some mornings. But compared to what it used to do, well....this is an improvement. After one of those long spells, would feel like I had run a marathon.

Yes, you can get a cardio workup. Basically, it will probably just document your symptoms. Won't pin down the cause, result in any treatment specific to these symptoms, and don't expect most cardios to know anything about lyme. My experience with them was not good.

Would rely on your lyme doc about how much heart testing to do. And the results can be contradictory (surprise). One local cardio said no mitral valve prolapse, but my doc was suspicious because many of us have this, so he had me repeat the test at a teaching hospital, which came back positive. You know what they say about ultrasound testing: it is only as good as the operator.


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duramater
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GO SEE A CARDIOLOGIST. I don't care if you are "herxing" or not, LLMDs are good but are not specialists in all things. Don't mess around with this.
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brodius
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Thanks so much for all your replies, I guess I am not alone in this. I have had a cardiac work up - I had a 24hr monitor when first sick - showed sinus tachy and PAC and PVC's. Nothing was done. Had an echo when first sick that showed that everything was fine. A year ago - had another echo - that showed MVP w/ reguritation and another valve (forgot which) with reguritation. I think this has occured over time due to all these occurences. Again, no cardiologist has suggested anything.

This all began abruptly five years ago with a recent tick bite, rash, and negative elisa. I think antibiotics are my answer but it was getting unbearable...also, there is always the possibility of other things causing it or that the lyme just aggravates it???? By the way, I had palpitations last night but none of the other stuff, after d/c the abx for 24 hrs.

Thinking I had sleep apnea was one of my first symptoms...but I am thin and don't snore (I don't think anyway!)...then, later I thought nocturnal asthma...it's definately the heart though - the palpitations are strong and these symptoms can occur during the day as well.


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