bisoprol: Hi recently had cardioversion... - British Heart Fou...

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bisoprol

beno5 profile image
27 Replies

Hi recently had cardioversion for 2nd time.i would say fairly active gym walking 4 to 5 times a week.im currently on 7.5g of bisoprol a day blood thinners and candistartin 4g. currently waiting for follow up appointment.however since cardioversion resting heartrate is down 45 beats per minute.

does anyone know whether the bisoprol should be reduced to 5g a day i know you can't stop cold turkey and have come of gradually.

Steve.

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beno5
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27 Replies
Ellie-Ann profile image
Ellie-Ann

I was advised by my GP to get in touch with a view to cutting the dose back a bit if my bpm went below 50bpm during the day, felt a bit dizzy or fatigued. The Dr said that below 50 during sleep time was ok- 45 to 50 say while asleep ok.

Hope you get sorted out. Phone your GP and have a chat.

beno5 profile image
beno5 in reply toEllie-Ann

Thanks its about 45 in bed but had no dizzy spells seeing cardioligist in 2 weeks.

Ennasti profile image
Ennasti

Sudden changes to bisoprolol is known to cause issues. Best to reduce it slowly. I was switched from Bisoprolol to carvedilol to help with low heart rate. Most doctors won’t worry too much about the low rate unless it is causing symptoms like light headedness or passing out.

beno5 profile image
beno5 in reply toEnnasti

Thanks ye read that had no dizzy spells but do feel bit tired sometimes.

Ennasti profile image
Ennasti in reply tobeno5

Yeah, I’m hearing you. I have the same. My average normal day can see mine drop below 50 often.

beno5 profile image
beno5 in reply toEnnasti

Blood pressure seems ok also 19.7 stone.6ft 3 find hard lose weight even though train 4 times.

DWizza profile image
DWizza in reply tobeno5

It’s not the training that looses the weight Beno, it’s the nutrition that’s key . I weight trained for 4 years and learned so much about the nutrition side , basal metabolic rate , calories in vs out , carbs have 4 cals per g, protein 4 cal per g, fats 9g per g. Do you know your calorie requirements and protein needs based on your height /weightv/activity levels in line with your goals (sounds like you want to lose weight?) Do you track your food /calories? I did this for best part of a year and it’s hugely informative and shows what we consume and how it is so easy to over consume. Adding sugar/salt laden condiments ( ketchup , mayo , sauces /dressings ) can really make a difference in calories over a week , so can drinking your calories in the form of alcohol (which can also lead to poor food choices ) or full sugar drinks instead of diet versions .

What training do you do and what’s your goal . There are plenty of free online calorie calculators on the internet. I highly recommend the James Smith Academy JSA free calculator, James is a real no nonsense coach too. foment of informative videos . I’m sure you’ll find your groove. Wishing you the best . I didn’t start training properly until I was 56 and I made significant transition, I would have definitely had my Nstemi heart attack and 4 x quadruple bypass earlier if hadn’t trained .

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Avagra profile image
Avagra in reply toDWizza

Wow DWizza too much info for my little brain too absorb but hey ho very knowledgeable 😂👍

DWizza profile image
DWizza in reply toAvagra

I’ll simplify it for you . Don’t train or exercise to lose weight . Train for strength and cardio or sporting achievement health goals . Lose weight in the kitchen , dont dig your grave with your teeth , try resistance training and resist eating too many calories .

Avagra profile image
Avagra in reply toDWizza

Thanks my friend I’m 75yrs and eat carefully having the odd glass or two of red wine and sometimes a pint or two.I walk a bit but probably not enough,my overall blood pressure and heart rate etc is very acceptable.Take care 👍

beno5 profile image
beno5 in reply toDWizza

Hi i agree it is what eat try eat fairly healthy in week.however i am prone havefewchocolate biscuits with tea and maybe chocolate bar at night.I train keep healthy mixture weights and cardio.there no easy solution other than watching food intake.

Thanks for all replies.

Identiy profile image
Identiy in reply tobeno5

Beno,

Best advice I was given re weight reduction was " If you don't buy it, you won't eat it"

It worked!!

Arnika profile image
Arnika in reply tobeno5

Hi beno5,

it sounds as if you are already on the right track, by trying to to deal with your weight issues, but I agree with DWiza that it is nutrition that is the key to loosing weight.

