Second successful cardio

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just had my second cardio version today , the first lasted 4 days short of 2 years , I continued on meds including bisoparol , today the on the second conversion  I'm told I have to come off it completely , I have only been on a very low dose but I'm worried I'm going to go back into AF again . 

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  • Posted

    Two years is a good result and I truly hope the AF is kept away following this further cardioversion.  Some find that a cure, some have ablations which are entirely successful - and some find troublesome reoccurences need ongoing solutions.  You can just never tell.  As you lasted so long on a cardioversion, then your chances are better than mine - my cardio lasted two weeks - twice!  

    However, there are many procedures down the line including ablation which is not too major and usually has a good outcome.  So don't live in fear it will return, although I well remember how that feels.  It may or may not, but there are lots of options out there and the condition is not life threatening when treated and monitored.  Fingers crossed for you.....

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  • Posted

    What dose have you been taking?

    Even it was only 1,25Mg, if you have been taking it for some time (more than a few Months), you can have a tough withdrawal.

    Plus, if you already have an AF, there is a chance that you will now get a rebound AF (stronger than before).

    So, if you'll get AF or tachycardia now, it doesn't mean that you are sick again.

    It is probably just a withdrawal.

    But you may have a hard time until it gets better.

    Good luck

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    • Posted

      Just a further comment.  Just as here pointed out that some have problems coming off the drug, in my own case after about six months worth of increasing dosage (1.25 - 10mg) and and immediately after the pacemaker and AV node ablation, I said I wanted no further drug treatment other than blood thinners.  The cardiologist said it was my decision and didn't warn it would have any possible repercussions - and I didn't have any.... so it is still a hit and miss affair with Bisoprolol, both in taking it and coming off it.

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    • Posted

      I agree, yes.

      It seems that there are these options:

      When you take Beta blockers:

      1. some people won't have any side effects

      2. some people will have mild side effects

      3. some people will have horrible side effects

      Also, with a withdrawal:

      1. some people won't have any withdrawal

      2. some people will have a mild withdrawal, lasting 1-2 weeks

      3. some people will have a strong withdrawal, lasting a few Months, and a lot of people end at ER numerous times, and some get heart attacks due to a withdrawal

      So, I agree, each of us is different.

      Also, for example, a lot of people say that they have a hard time when they try to quit Valium. 

      I was taking the lowest dose of Bisporolol for 1 year and when I tried to quit, I have gone through a hell and didn't make it in the first attempt.

      On the other hand, with Valium, I have been taking the lowest dose for 1 year and I didn't have any problems with quitting. Absolutely zero withdrawal problems, while some other people say that they have been through hell and that it is harder to quit Valium than to wean off from Heroine (for example).

      So, I would like to add: not only that each of is different, but a same person can have huge side effects with one drug and zero side effects with other drugs, and the same goes with a withdrawal from certain drugs. Zero problems with one drug and a hell with other drug.

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    • Posted

      I was on 5 to start with and I could  not do a thing they changed it to 1.25 that was fine no side effects , and then when the af came back in Dec I was on 2.50 and now I'm told to come off it completely , in total I have been on it fir two and a half years 

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    • Posted


      Try to type in Google "Beta blockers withdrawal syndrome" and you will find some medical articles and posts from people who have been through it.

      (But again, some people don't ahve any problems with quitting, some have mild problems, some have huge problems):

      This is from one medical site:


      The Harvard Medical School Patient Education Center describes beta blockers as a class of prescription drugs used for a variety of ailments such as high blood pressure and coronary artery disease. They function through dampening the effect of the sympathetic nervous system, the fight-or-flight adrenaline-mediated stress response, by blocking its receptors called the beta-adrenergic receptors. One of the major uses for beta blockers is that they slow the heart rate considerably. Like many other prescription drugs, Beta blocker users who stop abruptly may experience some rebound effects known as withdrawal symptoms.

