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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What To Do For My Mom's Increased Heart Rate?

My mum (79) demanded that she come off bisoprolol after taking for 3 years, as she felt she should not have been on it. The doctor agreed and she is now suffering with increased heart rate (120bpm) at times, but wont see a doctor. She suffers generally with her nerves and feels that going back on the bisoprolol again will calm her down. Is she just panicing or will the panic attack be because of coming off the bisoprolol? She also came off bumetanide at the same time, for the same reason (ie she felt she should never have been put on those tablets)
Mon, 1 Oct 2018
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Cardiologist 's  Response
Hi,

Bisoprolol is a good drug which is effective both for high heart rate and blood pressure. It also prevents future cardiac events. So you should continue it as she is having baseline tachycardia.

This high pulse rate can definitely be because of the anxiety of stopping the drug but again as the rate is high for whatever reason, it has to be treated.

Bisoprolol should be continued. I suggest starting with 2.5 mg once a day then gradually increasing it to 5 mg twice daily. I would also recommend getting a 2D echo done to rule out any possible cardiac abnormality.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Sameer Maheshwari,
Cardiologist
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What To Do For My Mom's Increased Heart Rate?

Hi, Bisoprolol is a good drug which is effective both for high heart rate and blood pressure. It also prevents future cardiac events. So you should continue it as she is having baseline tachycardia. This high pulse rate can definitely be because of the anxiety of stopping the drug but again as the rate is high for whatever reason, it has to be treated. Bisoprolol should be continued. I suggest starting with 2.5 mg once a day then gradually increasing it to 5 mg twice daily. I would also recommend getting a 2D echo done to rule out any possible cardiac abnormality. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Sameer Maheshwari, Cardiologist