What causes low resting heart rate inspite of being on Bisoprolol?
Treatment should be revised if heart rate remains slow
If you have baseline resting slow heart rate, other medications, which don't reduce heart rate, can be preferred over beta blockers (Bisoprolol).
Actually heart rate below 50 is not desirable in active and young people. But if you don't have weakness, dizziness, it is OK.
I would advise you to take the medication, if your heart rate remains slow, it will be better to discuss with your doctor the possibility of change or withdrawal of Bisoprolol.
I think your cardiovascular risks should be evaluated, and in case of low risk, there is no need of treatment if you have documented high blood pressure only once. In this case follow-up is needed.
Hope I could help you
Wishing you good health
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Heart rate of upper 40's and 50's can be acceptable, especially in trained people.
Actually there is no sense to prescribe beta blocker in this case, if a person already has slow heart rate, unless if he/she develops high heart rates very easily.
If you have fast heart rates with high blood pressure with a little stress, you can continue beta blocker. It will prevent tachycardia, thus high blood pressure.
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