Bisoprolol - dramatic change in hr. - Atrial Fibrillati...

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Bisoprolol - dramatic change in hr.

Rhiannonimity1 profile image
9 Replies

hello.

HR has been 120- 130 for a while now taking either 5mg or 7.5mg bisoprolol. The increase in dose to 7.5 mg maybe made an average 5bpm difference. At this point I was in Atrial flutter most of the time. Trying to bring my hr down , it was suggested to me that I increase to 10 mg and then possibly 12.5 ( because I am heavier). Anyhow - I sort of expected 10 mg to bring me down to 115 maybe 110 at lowest, but I am now back in atrial fibrillation with a heart rate early morning at about 70bpm lifting to about 94 bpm in the afternoon. A huge change. Is this cause for celebration or worry? Does anyone know why the change has been so radical?

I wonder if being a heavier person the bisoprolol hasn’t really been working, and now the dosage is large enough to make a difference.

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9 Replies
jeanjeannie50 profile image
jeanjeannie50

To all your questions - yes, that could be the reason. I'm on just 1.5mg of Bisoprolol and my heart rate, which is constantly in AF, generally stays between 60-90bpm. I'm not overweight.

So long as you feel ok with your heart rate as it is, then I'd say it was cause for celebration.

Jean

Rhiannonimity1 profile image
Rhiannonimity1 in reply tojeanjeannie50

Brilliant. Thank you Jean

Buffafly profile image
Buffafly

Result! Hope it continues 🍀

Miriam123 profile image
Miriam123

I have AF. I had bisoprolol increased by increments to 10mg and now heart rate is mostly between 62 and 82, and I feel well. I weigh 63kg. so seems a lot but it works.

Tellingfibs profile image
Tellingfibs

Over the last six years, I have had my Bisoprolol increased gradually ( each time after episodes of tachycardia ) from 2.5 mg to 10 mg ( 5mg twice daily ). When it was increased from 5 mg to 7.5 mg, it made no difference, but a day after the further increase to 10 mgs, my HR slowed to mid 60s and has stayed more or less like that for 18 months now, whether or not I am in Afib. It sounds to me as though you have found the perfect dose, with the comforting knowledge that you could increase it a little more if necessary. I hope the lower heart rate is making you feel more ‘comfortable’ .

Rhiannonimity1 profile image
Rhiannonimity1 in reply toTellingfibs

Thank you for your reply.Rather peculiar but I don’t feel any different.

JOY2THEWORLD49 profile image
JOY2THEWORLD49

Hi

I was introduced to CCB Diltiazem AM to reduce H/R day. And BB bisoprolol reduced to 2.5mg PM.

It made all the difference.

124/69. 60s H/R Day. Always 47 avg H/R Night.

I was still 120 H/R rest on a high H/R. No operations until H/R controlled under 100.

At first I was 88-96 but after a year on reduced Diltiazem 120mg I went down to 60s. I lost 7kg as well.

Cheri JOY. 74. (NZ)

macymoo007 profile image
macymoo007

Sounds so like me.

Like you I’m a larger person. I’ve been on 5mg of bisoporol split 2.5 am/pm

I’ve been fine until last weekend. Afib just came on for no apparent reason.

On Monday I came out of afib but my heart rate shot to a continuous 130. I monitored myself with my Apple Watch.

By Wednesday it hadn’t changed so ended up in a&e. They kept me in which was a shock (I thought they’d give me a magic pill and I’d be ok lol)

Day 4 now and I’ve just gone back in to nsr with a pulse around 80 (I’m usually around 52-54 post bisoporol). As you get LOTS of time in hospital to research things, I’m now 99% sure it’s the heat that made things go crazy. I’ve recently taken to drinking 2 liters of water a day but good old google says to drink a LOT more if you have afib.

Do you think yours might be down to the heat?

Rhiannonimity1 profile image
Rhiannonimity1

hello Macymoo. Thank you for your reply. I have been in persistent AF now for about 6 months - but I do feel so much worse in the heat! It must be a relief to be back in NSR. Personally I don’t miss NSR,. I especially don’t miss the hospital visits. I will research about the water. If I am dehydrated I feel my AF more. Thank you.

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