1. < Heart Rhythm Conditions

Low blood pressure and metoprolol

Posted by katiekateny @katiekateny, Oct 22, 2023

I have Afib. I am not over weight. I do not have diabetes or any metabolic disorder. Don’t drink, smoke. The ER Doc referred to my blood work as “pristine”. In short, I have no other risk factors. I have low blood pressure … about 110/70, often a bit lower.

So, I am on metoprolol now and can barely make my body do as I want. It feels like my muscles just ran 2 miles…all the time. But, I also see that my blood pressure drops down to 90/58. I wonder why I am given metoprolol when I have low blood pressure to start. Should I be on something else?

Today I had multiple “episodes “. I am wondering if the dosages has to be increased … that metoprolol might be a bad idea…already taking 75mg

Finally, this is just my random thoughts….I have been reading that Afib doesn’t kill. It’s the blood clot that get us. So, why the use of metoprolol at all? I guess that Afib often comes with high blood pressure and other metabolic issues. But, without those other complications it seems that as long as I am on blood thinner (eliquis) is there any other real risk?

Any one else with low blood pressure trying to deal with these beta blocker meds?

Interested in more discussions like this? Go to the Heart Rhythm Conditions Support Group.

loosly | @loosly | Dec 29, 2024
In reply to @lkl "Hello. Would love to know how you monitor afib on watch mine is apple8 and can’t..." + (show)
@lkl

Hello. Would love to know how you monitor afib on watch mine is apple8 and can’t make it monitor auto. Also would love to know your if you take bp cuff with you. I’m looking for that option. Too big. Also, your routine w Pt and exercise. My Medicare limit on Pt visits. I have osteoporosis and joint pain too!

Jump to this post

I have Samsung watch that tells me my pulse rate.

REPLY
blessedsista24 | @blessedsista24 | Dec 29, 2024

I'm also on metotoporol xl 24 1 at bedtime have been on it for 15 years i have superventricular and syncope.
My blood pressure is off the chain sometime but for the past month or so it's been good 👍
I started drinking a cup of orange juice in morning and then eating pickled beets and and also taking 1 baby aspirin every other day and it's been 107/72 .

REPLY
gloaming | @gloaming | Dec 29, 2024
In reply to @loosly "I have AFib and on metotoprol Succinate (50) and eliquis. Lately, I have had to add..." + (show)
@loosly

I have AFib and on metotoprol Succinate (50) and eliquis. Lately, I have had to add another (50) to lower and yet when I walk, my legs are so painful and I so tired. I will call doc tomorrow.

Jump to this post

Why did you have to increase your dosage? What is your resting BP and HR (blood pressure and heart rate)? Maybe it's too much and you're going into bradycardia....heart rate below 50 BPM.

You may have peripheral vascular disease. You may have valve regurgitation..do you know your ejection fraction?

So many possibilities, but you would be much further ahead to see a cardiologist, maybe a new one if the old one isn't helping much.

REPLY
ksb1962 | @ksb1962 | Jan 1 6:56pm

I am so glad to have found your comment. I to have low blood pressure and have been taking the same med. as you. When you say episodes exactly what do you mean.? This morning I had an episode like no other. I have been having them on a consistant bases. But today was different. I had a surgical proceed a month ago. Alot with a lot of other test. A Loop was inserted to monitor my heart and surrounding area. This morning I reach the top of the stairs and the intense ringing in my ears, dizziness, loss of balance sent me into the shelves, door and I hit the floor hard. I think I might have passed out. This isn't the first time and I have seen Dr.s who tell me my test come back fine. Anything like this for you?

REPLY
1 reply
gloaming | @gloaming | Jan 2 2:54am
In reply to @ksb1962 "I am so glad to have found your comment. I to have low blood pressure and..." + (show)
@ksb1962

I am so glad to have found your comment. I to have low blood pressure and have been taking the same med. as you. When you say episodes exactly what do you mean.? This morning I had an episode like no other. I have been having them on a consistant bases. But today was different. I had a surgical proceed a month ago. Alot with a lot of other test. A Loop was inserted to monitor my heart and surrounding area. This morning I reach the top of the stairs and the intense ringing in my ears, dizziness, loss of balance sent me into the shelves, door and I hit the floor hard. I think I might have passed out. This isn't the first time and I have seen Dr.s who tell me my test come back fine. Anything like this for you?

