Atrial Premature Contraction (APC)
Hello, Doctor: About two years ago (at the age of 21), I discovered that I have arrhythmia and went to the hospital for a 24-hour ECG, which showed that I experience six to seven thousand APCs daily, approximately 6-7%.
The previous doctor advised me to have regular follow-ups, but after switching to another hospital, I was prescribed antiarrhythmic medication.
I would like to ask:
1.
Will I notice any significant changes when I first start taking the medication? What situations would require immediate medical attention?
2.
Is it possible to completely resolve this issue with medication alone, or is the medication only intended to control the heart rhythm?
3.
Should I avoid vigorous exercise to manage my heart rhythm? (I have not avoided it in the past and have not experienced any issues, but I am unsure when the arrhythmia began.)
4.
Regarding diet, aside from avoiding coffee and alcohol, are there other considerations I should be aware of, or are there specific foods that can promote heart health? Thank you for taking the time to respond.
Niming, 20~29 year old female. Ask Date: 2023/12/01
Dr. He Dongjin reply Cardiology
Hello,
1.
Have you noticed any significant changes? If you weren't feeling unwell to begin with and have no palpitations, you probably wouldn't feel anything from taking the medication.
2.
Medication can only help manage heart rhythm; it cannot completely resolve the issue.
3.
If you haven't experienced any problems, just continue with your normal life.
4.
Besides avoiding coffee and alcohol, it's best to steer clear of overly stimulating activities or extreme challenges.
There aren't specific foods that can make your heart healthier.
Changhua Hospital cares about you.
Reply Date: 2023/12/01
More Info
Atrial Premature Contractions (APCs) are a common type of arrhythmia characterized by early heartbeats originating from the atria. While they are often benign, understanding their implications, treatment options, and lifestyle modifications is crucial for managing symptoms and maintaining heart health.
1. Initial Effects of Medication: When starting a medication like a beta-blocker (e.g., Metoprolol), which is commonly prescribed for APCs, patients often report a reduction in the frequency of palpitations or irregular heartbeats. However, the effects can vary from person to person. Some may notice an immediate improvement, while others might take several weeks to feel the full benefits. It's important to monitor how you feel during this period and communicate any significant changes or side effects to your healthcare provider. If you experience severe symptoms such as chest pain, shortness of breath, or fainting, you should seek immediate medical attention.
2. Medication as a Control Measure: Medications for APCs primarily aim to control the frequency and severity of the contractions rather than eliminate them entirely. While some patients may experience a significant reduction in symptoms, others may continue to have occasional APCs despite treatment. In some cases, if APCs are frequent and symptomatic, further evaluation or alternative treatments, such as catheter ablation, may be considered. This procedure targets the specific area of the heart causing the premature contractions and can potentially provide a long-term solution.
3. Exercise Considerations: Regarding physical activity, it is generally advisable to avoid strenuous exercise if you notice that it triggers your symptoms. However, many individuals with APCs can engage in moderate exercise without issues. It’s essential to listen to your body and consult with your healthcare provider about a safe exercise regimen tailored to your condition. Regular, moderate exercise can improve overall cardiovascular health and may even help reduce the frequency of arrhythmias in some individuals.
4. Dietary Recommendations: In addition to avoiding caffeine and alcohol, which can exacerbate arrhythmias, consider the following dietary tips to promote heart health:
- Increase Omega-3 Fatty Acids: Foods rich in omega-3s, such as fatty fish (salmon, mackerel), flaxseeds, and walnuts, can help reduce inflammation and support heart health.
- Eat Plenty of Fruits and Vegetables: A diet high in fruits and vegetables provides essential vitamins, minerals, and antioxidants that can improve heart health.
- Limit Processed Foods: Reducing intake of processed foods high in sodium and unhealthy fats can help manage blood pressure and overall heart health.
- Stay Hydrated: Proper hydration is essential for maintaining optimal heart function. Aim to drink plenty of water throughout the day.
In conclusion, while APCs can be concerning, they are often manageable with the right combination of medication, lifestyle changes, and regular follow-up with your healthcare provider. It's crucial to maintain open communication with your doctor about your symptoms and treatment progress. By adopting a heart-healthy lifestyle and adhering to your treatment plan, you can significantly improve your quality of life and reduce the impact of APCs on your daily activities.
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