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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Has Afib, High Bp, Taking Digoxin. What Medicine I Should Prefer?

My father is 91. He has afib and high bp (under control with meds). In addition to bp med he takes digoxin (low dose). We take bp and pulse 2 times daily. His bp in mornings is generally in 12x/8x, late in day 13x/8x. Today took it and while bp was bit high 137/85, what alarmed me was pulse..37. Have had occasions in last month his pulse hit 47, 45, but today hit 37. 30 minutes later was 48. his norm is usually very hi 50 s, mid 60 s. Should I stop his digoxin?
Thu, 14 Mar 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

His blood pressure readings are normal.
In A-fib, the heart rate and pulse rate may NOT be the same! Weak beats may not produce a pulse... Still, the rate is rather slow - it is probably from the medicines - You should stop digoxin for a day or two / reduce the dose of other medicine -? beta blocker or ?amiodarone.

Discuss with your doctor.
An EKG will help.

Take care
Wishing speedy recovery
God bless
Good luck
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Has Afib, High Bp, Taking Digoxin. What Medicine I Should Prefer?

Hi friend, Welcome to Health Care Magic His blood pressure readings are normal. In A-fib, the heart rate and pulse rate may NOT be the same! Weak beats may not produce a pulse... Still, the rate is rather slow - it is probably from the medicines - You should stop digoxin for a day or two / reduce the dose of other medicine -? beta blocker or ?amiodarone. Discuss with your doctor. An EKG will help. Take care Wishing speedy recovery God bless Good luck