      Heart Attacks

      As stated by The Harvard Medical School Patient Education Center, Patients who use beta blockers for an extended period of time get accustomed to the slowed heart rate. Sudden discontinuation of beta blockers may result in heightened sensitivity to the circulating adrenaline in the body, and in turn, this could cause a severe tachycardia, or elevated heart rate, and would strain the heart greatly. In case of the underlying presence of a coronary artery blockade, which is not uncommon in the general population, this could result in angina, chest pain due to a heart attack or even death of part of the heart muscle known as a myocardial infarction.

      Hypertension and Anxiety Symptoms

      "The European Journal of Clinical Pharmacology" notes in one of its published studies, that the increased sensitivity of the receptors caused by the long-term blockade by the beta blockers results in significant rebound increase in the patients' blood pressure accompanied by other anxiety-related symptoms such as palpitation, tremors and excessive sweating. These manifestations could be thought of as an unneeded exaggeration of the normal fight-or-fight response caused by the effect of adrenaline already present in the bloodstream.

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    • Posted

      I think we can say and here confirm that there are known side effects to beta blockers, but that they are prescribed because the benefits are considered to outweigh these.  If we study any drug on any accompanying box leaflet, there is always a longish list of possible side effects, some quite terrifying, even for those most commonly taken.  But we take them anyway whether painkillers, cold curers, allergy treatment etc etc and if they don't agree with us, then we find an alternative or do without.   For instance, I find that anti-histamines (taken by most of the general public) do weird things to my heartrate and I have made sure this is noted on my medical notes.  In fact, if we thoroughly read the leaflets inside the boxes, we would not swallow anything much at all!

      Bernadette has already been told that ablation is only 50 % successful and I can second that, having had three altogether, none of which lasted more than a few weeks or months - but they continue to do them because of the other 50% who have a permanent cure.  Giving advice on whether or not to take Bisoprolol is just the same, some react badly, others do not.  The only way to know is to try it out and see what happens.....

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  • Posted

    Thank you for your replies , I'm just paranoid again , I haven't even thought nor was I told about withdrawals I have been on it for just over two and a half years , I realise that' it an individual thing ,I have been told by a AF specialist nurse that  electric cardio is very successful and that ablation is only a cure for 50% of people , Day by day is the answer I think 

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    • Posted

      2 and a half years isn't a short period.

      Since Beta blockers are slowing down our heart and lowering a Blood pressure, and since your heart was beating around 50 while resting for 2 and a half years, now when you will quit them, you will probably have a resting heart rate around 90-100 for some time, which will feel quite strange after having a resting heart rate at 40s and 50s for so long.

      (A normal resting HR is around 60-80).

      After some time, when your heart will readjust, your HR will go back to normal levels, like 70-ish.

      As you can read in this topic, there are lots of people who don't have any withdrawal problems, but also, there are lots of us who had huge problems.

      If you will have any problems and questions during a withdrawal, try to look at some older topics here on Bisoprolol's forum, you will find a lot of stories from the last few Months and useful advices.

      Or, just ask people here whatever you need, if you will have elevated heart rate, nausea, anxiety, rebound high blood pressure etc.

      Good luck

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  • Posted

    Hi Bernadette.... im sorry im new to all this and want to learn more.....Can  i ask what is cardio version?
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    • Posted

      Hi Marcy , it's when your heart has AF , they put pads on your chest and send an electric current that stops your heart fir a split second and hopefully restarts it back to normal rytham , it doesn't always work and it can last fir a day to in my case a couple of years , the give you sedation  through an IV , so you won't feel or remember it ,, you have seen it lots of times on these tv shows x

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  • Posted

    I have been on beta blockers for 22 years along with other meds for HBP and had no problems at all for years.  The last 2 years my memory wasn't so good, I have had palpitations for a few years and a foggy brain.   Since last September I have had bradycardia with a heart rate in the low 40s at night and sometimes 45 during the day which made me very tired.   However it speeds up ok when moving around.   I reduced the dose on Dec 5 th and felt much better for a few weeks with more energy and a better memory and concentration with the palpitations stopped.  Thevlastv3 weeks my heart rate has slowed again at night but is ok during the day.   I am staying on 1.25mg but if it slows any more or the palpitations come back I will go back to the dr.   I am 57 my GP says my body couldn't tolerate the same dose.

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