
What Causes Fluctuations In The Pulse Rate And Low BP?

with atrial fib and high pulse that was previously taking me to ER......I would like to go out shopping today but wonder if I will pass out.......it is the weekend and I do not want to go to ER. I am 86 years old female.
Don't worry Ma'am
Detailed Answer:
Welcome to HealthcareMagic,
I can understand your concern. Fluctuating pulse rate along with low blood pressure is a common scenario in Atrial fibrillation patients.
In approximately 5 to 10 % of the patients, AF reverts back even after successful treatment with ablation which probably could have happened in your case too.
As your blood pressure is on the lower side I would like to suggest you to reduce the dose of losartan and lasix. I would also like to know how was your heart function on your last Echo-cardiography report?
I understand that you don't want to spoil your weekend by going to a hospital/ER for evaluation but Ma'am health should come first. It's advisable that you should consult your cardiologist personally for proper evaluation as your medication should be adjusted under your doctor's supervision.
I would also suggest you to get/repeat few tests like:
-12-EKG
-ECHOCARDIOGRAM
-SERUM ELECTROLYTES
-PT/ INR LEVELS
I hope this will help.
Feel free to ask if you have any other doubts.
Wish you good health

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