hi I am
Due for surgery for breast cancer on Wednesday and am worried about the anaesthetic as I have a slow resting pulse between 44/50 . I take Flecainide 200mgs twice a day and bisoprolol 1.25 mg daily.
Has anyone had surgery on these drugs with a slow heart rate .
Has your surgery team discussed what meds you are on? You are usually asked for a full list of dosages . If so then they are obviously happy to proceed so you should take that as a good sign.
I have Bradycardia too, but when I explain how my BP drops like a stone after a GA, they are sceptical or the anaesthetist will come and see me beforehand. Nevertheless. I still have a low BP after the procedure and have to spend ages in the recovery room.. Years ago, I learned that if you ask for coffee, your BP will quickly rise and you won’t be stuck for ages in the RR.
Interesting to know about the coffee as I don't come out of GA very well. I have a hard time waking up.
If it's like here in the US, the anesthesiologist will take your history just before the operation, or if there is no anesthesiologist, then I imagine the doctor will. That said, make sure they know in advance what you just said. In fact, I wouldn't wait until the day of surgery to discuss, but would alert them in advance. I had an ablation while taking Flecainde and Diltiazem,but my bp was on the high side, if anything, going in.
Jim
Hello I cannot answer your question, but I would like to wish you every success with your operation and your ongoing treatment for breast cancer. It is very hard I know as I've had surgery and treatment too for breast cancer.
My very best wishes for a successful outcome.🌹
Lily
thank you for your reply. Yeah I’m probably just over anxious about everything that’s going on, I am a worrier anyway . I hope you are doing ok now x
Yes thank you x
Hi I had same resting pulse rate, thought I was reasonably fit, but HR and my BP didn't pick up after ablation so I had to spend extra time in hospital until it did. However, I was told mine was due to leaky heart valve so medics had concerns about heart recovery after valve repair op and I ended up with a pacemaker to stop it going below 60. So, have you had your heart checked and is it ok?
thank you for the reply, yeah have had an ECG recently which was fine . I do have a leaky valve too. Didn’t realise this can cause bradycardia .
thank you for the reply . I am probably getting anxious about the whole procedure . I will see the anaesthesiologist before the surgery I’m sure .
I have bradycardia too and when I had a GA I had to go for a pre op check when I was given a list of which tablets to stop before the operation. The main two were Apixaban(anticoagulant) and Lisinopril (for blood pressure) My blood pressure and heartrate dropped sharply afterwards even though I followed the instructions to the letter.
I didn't think of asking for a coffee! Anyway I now have a pacemaker.
I have Cancer and take Amiodarone and other heart drugs.
I feared a GA and had a spinal when I had my Cystoscopy - Went well all three times.
My HR overnight has been as low as 32 but these days from 38-50.
Hi
Research says you should never be on anti-coagulant when you have cancer.
Check it out. I was put on PRADAXA 110mg x twice after stroke and when discharged main hospital, one discharge Dr in the minor nearer home, changed it to 150mg x twice.
I found out 2 years 4 months later and asked DR to change.
My new Locum Dr said as I was 70 years with a heart condition I should have always been on 110mg x twice.
This Dr has suffered AF herself. She got me on to a private Heart Specialist to get me controlled of AF and rapid persistent H/R. Thank you her for that
cheri JOY
Hi
Had operation last Feb 2022.
I am on Diltiazem 120 AM and Bisoprolol 2.5 PM.
I continued to have these although night avge low at 47 (no matter what med or none).
I had 2 Anaesthetists in the room ! 2 doctors as the Specialist Dr was using her skills with implements. Other helper doctor was guiding her through reciting what the computer pictures read.
No problems and PRADAXA stopped 3 clear days prior. The bleeding risk passed and my H/R was not a problem.
Your H/R is perfect under REST.
The anaesthetist will check you on a precheck. They wont do it if you have a H/R over 100. That one is a no go.
All the best for your surgery and recovery.
cheers JOY. 74. (NZ)
Definition of Bradycardia
When is bradycardia afib?
What’s worse. Bradycardia or AF?
Amiodarone and bradycardia anyone?
Sotalol causing bradycardia 
