Resting Heart rate pegged at 145...I am on no recreational drugs and Metoprolol is not helping

[Mureceptor]

I am 60, so 145 is a good, 90% of my V02 Max. Doctors don't seem to care. I first noticed last week at a visit with my Urologist. I had a visit with my new PCP and he did an ECG and prescribed Metoprolol. That was Wednesday, I started taking the Metop. on Thursday. I was prescribed only 25 mgs per day, but it has no effect on my heart rate, so I increased to 100 mgs/day. It is now 3 days later. I feel fine but this cannot be good. Nothing affects my heart rate, coffee, sleep, rest...it is still 145. I went for a bike ride/cardio yesterday and it only went up to 148. I called my PCP and he has not returned my calls. I have an appointment with a cardiologists, but not till Wednesday and his staff won't work me in. Frankly I do not think they care if I live or die....on the other hand, maybe I am not at risk, but 145 seems crazy high.

Should I be concerned? I am a gym rat, on TRT, but pretty much rec drug free. I abused meth 25 years ago, and until 8 weeks ago was an occasional marijuana/delta 8 user. I also used Katom twice a week, but have not touched it since heart rate went up.

 

[Mureceptor]

Oh...I am on psych drugs...Tegretol, which can cause Tachyardia, but I reduced my dosage (by half, 200 mgs/day). I also take Buspar and Seroquel. My PCP did not think these were a concern, although Tegretol has been linked to Tachyardia. But like I said....he seems more concerned about his golf score.

 

[Phobos]

@Mureceptor Have you checked your blood pressure?
Any symptoms that something is off?
Can you sleep and eat normally?

 

[imfrmthedot]

Ask about Flecainide, it slows down you‘re heart rate. I take it for atrial fibrillation which causes super tachycardia and arrhythmia.

 

[Mureceptor]

Phobes: Yes, it is is high, but if I take my meds (Amlodipine and Losartan) it comes down to close to normal. Yes, I have always had a bit of insomnia and apnea, but nothing has changed in terms of sleeping and eating. I am eating less because I am not weight training.

I should add that 2 months ago I was training EXTREMELY hard (I am a competitive bodybuilder) and got rhabdomyolysis which kicked of a tonic clonic (grand mal) seizure. I was intubated and in the ICU for 4 days, and apparently died twice. I would have put this in my original post, but did not want to run long.

However, I believe the heart rate is a more recent development. I did start weight training last week, and maybe that kicked off the Tachycardia. I really need to se a cardiologist, but when I called and finally got a response I thought "don't tell me to go to the ER I already have too many medical bills." Of course his staff called and said "go to the ER."

imfrmthedot: I will look up Flecainide.

 

[Mureceptor]

Ask about Flecainide, it slows down you‘re heart rate. I take it for atrial fibrillation which causes super tachycardia and arrhythmia.

Ah, yes, I see that Flecainide blocks the electrical signals, which seems to be the root of my problem.

 

[imfrmthedot]

Ah, yes, I see that Flecainide blocks the electrical signals, which seems to be the root of my problem.

Sounds like afib. It’s a problem with the electric circuit of the heart, you should definitely try and see a cardiologist as soon as possible. If your heart rate continues to act up go to the ER. If it’s afib they usually give you certain meds and if that doesn’t work they do an emergency cardio version where you are put to sleep and the heart is shocked and reset.

 

[Mureceptor]

Sounds like afib. It’s a problem with the electric circuit of the heart, you should definitely try and see a cardiologist as soon as possible. If your heart rate continues to act up go to the ER. If it’s afib they usually give you certain meds and if that doesn’t work they do an emergency cardio version where you are put to sleep and the heart is shocked and reset.

Definitely sounds like Afib.

I should be able to get the Flecainide by Monday....assuming I can get him to paybatention...I feel OK. Wednesday is the cardiologist. Since I feel OK can I make it that long? It is Saturday, 8 PM? I would hate to go to the ER. Seriously last time I went I think I encountered some of the most incredibly dumb people ever. And the expense. People on this forum are smarter.

Thanks.

 

[Jabberwocky]

I am 60, so 145 is a good, 90% of my V02 Max. Doctors don't seem to care. I first noticed last week at a visit with my Urologist. I had a visit with my new PCP and he did an ECG and prescribed Metoprolol. That was Wednesday, I started taking the Metop. on Thursday. I was prescribed only 25 mgs per day, but it has no effect on my heart rate, so I increased to 100 mgs/day. It is now 3 days later. I feel fine but this cannot be good. Nothing affects my heart rate, coffee, sleep, rest...it is still 145. I went for a bike ride/cardio yesterday and it only went up to 148. I called my PCP and he has not returned my calls. I have an appointment with a cardiologists, but not till Wednesday and his staff won't work me in. Frankly I do not think they care if I live or die....on the other hand, maybe I am not at risk, but 145 seems crazy high.

Should I be concerned? I am a gym rat, on TRT, but pretty much rec drug free. I abused meth 25 years ago, and until 8 weeks ago was an occasional marijuana/delta 8 user. I also used Katom twice a week, but have not touched it since heart rate went up.

