i saw a cardiologist on Wednesday. He has changed my medication to double the existing dose.
My resting heart rate is already well below 60 bpm.
should i be questioning his action.
I messaged my gp. He didnt know the answer and gas changed it back.
I am considering bring medicalNegligence action on said consultant.
My cardologist doubled my beta blockers last year and yes, resting heart rate is below 60 bpm. I was given a reason for this, and hopefully you get an answer too.
the thing is my heart rate is already low.
What was your rate before the increase?
They lower bpm and bp. My bpm is already low and bp within acceptable levels
Duty of care comes with the hypercratic oath. DO NO HARM. The increase of dosage could potentially kill you.
I have contacted my gp. and both cardiologist teams, i am now under two.
The cardiologist probably had a good reason to increase your medication, and you should receive a copy of the clinic letter from your appointment which will outline what was discussed and next steps. Perhaps you could contact the Consultant’s secretary or ask your GP to ask for advice and guidance from your cardiologist? It may simply be a case of a misunderstanding.
Medical negligence claims are very serious to undertake. You have to prove three things. First that you were owed a duty of care, also that that duty of care was breached and lastly, causation. That means that you suffered avoidable harm as a direct result of the duty of care being breached.
On Nebivolol my hr was about 45. My gp said he wanted it about 60 even though I didn't get any dizzy spells. So he took me off it, my hr is still only about 50.
Hello What have you been increased from and to what ?
I think 10mg Bisoprolol is a pretty standard max dose of beta blocker. Is your BPM low in your opinion or is that a Cardiologists opinion ?.
As a bit of context when I was on 10mg I was getting pauses of upto 3 seconds and BPM was dropping to 33 Cardiologist said he "Thought I was a tad over beta blocked " and reduced it to 7.5mg. Recently due to an erratic HR Bisoprolol has been increased to 10mg again with a Holter monitor booked to ascertain the result . I handed the Holter Monitor back to Cardiology this morning and now await results of, should I stay on 10mg or revert back to 7.5mg.
I am surprised your GP has contradicted your Cardiologist brave GP, without awaiting on a letter as to why. I am pretty sure NICE do recommend getting patients up to the max Doseage if they can tolerate it. I think that last bit is the get out clause " If they can Tolerate it " Until you can't tolerate it, it will continue to be increased of that I am pretty sure.
Regards
I'm on minimum dose of bisoprolol, my RHR is between 50 and 62. GP wanted to increase dose but when he saw my RHR and the fact that I was going below 50 during the day he didn't, he added a calcium channel blocker instead.
well they got back to me , my main consultant told me to stay as is untill i have more results come in . The one who saw me didn’t take into consideration my rhr and basically agreed with me.
My BPM is always low 49 at the moment. But not had any problems.
But you haven’t increased the meds that can lower it further.
It's 43 at the moment, don't want it to drop any lower.
Beta blocker not only decreases your HB but reduces the force of the beats. This protects weak hearts.I doubt very much that your HB of 60 would drop to a low of 52 with the BB. A HB of 45 is still very good in my opinion.
40 is considered ER situation. If your hb is under 50 then go see your doctor
My HR regularly dropped into 30s whilst on 1.25mg of Bisoprolol. As i was like an extra in an episode of the walking dead on them my Cardiologist stopped it. Even now I often drop into the high 40s and 50s at times. I trigger the alarms in Hospital frequently dropping below 60.
that is what worries me.
Going for a holster tape today. My cardio nurse basically said don't change meds till results are in.
My gp basically says the problem is i have two cardiologists who dont agree.
what is your loss/ damage?
Bpm should be at 60 -100 resting mine falls between 40-59. Beta blockers slow your bpm and bp 122\75 currently . Bp should not fall below 90/60,
My lvef is 25% my right is 35% .
So far as I am aware you would have to show injury as a result of negligence in order to have a claim. So what is your injury?
this may correctly state the legal position, although you should take legal advice
if it kills me its negligence. My next of kin would be able to sue
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