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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Heart Rate 145 Beats Per Min. Taking Bisoprolol,sertraline. Obese, Stomach Swelled Up. Suggestions?

I have just been put on bisoprolol to bring down my heart rate which was averaging 145 beats per min. I have been on them for 2 weeks and am awaiting to see the cardiologist on 22nd April. I am also taking sertraline and amlodopine. I am obese and have found that my stomach has swelled up and gone from being quite supple (moving) to very inflexible to the point it is very uncomfortable. Have you any suggestions please?
Fri, 10 May 2013
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Cardiologist 's  Response
Dear Sir/Madam
Thanks for your query to us.
A swelling of stomach from supple to inflexible is something which worries me. It can be fluid! your heart rate has gone up. Cause ? whenever the heart rate increases we look for the cause of increased heart rate and drugs like bisoprolol (betablockers, rate reducing drugs)are prescribed only when we do not find out a correctable cause. one apparent cause in your case is amlodipine which may increase heart rate in certain individuals. But there can be other causes. overall a combination of increase heart rate and abdominal fullness may point to a significant cause/ disease. Please see your internal medicine expert/ cardiologist on priority.
Sincerely
Sukhvinder singh
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Heart Rate 145 Beats Per Min. Taking Bisoprolol,sertraline. Obese, Stomach Swelled Up. Suggestions?

Dear Sir/Madam Thanks for your query to us. A swelling of stomach from supple to inflexible is something which worries me. It can be fluid! your heart rate has gone up. Cause ? whenever the heart rate increases we look for the cause of increased heart rate and drugs like bisoprolol (betablockers, rate reducing drugs)are prescribed only when we do not find out a correctable cause. one apparent cause in your case is amlodipine which may increase heart rate in certain individuals. But there can be other causes. overall a combination of increase heart rate and abdominal fullness may point to a significant cause/ disease. Please see your internal medicine expert/ cardiologist on priority. Sincerely Sukhvinder singh