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Will Intake Of Atenolol Cause Reduced Heart Rate?

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Posted on Tue, 7 Mar 2017
Question: Hi i am a heart patient ,valve replacement two years ago, Iam also taking a new med invokana for my deibetic 2 condition but since I started invokana my blood pressure has been good. 120/80 but pulse is higher than ever 90. To 105 at rest, my normal was always 65-75 pulse .my question ,since I have taken atenolol before like a year ago will it reduce my heart rate ?
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome on HCM!

I understand your concern and would explain that Atenolol would be more effective at reducing your heart rate at rest and during exertion.

But, before switching to another drug, I recommend to increase your actual Metoprolol daily dose (its daily dose could range up to 200 mg).

You need to discuss with your attending doctor before concluding such a step.

An increased heart rat at rest may be a marker of several normal and abnormal conditions, such as:

- persistent anxiety,
- anemia,
- thyroid gland dysfunction,
- dehydration,
- electrolyte imbalance,
- inflammation/infection (fever),
- pulmonary disorders (chronic pulmonary diseases, etc)
- other cardiac disorders (exudative pericarditis, etc).

So, I recommend to consult your doctor for excluding any form the above possibilities and then proceed to possible drug switching.

Hope to have been helpful to you!

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

Kind regards,

Dr. Iliri


Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (4 hours later)
HI, thanks for your helpful answer , i increased the metroplol back to up to my original dose 150 mg/ and after 6 hours iam feeling better and heart rate is down slightly to 92 .
doctor
Answered by Dr. Ilir Sharka (11 hours later)
Brief Answer:
My answer as follows:

Detailed Answer:
Hello again!

I am glad that your situation is improving.

You can raise the dose of metoprolol up to 200 mg if necessary after a week. But in the meantime, you should closely monitor your heart rate.

I would also recommend discussing with your doctor on the above mentioned tests.

I would be happy to review all your performed tests for another second professional opinion!

Let me know about everything!

Wishing all the best,

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

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

Cardiologist

Practicing since :2001

Answered : 9536 Questions

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Will Intake Of Atenolol Cause Reduced Heart Rate?

Brief Answer: I would explain as follows: Detailed Answer: Hello! Welcome on HCM! I understand your concern and would explain that Atenolol would be more effective at reducing your heart rate at rest and during exertion. But, before switching to another drug, I recommend to increase your actual Metoprolol daily dose (its daily dose could range up to 200 mg). You need to discuss with your attending doctor before concluding such a step. An increased heart rat at rest may be a marker of several normal and abnormal conditions, such as: - persistent anxiety, - anemia, - thyroid gland dysfunction, - dehydration, - electrolyte imbalance, - inflammation/infection (fever), - pulmonary disorders (chronic pulmonary diseases, etc) - other cardiac disorders (exudative pericarditis, etc). So, I recommend to consult your doctor for excluding any form the above possibilities and then proceed to possible drug switching. Hope to have been helpful to you! In case of any further uncertainties, feel free to ask me again. Kind regards, Dr. Iliri