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Suggest Dosage For Atenolol When Heart Rate Is 48 Bpm

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Posted on Sat, 13 Feb 2016
Question: Dear doctor, I take atenolol 25mg because of blood pressure and faster heart rate (also adrenaline). I am well towards BP (below 140/90) but because of atenolol my resting heart rate is 46-48. Is that normal? I do not feel bad when I have low heart rate pulse but it interests me. Thank you
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello,

Welcome back on HCM!

I understand your concern, and would like to explain that facing your young age Atenolol is not the best choice for controlling your blood pressure.

In fact it is not considered a first line antihypertensive drug, because its effects are modest in this regard. It would be better if any arrhythmia issue should be addressed.

In addition, Atenolol, as all the other beta-blockers may have several adverse effects, such as impaired physical performance (including sexual ability), etc.

Instead, I would recommend considering several preventive measures (like decreasing body weight if over-weighted, avoiding close smoking contact, engaging yourself in daily physical activity, properly addressing stressful situations, etc.).

A resting heart rate 46-48 bpm is frequently encountered in young athletes and physically well trained individuals.

But, it would not be advisable that you decrease your heart rate through Atenolol use, as it could lead to the above mentioned side effects.

I recommend you to stop Atenolol, and follow the above mentioned recommendations.

In case of any further uncertainties, feel free to ask me again.

Kind regards,

Dr. Iliri

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9544 Questions

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Suggest Dosage For Atenolol When Heart Rate Is 48 Bpm

Brief Answer: I would explain as follows: Detailed Answer: Hello, Welcome back on HCM! I understand your concern, and would like to explain that facing your young age Atenolol is not the best choice for controlling your blood pressure. In fact it is not considered a first line antihypertensive drug, because its effects are modest in this regard. It would be better if any arrhythmia issue should be addressed. In addition, Atenolol, as all the other beta-blockers may have several adverse effects, such as impaired physical performance (including sexual ability), etc. Instead, I would recommend considering several preventive measures (like decreasing body weight if over-weighted, avoiding close smoking contact, engaging yourself in daily physical activity, properly addressing stressful situations, etc.). A resting heart rate 46-48 bpm is frequently encountered in young athletes and physically well trained individuals. But, it would not be advisable that you decrease your heart rate through Atenolol use, as it could lead to the above mentioned side effects. I recommend you to stop Atenolol, and follow the above mentioned recommendations. In case of any further uncertainties, feel free to ask me again. Kind regards, Dr. Iliri