A new "Normal": I saw a locum at the... - Atrial Fibrillati...

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A new "Normal"

Hannibal1948 profile image
22 Replies

I saw a locum at the surgery today bc my BP and NR had elevated significantly.

He told me that it is usual with AF and I've just reached a new "normal" as the measurements fitted into the NHS min/max guidelines so adjusting the meds was not the thing to do.

Just carry on....

Has anyone else come across this ?

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Hannibal1948 profile image
Hannibal1948
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22 Replies
BobD profile image
BobDVolunteer

Normal heart rate is between 60 and 100 and within those numbers doctors do not normaly treat. Blood pressure is more important I would say but again it depends on what it is and you do not share that info.

Hannibal1948 profile image
Hannibal1948 in reply to BobD

Old 119/68, new 137/89... HR 55 now 89..

dmack4646 profile image
dmack4646 in reply to Hannibal1948

have you had COVID recently ?

Ppiman profile image
Ppiman in reply to Hannibal1948

Depending on your age, I don’t think that those figures would be a cause for concern. I had not heard that BP increases with AF but the cardiologist I saw last year started me on losartan 100mg daily (an anti-hypertensive) as a protective measure even though my BP was normal.

Steve

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply to Ppiman

Hi Ppiman

Check out your urine first done am.

I stopped it as lots of protein showing in my urine.

cheers JOY. (73). NZ

Ppiman profile image
Ppiman in reply to JOY2THEWORLD49

The losartan, you mean, Joy?

Steve

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply to Ppiman

Hi

Yes Steve.

Its one of the side effects of Losartan.

I read it is from the family of Metroprolol or is it a BB as well.

Not good for your kidneys or liver if protein is discharged through ureters.

Just pee in a contain fully first thing in morning and look as it settles.

How are you? Full of beans!

cheri JOY

Ppiman profile image
Ppiman in reply to JOY2THEWORLD49

We're on holiday in the east of England, a part called East Anglia, near the Norfolk coast. The weather is lovely so far, but it is looking changeable from tomorrow. It's a beautiful area. We like birdwatching and the nature here is the equal of any in the country.

I shall ask about the losartan!

Steve

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply to Ppiman

Hi

Sounds awsome.

Your new PM ???? We have such confusing news here!

I'm off to lovely Mahinepua today for 5 nights. Between Matauri Bay and Tauranga Bay on the loop - scenic route East Coast before KAEO north of BOI Keriker.

Do hope have watered and put extra water around some seedlings waiting to plant.

Good if it rains sometimes.

Maybe 1st swim or plunge in river or sea out front.

JAZ now 9 will love it.

cherio JOY. 73 (NZ)

Buffafly profile image
Buffafly in reply to Hannibal1948

My GP wasn’t happy with my BP (much higher than yours), she said if I was 80 it would be ok though. So it seems higher BP is expected as you age (I’m only 77 😂). So she put me on an extra bp med (already on diltiazem) and I feel better for it. BP now same as yours, HR varies dramatically but average in 70s.

Hannibal1948 profile image
Hannibal1948 in reply to Buffafly

I think that's the trouble. GPs have different views, even at odds with NHS. My GP would let the diastolic rate reach much higher before concerned. I'm 74 and lucky that my GP has been with me all the way since AF kicked in 3 years ago

Still, we have to soldier on and to hell with it!

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply to Buffafly

Hi

It used to be over 100 before BP medication was introduced.

Now it is lower around 90.

Cheri. JOY 73 (NZ)

But remember the Dr syndrome happens.

Take it at home after you are now talking, still for 20 mins and tube and monitor higher than your heart.

cheri. JOY

JOY2THEWORLD49 profile image
JOY2THEWORLD49 in reply to BobD

UM! Bob......

H/R irregular rapid and persistentent is such an important

observation at rest!

Irregular is the risk of clot.

BP Systolic is more important than Dystolic too. I had a stroke

even though my Urorologist said "you will never have a stroke with

a high Systolic BP measure.

