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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Bradicardia, On Bystolic, Now Advised Ateninal. End Up Taking Long Naps, Low Pulse. Reason ?

i have bradicardia for about 2 years have been on bystolic and now on ateninal in the morning was having bp 115/63 pulse 48 to 52 in the morning and going up to 157/60 in the evening was tolded to take ateninal in the morning and evening now my bp staying around 112/58 pulse has dropped to 40 to 45 and end up taking long naps which I have never done before my are is 65 is this ok to have this low pulse

Tue, 17 Sep 2013
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Cardiologist,  's  Response
Respected Ma'm
Thanks for writing to us.
1. The low pulse is a result of effective beta-blockade of your heart by atenolol. However the goal for each patient is decided by treating physician. Anything between 50-60 beats per minute is ideal. I would reduce dose of atenolol in my patients if the rate goes below 50 bpm. However this is not a universal rule. If patient is not symptomatic, lower heart rate may be permitted. Since you feel you are lethargic too, I would recommend you to consult your GP and get the dose revised.
Sincerely
Sukhvinder
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Have Bradicardia, On Bystolic, Now Advised Ateninal. End Up Taking Long Naps, Low Pulse. Reason ?

Respected Ma m Thanks for writing to us. 1. The low pulse is a result of effective beta-blockade of your heart by atenolol. However the goal for each patient is decided by treating physician. Anything between 50-60 beats per minute is ideal. I would reduce dose of atenolol in my patients if the rate goes below 50 bpm. However this is not a universal rule. If patient is not symptomatic, lower heart rate may be permitted. Since you feel you are lethargic too, I would recommend you to consult your GP and get the dose revised. Sincerely Sukhvinder