5th day old Cardio version

[Nick1957]

Successful Cardio version on weds NSR. Pulse rate around 57 bpm which was what it used to be pre AF. Bisoprolol reduced from 7.5mg to 5mg. However 5 days later pulse has lowered to under 50bpm. Will contact Arrythmia nurse tomorrow! I suppose it’s to be expected with still taking Bisoprolol!! thoughts please?

[jeanjeannie50]

I've had numerous cardioversions and it sounds like contacting your AF nurse is the right thing to do. Lets hope she says you can reduce your Bisoprolol a little more.

Jean

[Nick1957 in reply to jeanjeannie50]

Fingers crossed that the decrease in hr is a good/positive sign

Reducing Bisoprolol = more energy!! I’ll be ‘dancing in the street!!’ Jeanjeanie!!

[jeanjeannie50 in reply to Nick1957]

And why shouldn't you dance in the street! It's CHRISTMAS!!! Yay, you're feeling better and may become even more energetic! There'll be no stopping you!

[Padayn01]

While on bisraprol my HR was at 47bpm a lot of the times

[Nick1957 in reply to Padayn01]

Yes mine has reached those low numbers too but only when in NSR on Bisoprolol . We’re you in AF or nsr??

[Padayn01 in reply to Nick1957]

NSR

[Nick1957 in reply to Padayn01]

Very similar to mine - how did you feel with such a low hr - anxious? Relieved- I’ll be contacting Arrythmia nurse tomorrow!

[Padayn01 in reply to Nick1957]

Yeah a little worried it was at 47bpm but apart from that felt ok

[Padayn01 in reply to Nick1957]

Was in AF and bisraprol put me in NSR

[Nick1957 in reply to Padayn01]

So no cv needed for you then?

[Padayn01 in reply to Nick1957]

No luckily they were going to do one if bisraprol didn’t wk

[Nick1957]

I feel fine too! Albeit slightly anxious but good to hear of your similar symptoms! How long have you been nsr?

[Padayn01 in reply to Nick1957]

Almost 12 months now but have lots of ectopics

[Braygirl in reply to Padayn01]

I had weeks of ectopics every day after CV...miserable!!

Resolved eventually.

[Padayn01 in reply to Braygirl]

How long before they settled down?

[Gowers]

I had cv on thursday. They told me to keep taking same meds as before - Diltiazam, Flec(50mg x 2 a day) & Digoxin 125. I was fine the day after but next day HR was below 40 bpm. Every time I moved thought I would pass out. Felt really poorly. Spoke to my cardio nurse & told to stop Flec but, take as pip, take Diltiazam at night & Digoxin as normal & to tweak the meds as necessary. It is not easy getting the meds right.

[Nick1957 in reply to Gowers]

Yes - cardiac specialist who did my cv 5 days ago told me to stop taking my diltiazam (90mgx2 a day) and reduce bisoprolol from 7.5 to 5mg. Ramapril 5mg changed to Lorsatan 50mg owing to dry cough! Good luck with sorting out your meds👍

[Singalong1]

Hello, I’m new to this site. I started taking Bisoprorol 2.5 mg in July this year for AF. Side effects of increasingly debilitating aches and pains started 12 weeks later. Blood tests have not identified any cause of my symptoms. Three weeks ago, GP took me off the drug (I’m still taking Edaxoban anticoagulant) and my symptoms intensified! I have gone from an active flexible woman to a disabled woman over the course of just a few weeks! I feel the Bisoprorol has poisoned my system, And my body is struggling to remove it from my body. I also feel the cold more intensely, and I have night sweats. I won’t go back on this drug. Has anyone else experienced similar side effects/withdrawal symptoms? How long did they last? I’m feeling very low and concerned that I have permanent damage to my system. Advice please?

[Palpman]

I have been on different Beta Blockers over the years and never had any adverse symptoms from them.

My HR dropped to 50 so I was switched to calcium channel blockers to increase the HR.

Two weeks ago my BP dropped to 97/65 and my pulse went back to 50. Stopped BP medication but not much difference. Will see my cardiologist on the 18th.

[Sean_C]

I had exactly the same problem. My HR went down into the 40’s (I was quite fit too) and they reduced my Bisoprolol to 1.25mg. This only had a small effect so they stopped it (Bisoprolol) altogether - more than 5 months ago) so now I am only on Ramipril 1.25 and all is good.

[Nick1957 in reply to Sean_C]

I contacted my Arrythmia nurse and no change on the bisoprolol dosage. Still advised to take 5mg despite low hr just under 50.bpm Guarded in case I slip back into AF again!!!

[Sean_C in reply to Nick1957]

Hmmm. Well, we have to accept that they know best but my experience is that a very low HR is also problematic and uncomfortable. I am quite surprised at get have kept you on the same dosage.

I remember a problem I had was when I would sleep laid on my back with my hands clasped on my chest (no I don’t sleep in a coffin 😁) or an arm above my head on a pillow, I would wake up and my hands would be completely (and not comfortably) numb, sometimes right up to my elbow. So clearly my HR and BP we’re going even lower when asleep.

I hope yours gets back to normal. Good luck.

[Nick1957 in reply to Sean_C]

Arrythmia nurse said as long as I feel ok there is nothing to worry about. Heart rate now at a settled level 57 bpm.

[Sean_C in reply to Nick1957]

Sounds much better. All the best and hopefully your cardioversion lasts a good long time.