it’s just over a year since my cardiac arrest and I just had a review at my surgery. I was keen to try lowering my atorvastatin dose due to aches and pains and fatigue (and had also been warned I was sat risk of diabetes). They agreed to try lowering my dose from 80 to 40 mg and also arranged blood tests to see if anything else was causing the tiredness, plus I was asked to monitor my bp as they weren’t sure if I still needed to be on Ramipril. (Am also on bisoprolol, aspirin, ezetimibe and lansoprazole as well as HRT and cholecalciferol which I was on before my event.)
My question is whether bp readings of 71/38, 77/42, 82/51 and 84/47 are worryingly low even though I’m on the above meds?
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Juanton
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That's a question for your medical team. Yes they are low readings but your medical team may be ok about that. My husband's BP readings are usually 80's/50's-40's but as it doesn't affect him they're ok with it being that low. Though I'm not sure how they'd feel with readings of 30!
Bisoprolol lowers your heart rate and BP. I had similar BP readings when I was on Bisoprolol and I had fatigue and my medication was changed.If they find no problem with your blood tests maybe you could ask your doctor about the Bisoprolol.
I'm awaiting cabg x3 and had my Bisoprolol and Ramipril stopped by my cardiac team when I started feeling very tired with my pulse and BP falling to low levels (BP 88/53, pulse 55). The Bisoprolol leaflet advises you to consult your doctor if pulse falls below 60. However, please consult your doctors before making any changes - I have no risk factors for heart disease so my case is unusual, I suspect. Horrible to feel that tiredness; my sympathies. My wife's cheap little BP monitor has been a godsend.
Hi Gigi70, yes, in spite of having none of the usual markers and no family history of it, I'm due to have a triple bypass very soon (P2). I'm a relatively fit 73 and everyone, including my heart surgeon, finds it hard to believe I'm running on 35% blood supply. I feel normal and although I gave up tennis a couple of years ago due to breathlessness, I still run for buses etc.. It all feels very surreal.
But what is the 35% - is that your ejection fraction? Or is that heart failure with only 35% heart function?
So the markers you refer to are high blood pressure and high ldl cholesterol?
I am waiting on a surgical consultation regarding the same but I’ve got everything as I’ve developed heart disease 11 years ago but there has been resistance from my cardiologist to bypass and he’s kept trying new medications as they come out! I’ve had problems with all these ldl reducing medications which does not help.
Hi again Michèle. Yes, 35% refers to the LVEF. I have none of the usual markers - hypertension, diabetes, high cholesterol, high BMI, high fat diet (vegetarian), smoking etc.
Re your cardiologist trying out alternatives to bypass surgery, has he recommended Ouabain? I googled it recently and it sounds almost too good to be true but it doesn't hurt to ask. Perhaps someone here might know more..?
I’m intrigued if this is just one artery with low ejection fraction. - why tripple revascularisation? I am very interested in the criteria as I’ve been asking for revascularisation for years but continually put on ldl novel meds all of which made me very unwell!
I’m interested as I’m hoping to get bypass agreed / I have a pre surgery consultation next week at Harefield.
I imagine that although that one artery is severely blocked two others also need bypassing. I've been shown the video of that artery and am surprised that any blood is passing through it, so completely blocked it appears to the naked eye. With no overt symptoms, I'm just glad they found it in time.
yeah , I’d be concerned with those readings , no wonder you’re feeling fatigued ! I couldn’t function with those stats , 100/60 knocks me over. Definitely get back in touch with your your medical team, mention it to your pharmacist too.
I too have extremely low BP readings and lack of energy like yourself and have questioned my meds, bisoprodol rampiril 2 x blood thinners and the proverbial statin with both my GP and the pharmacist at the gp practice. I completed a week's readings of 2x day and despite my concerns they both continue to say that it's not a problem. They maintain that the alternative of not taking them is still more of a risk. Im not a medic so I'm just continuing to roll with the flow, hope you are able to sort yours out
Those readings are too low, and you need medical advice urgently. I had an episode of very low readings, but not as low as yours, and started by ringing 111. They asked if I felt okay, I said yes, but it wasn't until my BP rose that I realised just how bad I was feeling. If you can't get a GP appointment today, or tomorrow at the latest, ring 111. Please.
That’s is very very low normal bp is 120/80 I wish ramipril would lower my bp.Your tiredness will be surely linked to the low bp.I would speak to your gp asap.
Well what does your GP say? Only you and your GP know what is your normal BP and HR. But compared to my BP and HR, it's very low!
My BP was 150s/90s, now with meds its down to 120s/70s. Since Bisoprolol my HRate went down to 30-40s. Then suddenly came back to 60s. Occasionally BP, was going down too much (<90/70s) and went back to my GP who halved my Amlodipine dose.
I'm happy now and have an overdue cardiology appointment in November, my BP is currently at 120s/70s.
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High bp, then not high bp 
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Occasional very low BP
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ramapril 
