Bisoprolol when low tachycardia

[Lien-Ju]

Hello there! Yesterday I felt pretty anxious and I didn't know why, I did a couple of breathing exercies when I noticed that my heartbeat was too fast for me (around 90-100) when most of the time my resting heart beat is between 60-75.

I waited few hours but it started to bother me when I was at work and I had to climb the stairs, my heart beat jump from 100 to 120. I decided to take a small dosage of bisoprolol (1,25mg) around 1:20pm and my crisis stopped around 2pm.

I was wondering if I really need totake bisoprolol when I have low tachycardia and if someone experienced the same phenomenon after an ablation, mine was 10 months ago.

Thank for reading.

Julien

[Padayn01]

Was your ablation for AF?

[Lien-Ju in reply to Padayn01]

yes it was for AF (paroxysmal)

[BobD Volunteer]

My ablation for atrial tachycardia was 15th August and my average resting HR is currently 85-90 with very occasional drops to 78. I am not worried about this as it is quite normal. I think if it stayed up at 120 for any length of time I may seek clarification from my EP. Last time round it took a good six months to return to normal.

[Padayn01 in reply to BobD]

You still on beta blockers bobd?

[BobD Volunteer in reply to Padayn01]

Never touched them Ever

[Padayn01 in reply to BobD]

So before your ablations what meds did you take to control your AF?

[BobD Volunteer in reply to Padayn01]

Propafanone.

[Padayn01 in reply to BobD]

Is that a heart rhythm control drug?

[BobD Volunteer in reply to Padayn01]

yes

[Padayn01 in reply to BobD]

Sorry for the questions what’s the difference between the both? Heart rhythm and beta blockers do they do the same job?

[BobD Volunteer in reply to Padayn01]

No, beta blockers just slow your heart when you are in AFwhilst rhythm control drugs like Flecainide and propafanone try to keep you in NSR. Sorry for the delay trying to stay awake watching Singapore GP. Ask away.

[Padayn01 in reply to BobD]

Cheers bobd 👍🏼

[Nick1957 in reply to BobD]

I'm taking bisoprolol 10 mg to keep hr down - however hr is still 120/130 for my echocardiogram. Why am I taking a drug which is not doing what it's supposed to do?? Side effects of bisoprolol are horrid! Your drug regime sounds good - I'm going to mention it to my gp or cardiac consultant asap

[BobD Volunteer in reply to Nick1957]

Believe it or not the beta blocker may be doing its job of slowing your heart. Many people in AF have rates over 200. Do see you cardiologist though asa rhythm control drug may be more use to you.

[Nick1957 in reply to BobD]

Thanks BobD - seeing a cardiac consultant this weds - will let the forum know of his findings! I will definitely ask about rhythm controlled drugs such as propafonne and facannide

[7164 in reply to BobD]

Bob

I have PAf and take 1.25 bisoprol am and the same pm. I am luckily nearly always on NSR and want to stay that way

So the question is why has my cardiologist put me on the beta block?

The Bisoprolol is making me really tight chested and short of breath?? Two things I never was ?? Confused!!!

Rod

[7164 in reply to BobD]

Bob

Why don’t you take beta blockers?

When I cut mine back I had an Afib attack

I think they save me? Am I wrong

[BobD Volunteer in reply to 7164]

Some people can't take beta blockers or calcium channel blockers. In any case I don't have AF (three previous ablations sorted that out) and my last ablation was for atrial tachycardia. Irritatingly this was only about twice a year so my current situation provides slightly poorer QOL while things heal and settle down. Should be worth enduring mind you as those events were pretty violent.

[avma in reply to BobD]

Hi BobD,

my resting HR is like yours even after 4 months of my hybrid ablation of AT.

Question: when you move around or do something more intense how high does your HR go?

[BobD Volunteer in reply to avma]

No Idea I try not to focus on my heart. I do have occasional random self correcting runs around 120 to 150 I think by the feel of it.

[avma in reply to BobD]

😮 wow! okay, mine goes really up to more like 128 when really moving a lot. So, I guess I still don’t have to worry too much then if you have the same. Still in my 4th month and cardiologist said with my type of surgery have to wait the 6 months to pass for everything to settle down. Today doing my spirotest to see if I’m fit to start my cardiac revalidation and setting up my program if okay. Bit stressed about it, don’t know what to expect...