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Suggest Treatment For Severe Sleep Apnea
Question: I am trying to determine my root cause for my Heart condition. I've asked a few questions which really helped. So back in Sept 2013 I went to ER for SVT, pulse was over 160. Did stress test and everything was good. Had another event 2 months later Nov 2013 with 174 pulse and AFib. Had to have Cardioversion. After released sleep study determined severe sleep apnea. Was given Lopressor 25mgX2. Everything was good for 14 months. Last 2 weeks have been an issue with Sinus Tachacardyia, NO afib was present. 1st event during lunch and heartbeat over 100 barely. Cardiologist increased Lopressor 50mgx2. Also on lisinopril 20mgX1. 1 week after Cardiologist visit while at lunch had another event at home. Went to Hospital and was admitted after 7 hours Sinus Tachacardyia. there was NO afib. Nuclear stress test done everything good including panels. Wore a Pulse Oximeter over the weekend and got call Sleep neurologist wants to see me Thursday.
So is my underlying issue SVT caused by Sleep Apnea and the AFib occurred during the SVT event? No Afib so far after Cardioversion but several Sinus Tachacardyias. I imagine without Lopressor I would be in SVT. Is Lopressor the solution but if so why am I still having these events? Family Doctor prescribed Bulspar for anxiety considering Im worked up about these events. I almost need to ask about a mid afternoon dose and to find out why sleep doctor wants to see me. One last thing, my wife stated she heard me snoring in my mask a few weeks ago and I dont think that should happen.
So is my underlying issue SVT caused by Sleep Apnea and the AFib occurred during the SVT event? No Afib so far after Cardioversion but several Sinus Tachacardyias. I imagine without Lopressor I would be in SVT. Is Lopressor the solution but if so why am I still having these events? Family Doctor prescribed Bulspar for anxiety considering Im worked up about these events. I almost need to ask about a mid afternoon dose and to find out why sleep doctor wants to see me. One last thing, my wife stated she heard me snoring in my mask a few weeks ago and I dont think that should happen.
Brief Answer:
You should look after your sleep apnea.
Detailed Answer:
Hello! Thank you for your question on HCM! Regarding your concern:
1) I want to confirm you your supposition: yes it is true, severe sleep apnea do predispose for arrhythmia. You should be aware as sleep apnea is a risk factor for life - threatening arrhythmia.
So the key solution is to properly manage sleep apnea.
2) About Lopressor: yes it is a good option for controlling your rhythm, lowering high heart rate. Dose adjustment may be needed (increase dose to 50- 100 mg/day), but under doctor supervision.
But again sleep apnea management is the key point.
3) This is the reason why the sleep doctor wants to see you. It is very important to keep an eye open on sleep apnea.
4) Regarding buspirone you can have it 2 times or 3 times per day but under doctor prescription.
5) Regarding snoring it is one of the most usual findings in sleep apnea associated with night sleep disturbances and day time sleepiness.
So to conclude I recommend you to run to the sleep apnea specialist (neurologist) and discuss the best solutions for you.
Hope to have been helpful to you!
Feel free to ask me whenever you need! Greetings from Dr. Iliri.
You should look after your sleep apnea.
Detailed Answer:
Hello! Thank you for your question on HCM! Regarding your concern:
1) I want to confirm you your supposition: yes it is true, severe sleep apnea do predispose for arrhythmia. You should be aware as sleep apnea is a risk factor for life - threatening arrhythmia.
So the key solution is to properly manage sleep apnea.
2) About Lopressor: yes it is a good option for controlling your rhythm, lowering high heart rate. Dose adjustment may be needed (increase dose to 50- 100 mg/day), but under doctor supervision.
But again sleep apnea management is the key point.
3) This is the reason why the sleep doctor wants to see you. It is very important to keep an eye open on sleep apnea.
4) Regarding buspirone you can have it 2 times or 3 times per day but under doctor prescription.
5) Regarding snoring it is one of the most usual findings in sleep apnea associated with night sleep disturbances and day time sleepiness.
So to conclude I recommend you to run to the sleep apnea specialist (neurologist) and discuss the best solutions for you.
Hope to have been helpful to you!
Feel free to ask me whenever you need! Greetings from Dr. Iliri.
Above answer was peer-reviewed by :
Dr. Pradeep Vitta
Thank you and last question, just came back from Sleep Doctor. My Oxygen is going to 84 during the night. He has scheduled a sllep study tonight to adjust anything.
Unfortunately I went to lunch and after eating I was having shortness of breath and my pulse spiked again well over 100. I took a 25mg lopressor and it is now back to 90 but higher than the 75 it normally is and I am sitting. Sinus rhythm but contractions are very strong in the beat. Instead of boom, boom,boom they are BOOM,BOOM,BOOM. I still think something is wrong after 3 tachycardia they are all after eating? Chinese 2 of the 3. I just feel something else is wrong besides the sleep apnea.
Unfortunately I went to lunch and after eating I was having shortness of breath and my pulse spiked again well over 100. I took a 25mg lopressor and it is now back to 90 but higher than the 75 it normally is and I am sitting. Sinus rhythm but contractions are very strong in the beat. Instead of boom, boom,boom they are BOOM,BOOM,BOOM. I still think something is wrong after 3 tachycardia they are all after eating? Chinese 2 of the 3. I just feel something else is wrong besides the sleep apnea.
Brief Answer:
Keep an eye on sleep apnea.
Detailed Answer:
Hello again! I hope neurologist has prescribed a treatment for sleep apnea. Increasing heart rate is normal after eating; but you should be careful to take a healthy diet, not exaggerated amounts of food, and to try lowering your weight. Just keep taking beta-blocker, as sleep apnea is associated with a high adrenergic state.
As Buspiron needs some time to show effective, you can take carefully a fast acting anxiolytic like Alprazolam.
Continue keeping an eye on your sleep apnea.
Best regards. Dr. Iliri
Keep an eye on sleep apnea.
Detailed Answer:
Hello again! I hope neurologist has prescribed a treatment for sleep apnea. Increasing heart rate is normal after eating; but you should be careful to take a healthy diet, not exaggerated amounts of food, and to try lowering your weight. Just keep taking beta-blocker, as sleep apnea is associated with a high adrenergic state.
As Buspiron needs some time to show effective, you can take carefully a fast acting anxiolytic like Alprazolam.
Continue keeping an eye on your sleep apnea.
Best regards. Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Prasad
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