sorry, me again with another question

[Jackiesmith7777]

After a cardio version does anyone still stay on bisoprolol . Paul is on 2.5 mg now but his heart rate is averaging mid to late fifties . I’m just wondering if he needs to be on a lower dose or it’s ok as his heart is resting . His walking average on his watch is 75 which is great compared to mid 100s . Thank you

[Desanthony]

They should have told him what to do when he had the CV. I was amazed to hear some of the people having their CV when I had my first on were told to stop and some not. Either way he should ring his cardiologist or EP and ask about it giving details. Having said that it seems that you should come off this slowly bu cutting down gradually. I couldn't take bisoprolol - had tried it twice and came off - no I didn't gradually cut down because no one told me that but was so much better off it. It was one of the reasons for going the Cv and ablation route as I couldn't take Beta blockers or calcium channel blockers - and had tried lots of different one and mixtures of them for about a year before.

[mary70 in reply to Desanthony]

Wise Words - beta blockers do not suit all patients - and that can include one beta blockers-bisoprolol. Be careful as to what beta blockers that you choose!

[Jackiesmith7777 in reply to Desanthony]

Yes even on 2.5 coming down from 15mg he s still tired a lot but of course that is his brain healing from the stroke too . Thank you

[Teresa156]

Hi Jackie,

I’m pleased to hear that your husband is doing well after his cardioversion. I totally agree with what Desanthony has said, in that you should have been given specific instructions after the cardioversion, but it sounds like you weren’t of course. I would try and speak to his EP/Cardiologist if you can, or failing that, an Arrhythmia Nurse at the hospital?

As Desanthony has said, reducing Bisoprolol isn’t an easy thing and if you do reduce after their recommendation, I would go very, very slowly, so as not to increase the heart rate too quickly whilst reducing as it can have an effect. I reduced over a long period too ( after advice from Dr).

I would add that reducing to 1.25 from 2.5 didn’t make a lot of difference to my heart rate, perhaps it has risen by about 3-4 beats a minute, but then I am a woman and we are all very different in how it affects us.

[Jackiesmith7777 in reply to Teresa156]

She said to moniter his heart at home and cut down the bisoprolol if too low . He s got an appointment with the function clinic on Wednesday so we ll see what they say . Thanks

[Teresa156 in reply to Jackiesmith7777]

That’s good, though please do bear in mind that 2.5 a day is generally still regarded as a low dose. I know it’s strange but it is still very powerful.

Being in the mid 50s at rest, is also generally nothing to worry about ( I’ve been told that many times) unless he feels bad when his HR is very low and of course, that isn’t good.

Good luck on Wednesday.

[Jackiesmith7777 in reply to Teresa156]

Thank you

[Buzby62]

Glad to hear he’s doing better and is able to walk a bit. Great to get opinions on here but you must not change anything without instructions from his medics. Those rates won’t do any harm as long as he feels ok, my advice would be to rest up and let his heart settle in to NSR until you speak to the medics. Just another unqualified opinion I’m afraid, best wishes to both.

[Buffafly]

As you say ‘now’ I guess that is a prescribed reduction and the rate sounds like a lovely rest for his heart ❤️‍🩹