I had the stroke at night asleep at 2am it awoke me .. throughout this event and prior I have always felt that I had a low H/R at night e.g. cold shoulders.

Throughout I remain at 47 at rest!

So it was during the low H/R the clot formed and arrived stuck in the left frontal lobe.

After Thyroidectomy due to Pippillary Cancer found as a Carcinoma in my right lobe with a tiny bit recognized in left the operation showed 2 right lymph nodes affected. My dear surgeon took 12 and which was al right lymph nodes.

You need 2 or more aspects for a stroke e.g Ca Thyroid and AF caused and I was worrying about our ACC declining removing the Johnson&Johnson TVT Mesh Kit. Controlled and ACC accepting my claim you will be pleased that it was removed in early March this year.

But I was reminded in February by our Northland Hospital that NO OPERATION would done unless my BP dropped to under 100. But it was 77=88 when I went downt down to Whanarei or assessment.

The operation was done in Northshore DHB as the surgeon wanted more support. I had 2 Drs and 2 anaesthetists. It was partially successful as reaching low was impossible from her entry.

Irregular AF timeframe with irregular events looks worse for specialists to act.

I feel I am indeed lucky that I am fully controlled for BP and H/R plus my thyroid synthetic TSH is steady at TSH2.0ish. I am happy as is my Surgeon and triage and DHB Heart Specialist.

I guess I have/nt asked but why does my H/R drop to 47 average at night? Do you have any ideas?

cheers jOY. 73. (NZ)

Singwell profile image
Singwell

I'd say that BP if a typical resting reading is too high. 3 years ago I was told to aim for 120/80. Do go over of course but morning and evenings am nearly always lower than this. If your resting HR is uncomfortable at 89 I'd say worth questioning. For some it's normal.

secondtry profile image
secondtry

It is often not the rate but the trend. I keep a record going back several years of all my tests. If I was you I would be seeking answers and not necessarily from my GP.

dmac4646 profile image
dmac4646

and you with yours I hope that you don't find that it truly exists.

Hannibal1948 profile image
Hannibal1948

Thanks, everyone....

Puzzled8 profile image
Puzzled8

I have sinus tachycardia. My gp referred me back to cardiologist because resting hr of 130+. Consultant wrote back saying no need to see me as I was always going to be like this, and it was just a case of managing it with right meds. Presume this is my new normal too !

Hannibal1948 profile image
Hannibal1948

Sounds like it! And the response from the Consultant is at least honest, you can work with that now you know where you stand. I had a conversation with my GP this morning and he told me that the heart is far more robust than people think and can sustain its functionality very well if managed. He told me of the maximum parameters he works with and they were staggeringly higher than I thought they would be!

Stay well and thanks for responding.

JOY2THEWORLD49 profile image
JOY2THEWORLD49

Hi

BP about 130-140 over 80-89 OK

But they measure your RH Heart Beats minute at rest. UNDER 100 great.

I was born in 1949 so you are about my age!

On CCB Diltiazem 120mg am and 2.5mg night I am happy with

123/72. 77-88 HR Day at rest. I keep at 47 throughout this AF stuff.

If you are taking PRADAXA take 110mg x twice day.

Statin low dose if you want to.... Cholesterol measure is always debatable.

It is the irregular Heart Beat which can make a clot. My undiagnosed AF

did and I had a had a revelant mild stroke in left frontal lobe. It awoke me.

I couldnt talk for a few days with right face swallowing, talking and right hand affected.

You dont want a stroke or heart attack 1948!

Take care. It was 2.1/4 years after that an interested heart specialist private who

sorted me. I must warn you that Diltiazem 180mg 1/2 dose reduced my 156 HB

to 51 within 2 hours.

cheri JOY. 73. (NZ)

Hannibal1948 profile image
Hannibal1948

That's a decent set.

My AF stopped today and I now have 121/75 + 59, so thankfully back to my normal "normal"!

Hannibal1948 profile image
Hannibal1948

Thanks again to the group for feedback....

My AF stopped today and I now have 121/75 + 59, so thankfully back to my normal "normal"!

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