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Which betablocker can we kept as emergency if we have psvt or wpw afib or wpw which helps in both situation as previously two time my pulse rate reach 170-180 bpm i don't what is that as I have read if there wpw with afib bisoprolo or certain betablocker should not give because first time after three hours of palpitations ecg done which normal short pr internval after that I start taking betablocker than pr internval in ecg coming normal is pr internval coming in normal range due to betablocker
Answers (16)
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There is an approach to managing this problem. We call it ‘Pill in Pocket’ approach.
Basically as soon as the patient becomes aware that they have gone back into a paroxysmal tachycardia (could be SVT or re-entry or even AF), they take the recommended heart tablet (which for a lot of patients is a Betablocker or another different medication like Flecanide) to see if the episode settles. If despite taking the tablet and waiting for an hour or so, if the paroxysmal tachycardia hasn’t settled or if they develop chest pains/breathlessness/feel faint, then they go to the hospital.
The vast majority of patients simply manage with the ‘Pill in Pocket’ approach. If they are needing to use the tablet frequently (more than once a week) then they go through consultation with the cardiologist again. This approach saves patients unnecessarily needing to go to hospitals.
***The most important thing is such a ‘Pill in Pocket’ approach Must always be recommended by a Doctor***
All the best.
J G S R clinic
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You should consult a cardiologist for assessment and to determine the cause of the issue. Required medicines can only be decided after realising the underlying cause.
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WPW, Atrial Fibrillation etc are conditions that are not self assesed. You will have to take expert advice physically. Please note that all conditions that make the heart beat faster cannot be controlled by beta blockers. Underlying cause has to found out.
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If WPW with atrial fibrillation is suspected, beta-blockers (bisoprolol, propranolol) are not safe, even temporarily. These medicines can worsen the rhythm by allowing very fast impulses to pass through the accessory pathway. Therefore, self-medication while traveling to the hospital should be avoided.
Next Steps
Go to the nearest emergency department immediately if there is a sudden fast or irregular heartbeat
• Avoid taking any heart-rate–controlling drugs without medical advice
• Inform the treating doctor if WPW is known or suspected
• Definitive treatment is radiofrequency ablation, which is usually curative
Health Tips
• Do not take beta-blockers, verapamil, diltiazem, digoxin, or adenosine if WPW with AF is possible
• Seek urgent care if there is dizziness, fainting, chest pain, breathlessness, or worsening palpitations
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First , confirm if you have wpw syndrome.Check if you have short pr interval and delta waves
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Kindly get ecg then cardiology opinion
Next Steps
Plan holter monitoring
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Without ecg how to evaluate. Please consult with cardiologist.
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Very Very internet related query.
Consult superspecialist like cardiologist.
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Dnt be a doctor on your own as it can backfire. Where is ECG? Kindly consult with me on 94 two six eight six 78 nine six.
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Dr. Gaurav Jaiswal
General Physician
6 yrs exp
Jhansi
Avoid fried and spicy food
Water intake more Do connect and consult
Will help you
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Dr. Jyoti Singh
General Physician
7 yrs exp
Meerut
Take cardiologist opinion.
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Dr. Nimmi Mulwani
General Physician
10 yrs exp
Ahmedabad
Further evaluation is advised
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Dr. Anuj Mothsra
General Physician
6 yrs exp
Jhunjhunu
Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Dr. Chaithra H
General Physician
5 yrs exp
Bangalore
Needs to be evaluated
Do consult
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Dr. Ravi Kumar Nadella
General Physician
18 yrs exp
Hyderabad
Depends on presentation
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