Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Is Heart Rate 60 Bpm While On Valsartan And Metoprolol A Cause For Concern?
Question: I have low testosterone and am 35. I also have a heart beat below 60 BPM. It flucuates in the 50-60 bpm range. I take Valsartan HCTZ and Metorolol 100 mg BID. Should I be concerned and see a cardiologist? Is this normal in someone my age?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that your actual heart rate is related to metoprolol intake.
This is a betablocker which reduces heart rate and prevents from cardiac arrhythmia.
What was the reason that you started this therapy?
Do you have any symptoms like : dizziness, lightheadedness, chronic fatigue, shortness of breath, etc.?
What are your actual blood pressure values?
If you have no one of these symptoms, there is nothing to worry and you don't need to consult with your doctor.
If you are experiencing any of these symptoms, I would recommend discussing with your doctor the possibility of reducing the doses of metoprolol.
Hope to have been helpful!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello!
Welcome and thank you for asking on HCM!
Regarding your concern, I would explain that your actual heart rate is related to metoprolol intake.
This is a betablocker which reduces heart rate and prevents from cardiac arrhythmia.
What was the reason that you started this therapy?
Do you have any symptoms like : dizziness, lightheadedness, chronic fatigue, shortness of breath, etc.?
What are your actual blood pressure values?
If you have no one of these symptoms, there is nothing to worry and you don't need to consult with your doctor.
If you are experiencing any of these symptoms, I would recommend discussing with your doctor the possibility of reducing the doses of metoprolol.
Hope to have been helpful!
Feel free to ask any other questions whenever you need!
Kind regards,
Dr. Iliri
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
I started the beta blocker due to a higher heart rate years ago along with the valsartan HCTZ due to hypertension and because of anxiety. My BP was 125/82. I have chronic fatigue, but none of the other variables. I was diagnosed with low testosterone. Can this also contribute to fatigue as well as the heart rate?
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
It is true that low testosterone levels could lead to a lower muscular performance and chronic fatigue.
But, I would encourage you to discuss with your doctor on the possibility of slightly gradually reducing the doses of metoprolol. A reduce in the dose with 25mg every 5 days (until 50mg bid)would help avoid adverse effects such as rebound tachycardia.
You should know that metoprolol as a betablocker, not only reduces your heart rate, but also your muscular performance, thus leading to an aggravation of chronic fatigue.
Your blood pressure values are withing the normal ranges, and are not related to your actual symptomatology. Slight reduce in metoprolol doses will not affect the control of your blood pressure. If your blood pressure increases after these changes, another antihypertensive drug may be considered.
Hope you will find this answer helpful!
Best wishes,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello again!
Thank you for the additional information!
It is true that low testosterone levels could lead to a lower muscular performance and chronic fatigue.
But, I would encourage you to discuss with your doctor on the possibility of slightly gradually reducing the doses of metoprolol. A reduce in the dose with 25mg every 5 days (until 50mg bid)would help avoid adverse effects such as rebound tachycardia.
You should know that metoprolol as a betablocker, not only reduces your heart rate, but also your muscular performance, thus leading to an aggravation of chronic fatigue.
Your blood pressure values are withing the normal ranges, and are not related to your actual symptomatology. Slight reduce in metoprolol doses will not affect the control of your blood pressure. If your blood pressure increases after these changes, another antihypertensive drug may be considered.
Hope you will find this answer helpful!
Best wishes,
Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
