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Auntyp62 profile image
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Hi, my husband has ectopic heartbeats that are getting more often as his heartbeat slows then palpitates when resting. My daughter also has ectopic but her pulse is very fast. He is better when active as it raises his heartbeat. He had a 48 hour box fitted a month ago and all was fine although hb was low. He bought an I watch to monitor himself and the alarm wakes him several times a night when his heart beats less that 45 beats a minute, he runs on running machine to raise heartbeat so he can go back to sleep. Bp also low at 115/60. A telephone appointment with doctor says nothing can be done but go to a&e if it drops below 40. He Is 71 is 6years post quadruple bypass, does not smoke or drink and 11stone and still very active during the day. Is this normal for after a bypass, anyone else have this with a positive outcome?

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Auntyp62 profile image
Auntyp62
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7 Replies

All the literature from Apple actually states that iWatches (and it’s the same for most if not all other brands of wearable device that can monitor heart rate) are not considered reliable in people with any form of known arrhythmia or pre-existing cardiac diagnosis. There are also numerous studies that show that many top brands of wearable device can be out by as much as 20% when it comes to tracking heart rate. The number of concern is below 40 both according to his doctors and from my own understanding of heart rate concerns, so unless you can change the alert to only signal if hr drops below that, I would see his watch as actually being a problem rather than a benefit, particularly if it’s unnecessarily disrupting his sleep, which I’d argue it is unless he is actually dropping below 40 at any point?

Cliff_G profile image
Cliff_G

I would suspect your husband is on beta blockers after his 4xCABG? In any case, ectopics at low heart rate (at night, after food) are typical of a strong vagal drive, the fact that he is fit is also a indicator. Look at Dr Sanjay Gupta's Youtube channel for ectopics, and for vagal atrial fibrillation (that may be what the palpitations are) Also see if there's a correlation with eating, or indigestion.

If this is the case, and he is on beta blockers, I would be talking to my doctor about cutting back on them or changing to a drug that does not slow the heart rate so much

Auntyp62 profile image
Auntyp62 in reply toCliff_G

He was taken off bisoperol 2 years ago when his resting heart rate was 52 and is only on aspirin once a day..his bi pass was due to being born with very small veins and arteries, they were not blocked. Thank you for the info on you tube I will have a look. Thanks for replying

Cliff_G profile image
Cliff_G in reply toAuntyp62

No problem. Other drugs also reduce heart rate such as calcium channel blockers (Diltiazem, Verapamil, Amlodipine) and Digoxin.

Auntyp62 profile image
Auntyp62 in reply toCliff_G

Interesting to know but all he takes is 75mg aspirin a day, no other drugs at all

Cliff_G profile image
Cliff_G in reply toAuntyp62

Wow! I trust his cardiologist knows about his slow heart rate.

Auntyp62 profile image
Auntyp62 in reply toCliff_G

He’s been told that due to Covid things are on hold but when it gets below 40 go to a&e and ask for a pacemaker.

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