Help managing bradycardia

[Ewloe]

10 months post STEMI,cardiac arrest,stent. Then 7 months post successful cardio version. Now have PAF, recently diagnosed SVT and broad complex tachycardia awaiting first EP appointment. On bisoprolol 3.75 twice a day (total 7.5). Plus all other heart attack meds. Needs to stay on this dose if possible as not 12 months since HA and it’s giving me some protection from the arrhythmia’s of which the cardiologist said the broad complex tachycardia could be a problem one. I’m not overweight but have recently lost 5/6lbs due to change of diet. I was managing a heart rate of 48/50, as it came up in the 70’s easily . Now it’s going down to 43 in the day and I’ve become symptomatic. awful feeling. It quickly comes up into 80’s if I walk upstairs. But sitting down drops it again leaving me dizzy going from sitting to standing and horrible feeling in chest as well as swimmy headed .

Could the weight loss have made a manageable bradycardia worse?

What can I do to increase pulse rate?

Does drinking more increase pulse?

Even if I put the weight back on I’ll still be a healthy weight so should I put the weight back on?

Any tips please.

My general emails are dodgy at the moment so I’m still hoping I’ll be able to see any replies.

Thank you.

[Edward_H]

I see that you are taking bisoprolol which is a beta blocker. I was in a similar situation with my resting heart rate being 40 and even going down to 38. After I collapsed during a park run I was taken off beta blockers and my heart rate has returned to normal.

[HamishBoxer]

Yes, the Bisoprolol can certainly lower your pulse rate. I take 10Mg a day and I do seem to level out after using it for a while. Normally now 60/70 bpm , I am in PAF after a Cardioversion which lasted an hour or so.

You possibly do not want too much liquid as this makes the heart work harder. It is one to ask the Dr about to be sure. That is about as much as I can say.

[GuyThoma]

Taking Bisoprolol after a cardioversion my resting heart rate was only 45, I was worried, but my consultant said, he liked it at that rate. In the 3 years since then I have had no problems, I can walk up hills at a steady rate. In fact I can do everything I want - steadily.