Should I be alarmed when my heart rate is between 39 to 41 occasionaly

Posted by beckboop13 @beckboop13, 2 days ago

I have afib and sleep apnea and take Eliquis and Flecanide.
Recently, for several mornings, my pulse rate was between 39 to 41 in the a.m. for several hours. I didn’t have any symptoms, but was concerned. Upon calling my doctors office, the machine said if this is an emergency call 911, can you speak to a nurse , dial 8, which I did.
I got an answering machine, which said they would call me back within 24 hours. Please leave a message. I just describe my problem and did not hear from anyone.
A few hours later, I took my blood pressure machine and went to their office, to check my machine or see if they could at least take my blood pressure.
My only response from them was they could not see me until May 6.
Two days later, I got a call from the nurse and she said she was sorry that happened.

I would like to know your opinion about this situation. I am ready to look for a new cardiologist. She also told me that I should go to the emergency room when my heart rate is that low.

Interested in more discussions like this? Go to the Heart & Blood Health Support Group.

This sounds like the FHN health systems, & Mercy health systems. They just go to Emg. I am so tired that there is no help-to-help people anymore. Freeport & Rockford, IL. really stinks. The Freeport Hospital FHN when you go to Emg they send people away to other Hospitals. Mayo is so far for me, and I can't see very well due to cataracts & all I have is my wife to take me, but she works many hours so that's hard for me too. I just don't want to die. These health systems seem they want you to. Thank you. G.B.

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When it comes to the heart, you need to get a different cardiologist!!
The service you are getting from them is abisimal. I would't put up with it one more minute.
Are they "out to lunch"??? Hope you find a new competent dictor.

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@amu45sin

When it comes to the heart, you need to get a different cardiologist!!
The service you are getting from them is abisimal. I would't put up with it one more minute.
Are they "out to lunch"??? Hope you find a new competent dictor.

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From amu45sin.
Sirry that reply was to beckboob13.

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I have been diagnosed with Bradycardia after a stroke .I check my BP every other day. My BP fluctuates between 120 and 90 in abt 20 minutes. When it is low -100 I am very tired and just want to sleep. I take blood thinners and 4 other pills that are intended to help my heart. I’m concerned about the the fluctuations. Should I be?

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@beckboop13
Everyone deserves to have quality and professional medical care. Please search for a new one that puts patients first. I go to Mayo Jacksonville since 2006. When I first was coming I drove 3 hours each way to get there from my home but I wanted quality health care.

I moved to Jacksonville area in 2015 and my commute changed from 3 hours to 25 minutes. I have an excellent heart failure doctor, EP, and PCP doctors along with psychiatric specialist, ENT and dermatologist.

Many things can cause low pulse rates and a low one can definitely cause dizzeness. I have a ACID/Pacemaker which paces my heart to 70 bpm. If not because of medications my bpm would be in 30s.

I see you are being treated for AFIB. Does those medication cause low pulse rate?

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I don’t think you want to wait until you find a new cardiologist to address a problem. If your medical advice is to go to the ER, you should take your log of blood pressure readings with you and go to the ER. You will know you’re ok and learn more through the process, then address switching providers?

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Report to your Cardiologist now (even on the weekends when you call them by phone they have a doctor on call)
I had heart beat 40 per minute and my Cardiologist right away adjusted my Metroprolol dosage.

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Since my heart rate has been measured, it is consistently around 45 resting and as low as 32 when sleeping. The rate depends on genetics, daily activities that elevate heart rate above 125, etc. I asked my PCP if there is a heart rate meter in the brain and if a low heart rate yields a long life...he didn't comment.

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That is helpful. What is your age? I am 83.

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What I have seen over my 78 years and decades on heart medications is that medications play a big role in heart rates. Unless your heart rate was very low before taking medications should look at medications for being so low.

The normal heart rate (HR) is 70. But that is a statistic and does not mean below or above it is a health issue. When pulse rates get to low heart arrymthmia can happen and or those who have PVCs can go up. Along with that dizzeness.

Many athletes have extremely low HR. Why? There heart is is great condition and when it pumps it provides the amount of oxygen the body needs and thus not a high PR. Many athletes wind up getting a pacemaker as there HR is so low and they do develope arrymthmia (spell) problems.

My pusle rate used to be in 60s (active exerciser) until put on Entresto and Carvididol. My pulse rate went down into 30s and many many PVCs. My EP raised my pulsing of my Pacemaker to 50 but PVCS continued and we sent to 60 and then to 70 where the PVCs went down dramatically.

A question on low HR and long life is something I cannot comment on as not medical doctor. But your heart is a muscle and it needs exercise to stay strong. A low HR means either medication or medical problem or a very strong heart. If it is because of a very strong heart then by statistics your physical heart healthy is going to be on excellent side with probably a very high ejection fraction.

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