Heart Rhythm Conditions – Welcome to the group

In a heart that is working nominally, properly, a low heart rate is generally...not absolutely, but generally...nothing to be alarmed about. Many of us have low HR when resting, especially when asleep (but not when in REM sleep where our bodies can twitch, rapid eye movement, and we can moan or groan or utter unintelligible words and our heart rates can rise into the low 100's). If you are on a beta-blocker or calcium channel blocker, and your heart rate is under 50 much of the time, it might be an indication that your prescription needs a rethink, or at least a gander by the prescribing authority to confirm that the dose is correct. Things change, a heart becomes more efficient, gets better, less irritated, and then the current dose of BB can be too much. But, apart from keeping a record of daily/waking HR and BP, and looking for a trend toward lower numbers, I wouldn't worry for a second if my HR were at or above 40, and I felt good.

NB- Do be a bit more careful rising out of chairs and from the table, getting out of the vehicle, and arising from a prone/supine position getting out of bed. Take extra care to breath deeply two/three times, scootch your bum left and right, get some blood pressure up, and then slowly rise. Have a bail-out plan if you find yourself seeing spots and feeling lightheaded; be prepared to fall backwards, trying to keep your butt low to improve the distance you must fall if fall you must. Try also to keep your chin tucked toward your chest in case you fall back and slam a bit. Don't want a brain concussion as well as a sore butt/back.

Congratulations on a successful mitral valve repair. I think your heart is feeling improved and happier, and it needs to pump less forcefully. Assuming you aren't on any medication that might slow the heart or reduce its stroke volume, which beta-blockers will do, just keep an eye and if it gets worse, call a cardiologist right away.

@gaelgreen I remember having a lot of PVC's and how uncomfortable they were, but doctors told me they were not dangerous. (I have paroxysmal afib now, which is!) Nevertheless they are causing substantial symptoms for you. I hope you can find a cardiologist who is understanding and helpful. Perhaps the regurgitation can be reevaluated. Keep us posted!

Thank you for your kind response, Windy! I'm hoping for a kind and yet competent cardiologist. I would love to avoid any kind of surgery. I know everyone would! I'm happy to hear you are getting treatment for your AF. I know from some family members that AF can be a bear to deal with. I hope you are having happy holidays!

Gael

@gaelgreen I also want to mention the book "The Afib Cure," by Day and Bunch. Although its focus is afib some of the suggestions might be helpful to you. Even before reading that book I did some of them: magnesium, low sodium V-8 for potassium, never reclining after eating, lying on my right side, tai chi for stress, breathing and exercise, daily walk and I use simethicone for GI gas. I continue to learn about my triggers. The book also covers "lifestyle factors" like weight, blood pressure, diabetes, diet and so on.

It sounds like your PVC's are so frequent that much of that is not relevant . In any case good luck with a cardiologist!