Good evening

[Jaket22]

I had a random afib episode of 220 bpm and had a cardio version back in may 23. Im 30 had some ups and downs since but not been back into af. I stopped my bisoprol the other week and I’ve been so dizzy and weak, breathless and my resting heart rate is about 49 atm and it’s making me feel awful any tips or advice on if I should take a trip to ane to be checked ?

[Porageface]

In your position I would get someone to drive me to Accident and Emergency now. These episodes of tachycardia and bradycardia suggest possible sick sinus syndrome. An ECG now would be the best way forward.

Don’t drive yourself again. Alternatively ring NHS 111

You are 30 years old with an infant child; you need to get this sorted out as soon as possible.

[Jaket22 in reply to Porageface]

I’m using Kardia mobile and it said I was in normal sinus rhythm last night but my pulse is very low and still feeling these symptoms so I’m going to take my self to the hospital now thanks for the advice

[CDreamer in reply to Jaket22]

Hi Jacket - you need a complete work-up from a specialist cardiologist or EP to see what is going on. Have you had a 24/7 holter monitoring? Your Kardia will only show you if you are in AF or another Arrythmia and only be a snapshot at one time, doctors will need a look at what is going on to just prior to these episodes to make a diagnosis.

If you are Brady/Tachy ie: very slow/very fast HR kardia may not help help as it will only show Arrythmia and your average HR when you are in NSR but that isn’t always helpful for HR issues, two very different conditions. Really push to be seen by a specialist. Unfortunately A&E is just that for accidents and emergencies so you need to push your GP for referral to a good cardiologist - just keep going back. When you have a referral you may still need to wait for an appointment so you may want to think about researching a cardiologist at the hospital you have been referred to and ask for a private appointment. If you have all of your records of your A&E visits and evidence of your recent events, take them with as it will help get an opinion. If you become very symptomatic with either low or high HR then this would be an emergency in which case a visit to A&E may be appropriate but be aware it is not the route to long term treatment. If you haven’t copies of records or kept your on, think on - I learned not to reply on NHS records and you are entitled to a copy of letters sent between hospital and GPs so make sure you sign up to receive them - nothing happens automatically..

Heart rate extremes - going too fast, then too slow and/or with pauses usually indicate a problem with the sinus node and often get prioritised over something like AF so do keep pushing.

In the meantime do be aware that lifestyle may make things worse so refrain from alcohol and other stimulants, eat well, take care with exercising and know that stressful situations may make things worse whereas relation may help. Easy to say, harder to do.

Hope that helps.

[Ppiman]

There's no easy cure for bradycardia, so far as I know. I get it daily, and I have been told that so long as it isn't symptomatic, it will do no harm. My symptoms can be a light headed feeling, lack of energy and a strange "distancing" effect, unpleasant but temporary.

I would have thought from what I have read, that the receptors in the heart should have recovered from the beta blocker they have become used to by now, so a visit to your GP is called for. A&E, at this late stage, seems unnecessary?

Steve

[Buffafly]

Do tell us how you get on please. Did you stop Bisoprolol because of slow HR or for some other reason? It is generally recommended not to stop Bisoprolol cold turkey because some people get withdrawal symptoms though I shouldn’t have thought slow HR would be one of them. Best wishes

[Drone01]

You don’t say what dose of bisoprolol you were taking and how/when you reduced and/or stopped the medication. You also don’t say if your heart rate is still rising too high (ie are you Brady/Tachy as Porageface and CD Dreamer suggest?), or whether you are now just suffering from a low resting rate and feeling washed out. Let’s hope you’re just taking longer than usual to recover from the betablocker, particularly if you went ‘cold turkey’ from a higher dose. At your age, if your heart is in good shape (an echo cardiogram might be a good step) and your BP is healthy, I might hope that some exercise might be helpful in perking you up without tipping you back into AF.

[Jaket22 in reply to Drone01]

Started on 1.5 then up to 2.5 stopped after cardiac nurse told me to reduce it as my hr was to low and blood pressure. I go gym 4/5 times a week but haven’t for a week or so due to feeling like I’m going to collapse and calling down the street or even walking the dog. I feel dizzy, weak, confused and I’ve kept fluids up to increase bp but I’m feeling like any moment I’m gunna just hit the deck with it. I stopped due to how I was feeling on the bisoprol and this has continued on after stopping them just stressing me out now

[babs1234]

I have that exact feeling. Dizz, spaced out, light headed. I’m now using Bisoprolol as a pip And generally take one just before exercise or when I go into AFib