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two doctors say different things (Read 2147 times)
soph22
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two doctors say different things
Oct 27th, 2011, 9:03am
 
hi, well i have posted here before a while ago as i seemed to develop sinus tachy during pregnancy. baby is now 15 weeks old nearly and i still have sinus tachy. i got from 5mg of bisoprolol to 1.25mg a day but started having episodes again. 2 nights ago i awoke with my pulse seemingly dong fast beats then slow beats and carrying on like that. so i went to A&E and they said ECG showed normal rythmn so to see the GP like i had arranged for today anyway as i felt the 1.25mg wasnt quite enough.
when i went i said i wasnt keen on taking more tablets because my pulse rate then drops into low 50s and i get those jump like palpitations that you feel in your chest. she said this wouldnt cause that. however the GP i previously saw said that would cause it and that i should take less tablets because its lile your body jolting you back into a normal rate. this sounded logical to me. but why does this other doctor say that wouldnt occur? and she said it shouldnt go too low a rate on 2.5mg. im more inclined to believe the previous doctor as she atleast took my BP etc when i went, this one just told me to take an extra tablet and said they dont know what causes sinus tachy and it is unfortunate that it has continued past my pregnancy.

so my first question is - which doctor was correct about a lower pulse rate?

and secondly. what does make sinus tachy occur after pregnancy. it has been a while now and i dont understand why im still getting these bursts of faster heart rates at times. its quite scary!  Undecided Smiley
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RLR
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Re: two doctors say different things
Reply #1 - Oct 27th, 2011, 8:45pm
 
Okay, selective beta-blocker therapy can indeed lower cardiac force, heart rate and blood pressure even at minimum doses, depending upon the patient's variable response to action by the drug.

The body doesn't really "jolt" you back to a normal rate as much as it is the action of the heart to restore blood pressure that has briefly down-spiked and causing the cardiac center in the brain to respond. Realize, however, that any such drugs can never lower your heart rate below 40, at which point the body responds very aggressively in bringing about more normal function.

Sinus tachycardia can occur for many reasons but in instances relevant to this discussion, sympathetic tone is enhanced as one measure to restore normal blood pressure levels. These are all normal physiological responses and should not be construed as signs that anything is wrong.

Best regards and Good Health
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Best Regards and Good Health
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