Heart rate range

[Crimson2020]

My resting heart rate ranges from 42 to 48bpm. This is based a Fitbit Charge 5 watch over the last three months. After an Afib episode it jumps to about 48 and then after 3 or 4 days it falls to about 44bpm.

Five to ten days later it drops to about 42 and I enter another AFib episode for about 12 to 24 hours. Then the monthly cycle repeats.

The spot rate in Afib during the 30 second Kardia Mobile or Fitbit recording varies between 36 and 180 with an average rate on the Kardia of about 80 bpm.

I am on one Bisoprolol 2.5mg taken in the morning and was wondering if the dosage may be a bit high.

My Cardiologist suggested missing one day if my resting bpm fell to about 44bpm but I found this didn’t help. I feel more comfortable keeping the dose regular but wondered if 1.25mg might stop the rate dropping too low without unduly affecting the high rate in Afib.

Any thoughts or experiences of others would be very welcome.

[RoyM]

Hi I had a similar problem, I resolved it by changing my prescription to 1.25 MG of Bisoporol taken one in the morning and one in the evening which kept the dosage the same on a daily basis but my body was better able to cope ..it worked for me. Good luck.

[jeanjeannie50 in reply to RoyM]

Sounds like a good idea of RoyM's. Think that's the next thing for you to try. You could just cut your morning pill in half to make both doses.

Jean

[Drone01]

When first diagnosed with paroxysmal AF I was automatically prescribed 2.5mg Biso by Cardiology, but didn’t take that dose. After talking to my GP I started instead on 1.25mg daily (using a pill splitter). It still reduced my resting heart rate into the 40s. Once I had had an Echo showing heart in good shape I stopped Biso altogether but started an ACE-inhibitor to keep my blood pressure down.

My PAF heart rate is 200bpm for not more than 30 minutes until conversion to NSR. When I took Biso it was 170bpm before returning to normal.

If you decide to experiment with 1.25mg Biso you might want to keep an eye on your BP and take alternative action if required.

[Ppiman]

I had to drop to 1,25mg. The drug is there to keep the AF rate from going too high and uncomfortable, I believe, but it can worsen bradycardia as you and I both find. I was told that as long as the low rate remains symptomless all is well. I also have a "wide QRS" from LBBB which seems to make the rate lower, too. I don't get much in the way of symptoms, but can feel "distant" and have chest "aches". Do you have symptoms that you can point to the low rate as the cause?

Steve

[JOY2THEWORLD49]

Hi

My Night avg bpm is 47 heart. rate.

Day is rapid...

BBs like Metoprolol 186 or Bisoprolol did not control my heart rate.

So in comes a private Heart Specialist.

So now I take 120mg CD AM which is used up over the morning and into early PM but then it climbs up to but still under 100. Then asleep it goes down.

I take low Bisoprolol and it was 2.5 mg PM. But after starting table tennis I have dizziness after picking up ping pong ball. And almost banged my head as I straightened back to balancing myself whilst playing.

I asked Dr. Too long to wait for a Heart Specialist though as still waiting.

So I have reduced this crumbly white pill (different manufacture) by 1/2.

I'm much improved.

Maybe I don't need Bisoprolol now. I've ordered a ECG end month.

Whilst my AF rapid heart can be slotted into times of the day and night - can you?

So the last 3.5 years out of the 5 years - rest on BB only, in my case the above meds work as 1 med is best in the AM and the other at PM.

Cross your fingers something like this may help you but it could be eventually when you are persistent like me. But always been persistent.

cheri JOY. 75. (NZ)