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Congestive heart failure, atrial fibrillation, left ventricle failure. On DIgoxin and diuretics. Further?

My mum has congestive heart failure , atrial fibrillation , left ventricle failure and she takes DIgoxin , bisoprolol and diuretics . She got admitted to the hospital with a chest infection and slow heart rate around 40. The hospital stopped digoxin and bisoprolol for 2 days and the heart rate now is 70 to 90. She is discharged today from hospital and they are completely stopping above medications indefinitely and I am very worried because she has been in and out of hospital before with a heart rate of 200 in the past. Is it advisable to stop medication? These2 medication controls the heart rate and the blood pressure and stopping these will cause AF. can a chest infection cause a slow heart rate temporarily ? When we checked the heart rate 2 weeks ago it was around 70 which was the case always except now (chest infection) could you please tell me your expert opinion.
Asked On : Fri, 5 Oct 2012
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Cardiologist 's  Response
Any infection is a stress and it will generally increase - not reduce the heart rate.
In Atrial Fibrillation, very often, it is not possible to control the rhythm, it is the rate control one aims for.
It is absolutely right to stop the medicine this time.
They may re-introduce - after a wash out period - the same medicine at lower dose or more selective ones.
She needs regular follow-up
Good luck
Answered: Sat, 6 Oct 2012
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