Slow heart rate cause

Bob Cardone <cardone1!@!mindspring.com> wrote in message news:<[email hidden]>...

Quoted message said:

I have my first appointment with my new Cardiologist this week. I am
just curious, which would have more or any effect on slow pulse rate (
Brady) , 25 mg Metoprolol twice a day ( I had been up as high as 100mg
twice a day 6 months ago for Hypertension and PVC suppression, with
little problem ) and or Flecainide 150MG twice a day for A-Fib?

I have no A-Fib episodes at all now, and I am wondering if I should
suggest to the Doctor ( or rather ask him) if reducing the amount of
Flecainide would allow my resting HR to pick up a bit until the more
normal for me mid 50s to low 60s?

Bob

Sounds like it is the flecainide that is the primary thing slowing
your heart rate down since the metoprolol was not doing it at
substantially higher doses.

However, it may be worth switching you from metoprolol to a different
class of antihypertensive (ACE inhibitor perhaps) to still see if that
will give the desired effect of raising your heart rate some without
decreasing what is presumably keeping you out of afib.

God Bless,

Andrew
--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com

(Dr. Andrew B. Chung said:

Bob Cardone <cardone1!@!mindspring.com> wrote in message news:<[email hidden]>...

Quoted message said:

I have my first appointment with my new Cardiologist this week. I am
just curious, which would have more or any effect on slow pulse rate (
Brady) , 25 mg Metoprolol twice a day ( I had been up as high as 100mg
twice a day 6 months ago for Hypertension and PVC suppression, with
little problem ) and or Flecainide 150MG twice a day for A-Fib?

I have no A-Fib episodes at all now, and I am wondering if I should
suggest to the Doctor ( or rather ask him) if reducing the amount of
Flecainide would allow my resting HR to pick up a bit until the more
normal for me mid 50s to low 60s?

Bob

Sounds like it is the flecainide that is the primary thing slowing
your heart rate down since the metoprolol was not doing it at
substantially higher doses.

However, it may be worth switching you from metoprolol to a different
class of antihypertensive (ACE inhibitor perhaps) to still see if that
will give the desired effect of raising your heart rate some without
decreasing what is presumably keeping you out of afib.

God Bless,

Andrew

Thanks for the information . I guess I suspected that the Flecainide
was possibly the cause in my case, since reductions of the Metoprolol
so far have had very little effect.

Bob

Bob Cardone <cardone1!@!mindspring.com> wrote in message news:<[email hidden]>...

Quoted message said:

(Dr. Andrew B. Chung said:

Bob Cardone <cardone1!@!mindspring.com> wrote in message news:<[email hidden]>...

Quoted message said:

I have my first appointment with my new Cardiologist this week. I am
just curious, which would have more or any effect on slow pulse rate (
Brady) , 25 mg Metoprolol twice a day ( I had been up as high as 100mg
twice a day 6 months ago for Hypertension and PVC suppression, with
little problem ) and or Flecainide 150MG twice a day for A-Fib?

I have no A-Fib episodes at all now, and I am wondering if I should
suggest to the Doctor ( or rather ask him) if reducing the amount of
Flecainide would allow my resting HR to pick up a bit until the more
normal for me mid 50s to low 60s?

Bob

Sounds like it is the flecainide that is the primary thing slowing
your heart rate down since the metoprolol was not doing it at
substantially higher doses.

However, it may be worth switching you from metoprolol to a different
class of antihypertensive (ACE inhibitor perhaps) to still see if that
will give the desired effect of raising your heart rate some without
decreasing what is presumably keeping you out of afib.

God Bless,

Andrew

Thanks for the information . I guess I suspected that the Flecainide
was possibly the cause in my case, since reductions of the Metoprolol
so far have had very little effect.

Bob

You are very welcome, Bob :-)

Warmest Regards,

Andrew

--
Dr. Andrew B. Chung, MD/PhD
Board-Certified Cardiologist
http://www.heartmdphd.com