However, concentrating only on calorie counting, might not bring result because, as it is often the case in real life, we have a good start calorie counting and find out, and count calories of everything religiously, but soon we forget, or get bored, and begin to return to our bad old habits.

in conclusion: by all means learn more about calories, especially drinks, find out more about it, but instead on counting calories of every single food you eat, try to observe which food, or drink, what bad habit of yours is the main cause of your weight gain and cut out this food/drink/habit out of your daily routines. But you must be honest with yourself.

We often know what our "guilty pleasures" are and this is usually what is causing the problem of not being able to loose weight.

It can be that next drink when we are out with friends, extra large pizza, or chips, perhaps it might be that midnight snack (my own guilty pleasure), perhaps that we rewards ourselves with extra snacking after training session, or second helping of our fav food.

Whatever it is, we know it, so try to cut it out by replacing it with something healthy. I now have my fav fruit by my bedside if i get hungry at midnight, sometimes I eat it, sometimes not, but i no longer snack on a bag of crisps. I also made some other honest changes to my diet, and now I am never hungry, eat a lot but right things, and lost almost 2 stone with this approach. It happened slowly, by cutting completely some foods which were bad for me and now my weight stays at this level.

It might be also a god idea to talk to someone, a counsellor perhaps, and deal with any emotional issues which can be a cause of developing some bad food habits. You are obviously determined to loose weight, but exercise alone is not enough, so you need a different approach, so I hope above helps. Talking to someone about your difficulties, could be a great help.

beno5 profile image
beno5 in reply toArnika

Thanks for help yes best try be a little more discplined what eat.

AmberandIvy profile image
AmberandIvy in reply toArnika

What a great post...can identify with all of what you say....thank you.

Arnika profile image
Arnika in reply toAmberandIvy

Thank You very much for your kind comment, Amberandivy.

What I forgot to add is that it took me a while to get the right nutritional balance in order to get the necessary daily amount of the right nourishment between, vegetables, calories and protein .

These days my plate usually looks like this:

half of my plate is covered by vegetables, or salad, another quarter with calories ( such as potatoes, pasta, or helping of bread), and another quarter is some protein, fish, lean meat, etc.

My problem is that I do not like meat, just about tolerate fish, but mostly I struggle with eating any protein. I tried lentil and bean dishes and I quite like vegan food, but I find that lentils etc are heavy to digest. So, yes, I know that I definitely need more protein to prevent muscle loss, but this is not easy for me and I am still trying to find the right source of protein which I would actually enjoy. In meantime I must admit, I do not always get it right, but my weight is still stable.

Heartho profile image
Heartho

I was on these from march to October this year only 2.5 but felt fatigued, dizzy and brain fog. Had to stop for one week then started another brand. Took about about two weeks for me to feel better. Taking other heart meds as well but now my energy has returned.

Cazbo27 profile image
Cazbo27 in reply toHeartho

May I ask what the Dr changed you too please?

Heartho profile image
Heartho in reply toCazbo27

Hello I was changed to Nebivolol 1.25 . Guess it depends on what your doctor thinks best for you. For me the change was excellent.

Cazbo27 profile image
Cazbo27 in reply toHeartho

thank you so much for that. I will take a note of this foe when I next see my doctor.

Gambalunga profile image
Gambalunga

I was never on a high dose, I think I slipped through the system and it was never ramped up in the early weeks. However about 18 months ago)my GP agreed a reduction to 1.25 per day.

For me this was a night and day transformation, the dizzies pretty much disappeared and I felt much better.

Recently though, when exercising, my heart has been lower than in recent months, and I've had a resting beat in the low 50s with a sleeping rate down at 40bpm. The practise clinical pharmacist said 'they' don't worry much unless it's below 40.

dg2024 profile image
dg2024

That is a medical question that can and should only be answered by a cardiologist I'd say.

T666 profile image
T666

my HR dropped to 29-36 bpm. They stopped Bisoprolol and digoxin ‘ cold turkey’. Be guided by the professionals on this

beno5 profile image
beno5

Ye i know you have stop it gradually.

Jackiesmith7777 profile image
Jackiesmith7777

although my husbands cardio version didn’t work he cut down from 10mg to 5 as his heart rate went too low also

SudsSuds profile image
SudsSuds

Everybody is different but I only take 1.25mg Bisprolol and I have a typical resting heart rate of 46bpm. Various cardiologists, cardiac nurses and my GP are not concerned. I hope you get everything sorted out quickly.

I think this is an answer you should get from a Doctor or cardiologist. ❤

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