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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Fluctuation In The Heart Rate?

Hello, I have been taking atenolol for 15 years, now heart rate all over the place, from 36 to 136, RX sotalol, seems to help but heart rate 42 in pm, they are going to put in a pacemaker, what should my setting be for 70 years old 250 lbs, but avid tennis player?
Tue, 21 Oct 2014
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Psychiatrist,  's  Response
Hi welcome to HCM.
Fluctuations in heart rate can be corrected by drugs like sotalol.In resistant cases where fluctuations are wide and low heart rate prominent,a implantable pacemaker is used.The average heart rate is fixed around 70 bpm.I strongly recommend you to reduce your weight to avoid any complications in the peri implantation period.Have a baseline ecg and screening 2 dimensional echo to rule out organic heart pathology.Consult your cardiologist for further care.
Thank you.
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What Causes Fluctuation In The Heart Rate?

Hi welcome to HCM. Fluctuations in heart rate can be corrected by drugs like sotalol.In resistant cases where fluctuations are wide and low heart rate prominent,a implantable pacemaker is used.The average heart rate is fixed around 70 bpm.I strongly recommend you to reduce your weight to avoid any complications in the peri implantation period.Have a baseline ecg and screening 2 dimensional echo to rule out organic heart pathology.Consult your cardiologist for further care. Thank you.