hi folks. I had an a fib episode this morning around 11 am when shopping in the supermarket. My HR was around 120. Over a period of two hours it went between, ectopics, AF and NSR. . It finally settled into AF
I took my blood pressure this evening and it was 110/52. I had taken bisoprolol 2.5 mg as recommended two weeks ago by my EP as a PIP. I am assuming that this is what has brought my BP down.
Two hours ago I converted to normal sinus. My HR on conversion was 80 BPM and it has maintained that rate. My normal resting rate is 60 and would go below that where it not for the fact that I have a pacemaker.
My HR continues at 80 beats a minute and I find it is making me tired. I know 80 bpm is ok but it is very much out of normal for me.
any thoughts?
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My understanding is that Bisoprolol is a heart rate control medication which has some properties that help with blood pressure control. But it certainly isn't a blood pressure specific control medication. For that reason I can't see that 2.5mg of Bisoprolol taken as a PIP is gonna do much for HR control long term. I wonder what your pacemaker settings were. Do you take any BP specific medications aimed at controlling BP
One question I'd have is ............... you say your BP was 110/52, did you have any readings in the hours before that ... it would be useful in any decision/advice - or was it just a one off reading.
When I was originally diagnosed my BP dropped continuously from a normal of 136/80 down to 76/50 .... at which point my GP put me in hospital, at which point AF was diagnosed. My HR managed to hit and maintain 156 untilr a young Dr. put me on a drip of something or other which brought it down over a great many hours.
Back in the day ( Jan 2010 ) when originally diagnosed I was put on 5mg Bisoprolol for life. ( aged 65 at the time ). That worked ! My daytime HR was around low 60's and night time mid 40's. Since then my Cardiac guy has moved me from Bisoprolol to Nebivolol and now Sotalol which gives me a highly controlled HR of 70 ish ... nice !
TBH, again, back in the day, before my AF diagnosis my HR was around 85 to 98 bpm without HR control medication. In my view far too high. I must confess to be interested in why Cardiac Consultants increasingly go for a PIP approach ............... to problem solving. None of mine over the years have ever favoured that.
Be interesting to know if by morning your BP has changed further, either up or further downwards.
Many thanks. I woke up this morning and my heart rate was back down to the normal 60 BPM. I am in BP meds which keep me at 123/60 so it takes little to bring the systolic down. Many thanks.
The elevated resting heart rate might be a response to your low diastolic blood pressure, the latter also a potential cause of your tiredness. Both could be in response to the bisoprolol you've taken as PIP. If you haven't already returned to "normal" you should consider contacting your prescribing doctor for advice.
Where I first joined this forum, some 10 years ago, a decent AF was with HR 160 to 250 bpm. In the past few years, things have changed, and everybody is reporting HR from 90 to 150 bpm when in "AF". Something does not add up... Why has HR gone down by such a significant amount...?
I have felt the same and can feel pretty awful at 85bpm. Only extra betablockers can help, I imagine, so a chat to your GP might help on that one. Of course, these also can bring side effects, but maybe if used as needed, would be acceptable?
Thanks. As I am in sinus at a normal rate I shall probably be ok. If it happens again I will consult my EP. I have a Pulse Field Ablation scheduled for January 2.
I'm awaiting the same. Tachycardia is an odd thing, I find. 100bpm is the resting rate needed to call it that, but it's the feeling, rather than the rate, in reality and 80+bpm can make me feel quite uncomfortable.
when you finish reading all the replies, take your post and the responses and get his opinion, since that’s what he’s getting paid to do. Every person with AFIB is different in as many ways as they are alike. 120 doesn’t sound bad to me, but how the heck do I know what’s high for you? I’m 74 and on Metoprolol 50 mg 1x daily and things are going well except for the cough I’ve had for 3 years. At the moment my bp is 129/73 pulse is 83. I’ve let my weight balloon but lost 9.5 pounds since I got home from my brother’s home Monday. I’m at 248.3 this morning. All of these other things come in to play when you have AFIB. And yet my A1C is 5.6. . Why? How? I don’t know. My doctors don’t seem to know. They’ve scanned my lungs multiple times looking for a reason for the cough. Doesn’t appear to be my lungs. I suspect now either acid reflux or sinus problems. Oh my gosh like others here I’ve changed the subject to make it about ME ME ME! Sorry, any idiot could give you my advice - see your Doctor! Meanwhile, Pray, Play Golf and go to Church! One day God will call us each Home. When he does it will be too late to get to know him. Good luck!
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