Jump to this post

IF your monitor, whichever type they have used, says you don't have an arrhythmia, then it's probably true. Are you still wearing one, or were the results reported to you and they were negative?

There are other conditions in the heart that can result in low blood pressure. They include a poor ejection fraction, prolapsed or failing valves, and wall-thickening in both the atrial and ventricular walls that makes them have a loss of range of motion...meaning they can't contract or fill as well as a younger heart in better condition. Have all of these been ruled out?

There must be other causes, but I am outside my typical reading as I don't suffer from fainting, syncope, vestibular disturbances, and shortness of breath.

REPLY
ginger2015 | @ginger2015 | 6 days ago

I understand your dilemma I too have naturally low blood pressure and was on 50 mg of Metotoprol.
It had me so dizzy and passed out once. Dr lowered me to 25/mg a day has helped but I’m not feeling like I should. Best thing keep on your dr

REPLY
1 reply
mmm123 | @mmm123 | 5 days ago
In reply to @ginger2015 "I understand your dilemma I too have naturally low blood pressure and was on 50 mg..." + (show)
@ginger2015

I understand your dilemma I too have naturally low blood pressure and was on 50 mg of Metotoprol.
It had me so dizzy and passed out once. Dr lowered me to 25/mg a day has helped but I’m not feeling like I should. Best thing keep on your dr

Jump to this post

My doctor has my husband cut the 25mg pills in half so it’s 25mg a day. It helps but sometimes his blood pressure still is low. Not it’s much better!

REPLY
1 reply
mmm123 | @mmm123 | 5 days ago

Should have been But it IS much better with just 12.5 mg a day.
I hate when my phone corrects me!

REPLY
ginger2015 | @ginger2015 | 4 days ago
In reply to @mmm123 "My doctor has my husband cut the 25mg pills in half so it’s 25mg a day...." + (show)
@mmm123

My doctor has my husband cut the 25mg pills in half so it’s 25mg a day. It helps but sometimes his blood pressure still is low. Not it’s much better!

Jump to this post

It’s nice to know someone is in same situation, not that I wish anyone to be sick.

REPLY
tuckie | @tuckie | 3 days ago

Hi
Some questions.
Any symptoms with AF?
Your H/R ??? At rest whether in AF or not? In Af persistent?
My AF was caused from Thyroid Cancer.
So Thyroid Papillary Cancer undiagnosed caused an Embolic Stroke, Rapid & Persistent AF.
At 2 years 3 mths on Metapolol first which I said No to for 1year 5 months. A cardiac monitor proved 186 no exertion - couldn't. Breathless and pauses at night during my normal 47bpm at night. A change to Bisoprolol 156 still not controlled to 100 or under.
At 2 years 3 months private cardiologist introduced Diltiazem CCB Calcium Chsannel Blocker. Reduced to 120mg CD from 180mg CD my regime is now ... after 2 months with Bisoprolol BB.
AM 5- ? Synthroid (Thyroxin). 100mg.
AM 1 plus hours later. CCB Diltiazem 120 CD.
AM 10 PRADAXA 110mg (Anti-co.agulant)
PM 10. PRADAXA 110mg.
That's regarding Thyroid synthetic thyroxine replacement, and Heart. Controlling H/R Day.
Other
Poly-Gel for Dry Eye
Changed Flixonase to Vicks Stick. (Cyst up left nostril synus)
Constipation Colofac or really desperate glycerine supposities).
No symptoms with AF and gaining my energy back with less fatigue and sleeping.

So glad to rid the Beta Blockers from. my meds. BP went Low.
cheri Joy
Breath;ess is different to stop doing exertion to ausing to allow blood circulatin catching up.

REPLY
View MoreView Less
Please sign in or register to post a reply.