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I Have Moderate MVP Diagnosed By An Echo. Holter Showed
Question: I have moderate MVP diagnosed by an echo. Holter showed 18,000 Pvc's. Have started on Bisiprolol 2.5 mg. for 4 days now, but my vitals are going down - 90/54, pulse54. My heart was skipping beats but now I have a double beat. Surgery is planned for future after another echo in 6 months but with the back up of bookings, I am worried.It is Saturday with 0 chance of speaking with a Dr.
Brief Answer:
I would recommend as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I passed carefully through your question and would explain that your low heart rate and blood pressure are caused by bisoprolol.
Although this is a low dose, it seems that you are sensitive to it.
For this reason, I would recommend reducing the dose ( half of the dose, 1.25mg ) or switch to Metoprolol Hemisuccinate 25mg (which does not affect your blood pressure so much).
There is no reason to panic!
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr.Ilir Sharka, Cardiologist
I would recommend as follows:
Detailed Answer:
Hello!
Welcome to Ask a Doctor service!
I passed carefully through your question and would explain that your low heart rate and blood pressure are caused by bisoprolol.
Although this is a low dose, it seems that you are sensitive to it.
For this reason, I would recommend reducing the dose ( half of the dose, 1.25mg ) or switch to Metoprolol Hemisuccinate 25mg (which does not affect your blood pressure so much).
There is no reason to panic!
I remain at your disposal for any further questions whenever you need!
Kind regards,
Dr.Ilir Sharka, Cardiologist
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Above answer was peer-reviewed by :
Dr. Raju A.T
Answered by
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