AF Association
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The Difference between Ramipril and Bisoprolol

I am suffering from AF last 3 years, I am asymptomatic, I am prescribed Ramipril and Bisoprolol and also take Xarelto the anticoagulant. Can anyone let me know if either Ramipril or Bisoprolol affects the heart rate (pulse), or do both have nought to do with that area... Reason I ask is I noted that after some days while on the high seas for various reasons did not take either tablet (for 7 days) except Xarelto , I noted my blood pressure each day was as good as it is when taking the tablets during those 7 days, although heart rate was just under 100 each day. I therefore am wondering which area each tablet moderates .i.e. rhythm , heart rate, etc,- as it seems to me my main concern is the heart rate rather than blood pressure. I am booked to see my GP and will ask this question, but maybe I can get some information from those reading this who are familiar with these drugs what exactly each is tackling. I wish to offer those who respond my thanks in advance.

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Both drugs affect rate rather than rhythm.

There is an excellent fact sheet on drugs available from AF Associagion main website.

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Is Ramipril used for AF, being an ace inhibitor?

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Consul , I took Ramipril for BP, Xarelto for anti coagulant and swopped Bisopralol for Digoxin , that was for AF. Hope that helps.

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Hi consul,

My understanding is that bisoprolol is the tablet that reduces the heart rate. (It can also have the effect of reducing blood pressure.)

I was on ramipril for years to reduce my blood pressure, and then the cardiologist added in bisoprolol (beta blocker) to bring my heart rate down as well, in the hopes of avoiding AF events.

Hope you get good support and advice from your doctor :)

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My understanding is that Ramipril deals with blood pressure and Bisoprolol deals with heart rate.

I am on both BUT I was put on Ramipril ( for blood pressure) 3 to 4 years before AF struck ( Jan 2010) at which time I was put on Bisoprolol.

John

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I am on the same three drugs plus Diltiazem. My understanding is that Bisoprolol is for heart rate and Ramipril if for blood pressure. I have permanent AF and Heart Failure the Ramipril is more for the HF which seems to make my blood pressure a bit erratic. A few months ago my diastolic rate was too high so the Ramipril was increased. I have also been told on several occasions that Ramipril strengthens the heart.

Cassie

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Ramipril - Blood pressure

Bisoprolol - rate control (with some blood pressure reduction)

Be careful, I foolishly stopped taking Ramipril and thought my BP was good, it soon went through the roof (Bounce back)

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You are right there Mikee, I take my Ramipril first thing in morning. Occasionally, when my routine is shattered, I forget my dose. Boy does the BP jump through the roof 🤔

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Bisoprolol 5mg in my case drops my HB down to around 52 Bpm. However, last night it dropped down to 45 Bpm - my BP went up higher than normal.

My own thoughts (of which I shall be putting to my doctor), is that we should be aiming for 60 Bpm, which is generally considered to be the normal minimum low.

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Hi John6 - I found this chart indicating resting heart rates for various ages....I found it interesting....I am afraid i am usually higher than the chart reading for my age...Link is below:

topendsports.com/testing/he...

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Very interesting, 74 year old great-grandmother with the hr of an athlete! Have been off Nebivolol for two weeks

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I was told bisoprolol to bring down my high heat rate so my heart doesn't get tired and go into irregular beats.

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After 2 years + I still get it......just not as often. For some reason I had it for a number of hours last night (bouncing all over the place). When I got up and started to move around ie shower/dress etc, it regulated itself. I'll be seeing the doctor (at my request/nobody follows up around here) next week, I have some theories of my own that I will be putting to him. Imo my HB is to low at 52 bpm sometimes 45 bpm. In turn it is (again Imo) not dropping my blood pressure to the level that I would expect, considering the life changes/effort that I have made. Where as my BP was dropping quite nicely - it is starting to creep back up. I suppose a lot could be due to the fact that I have been more inactive due to the cold weather - hopefully the weather will improve soon.

So,would I be better off with a lower dose of Bisoprolol, (5mg at the moment), to bring my HB up to 60 bpm + and a Pip? Thoughts please.......

P.S. If consul or anyone for that matter thinks that I am hi jacking the post, I will apologise and move it.

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For John6 - what is the suggested heart rate for you at your age according to the chart at the URL: topendsports.com/testing/he...

Your rate does appear low unless you are a young athletic!

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Young and athletic left this planet quite some time ago. Having said that, last summer I was still up and down ladders chain sawing trees and tree limbs. However it does not take much to over do it, as I found to my cost when clearing snow last week (light chest pain/discomfort/feeling faint etc). I broached the subject on the forum of our pulse being outside the norm a while back. My thoughts are that the doctors should be (if medically possible) aiming to get us/me at least into the low 60s.

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I’m on Ramipril 2.5 mg,bisoprolol 1.25mg,lvabradine 5mg,furosemide 40mg & spironolactone 25mg.

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