I was above 209 for a good 6 months before I crashed out on alcohol, you can survive 145 on no recreational drugs no problemo but I was about 53 at the time, why not go hiking or climb a mountain, go surfing or jet skiing, that's a couple good ways to start/enjoy/end your day.

I want to take up ocean kayaking/sailing/fishing once I paint my masterpiece. Maaaaaaaybe island hop.

 

[Mureceptor]

I was above 209 for a good 6 months before I crashed out on alcohol, you can survive 145 on no recreational drugs no problemo but I was about 53 at the time, why not go hiking or climb a mountain, go surfing or jet skiing, that's a couple good ways to start/enjoy/end your day.

I want to take up ocean kayaking/sailing/fishing once I paint my masterpiece. Maaaaaaaybe island hop.

Thank you very much....in that case I am good till next week. Just seemed like a crazy number. I already do lots of cardio. I did giant sets of weights for 15=2 minutes then 10-15 I treadmill. This was insane intensity cardio, originally designed for MMA/combat athlete conditioning. I guess I just can't train like a adman at age 60.

Now my goal is simply 3 days of regular weights for an hour and 15 minutes, then 35-37 minutes of cycling 3 days a week. I went for a short 25 minute ride yesterday, like I said I was only at 148. Might do some light weight training tomorrow, but I am just locked into one speed in the gym, have to start training more like my age.

What I want to do is get back in good shape so I can take mushrooms and go out dancing once or twice a month. My diet is pretty good. We have a club here in Houston that plays all the 80's music I love. I would also like to be able to take Kratom twice a week, which worked really, really well for me. I smoke some MJ/Delta 8 at the club too, but my drug use is really infrequent. I have not had a drop of alcohol in 33 years, but I will take some valium to come down off the mushrooms which I grow myself).

The key to drugs is infrequent use. However, I can't drink responsibly, so I don't drink at all, period. I am not going to touch anything until I get the resting heart rate down below 100.

Thanks again....this forum is fantastic. I came on here originally when I started using Kratom. I have never had opiod issues (seen too many deaths) and never had any problem with Kratom. However this forum schooled me real quick on the fact that it can be addictive so I set a strict policy of never using it more than 3 times a week and as a result I have gotten nothing but enjoyment.

This is a FANTASTIC site.

 

[4meSM]

If I were you I'd avoid any kind of heavy exercice till I could see a cardiologist and get things under control. A chronically high HR, irregular BP and low O2 sat doesn't go very well with excessive cardiovascular activity, I would honestly be afraid of a "heart attack" at your age.
I'm not an expert on this manner but I personally wouldn't risk it.

 

[Xorkoth]

Yeah agreed. If your blood pressure isn't high with the meds, then I am less worried, but 145 resting heart rate is very high. For comparison, mine is usually 50-60, depending on the time of day (slower in the morning and at night, and obviously if I have been active recently it will be higher). You have your appointment soon, so I would avoid the heavy exercise and weight training until then, to be safe.

I think your rhabdo/seizure episode is probably a huge factor, if not THE reason... you technically died twice, that's intense. It's possible you got some heart damage, or at least your electric circuits got temporarily fucked up. If I were you, I would take it easy until you can figure this out. I wish for you a speedy recovery and no lasting damage. And I hope you don't have to give up intense training. But if you do, you should still be able to stay in shape and do "normal people" working out (ie, not focusing on huge gains and pushing to the absolute limit, but just staying in good shape). That would be worst case scenario, hopefully; either way, don't push it until you can get some answers. You won't have long to wait.

 

[Phobos]

@Mureceptor
May I ask how much Testosterone are you taking per week, and if you have gotten bloodwork recently?
What was your haematocrit?
Was the rabdo caused by caloric restriction?

 

[Skorpio]

You are on quite a few drugs. Likely multiple things are contributing. One thing that could be contributing is the quetiapine has some mild antimuscarinic activity. The body slows down the heart rate by releasing acetylcholine onto muscarinic receptors in the heart. Blocking them prevents this function of the parasympathetic nervous system.

However you are on enough cardio active medications that it is really impossible for us to ascertain what is causing your problem.

I understand that engaging with the medical system is often like holding your hand on a stove heating element and turning the knob to high, but advice from a cardiologist is really invaluable currently.

Ask about Flecainide, it slows down you‘re heart rate. I take it for atrial fibrillation which causes super tachycardia and arrhythmia.

Flecainide is something that treats specific arrhythmias, and can be counterproductive/dangerous when given with others (as a type 1c antiarrhythmic).

 

[thegreenhand]

I encourage you to take it easy and not change your regimen until seeing the cardiologist on Weds. You’re on quite the cocktail of drugs, and quite frankly your question is a bit beyond the scope of the harm reduction we can offer here on bluelight

I understand wanting to seek answers here, but please keep in mind we are definitely not cardio experts here

 

[Skorpio]

Hey I'm going to close this thread. You didn't do anything wrong @Mureceptor, but your heart rate issues are serious enough to warrent seeing a doctor.