Atrial fibrillation and flutter and beta blockers. Selective thinking.

• by Selwyn
• 2017-06-22 12:26:54
• Conditions, Meds & Tests
• 1463 views
• 1 comments

Another 24 hours in acute coronary care this Monday ! Having stopped Flecainide ( I had a 90% stenosis of my coronary artery stented the other week) as it is contraindicated in coronary disease, I went back to exercise. Seemingly it was the Viennese Waltz that led me a bit of a song and a dance into the coronary care unit with atrial flutter. ( in spite of having had an ablation a couple of years ago).[ there was some debate amongst the medics as to whether it was flutter or fibrillation]

This time ( unlike November) I reverted into sinus rhythm overnight. 

All the trouble I have had in the past with beta blockers has been meaningless ( see posts). I am now on Nebivolol. This is said to vasodilate coronary arteries, as well as to prevent AF. So far swimming is not too bad, table tennis is good, and dancing- well I have avoided the Viennese Waltz. Verapramil was stopped as it does not mix well with Nebivolol ( negatively inotropic)

I do think Nebivolol is more user friendly than sotolol or bisoprolol for exercise. It is said to be quite selective for the heart. I would expect few side effects. 

I was most grateful for the care and kindness shown to me whilst in University Hospital Aintree, Liverpool, UK- yet again, well done the NHS.

I'm off to a dance lesson now, and then along to my table tennis club. Nebivolol is about to be tested. Beta blockers are supposed to keep you calm- they must be kidding!