Discontinuing Metoprolol

[MethodAir]

My cardiologist seems to like the idea of slowing the heart down ,even though my HR is in the low 70's. It's almost as if she thinks that will make it last longer. Under that line of thinking I guess 90% of people should be on them. Don't get me wrong I know some people really should be on them but I'm not going on them unless something shows up in my next echo, 1st one since I was in for my surgery, that makes a case for me really needing them.

Does your resting HR tend to drop after increasing your cardio training and getting better conditioned?

Prior to increasing my cardio level post surgery, my resting HR was still in the high 80s. The doctor and cardiologist were advising me to titrate up to 10 mgs of Bisoprolol per day to get my HR down to 60 BPM, from 2.5mg/day.

But I stood my ground and stayed at 2.5. And within a couple months of increasing my cardio, my resting HR was down to 40-50 BPM.

 

[Bryan B]

I had surgery in 2004 (Ross Procedure) and again in 2011 (Bentall Procedure). I was on Metoprolol short term after my first surgery and was able to wean off of it fine. The year before my 2nd surgery I developed Atrial Flutter and had a successful catheter ablation performed to correct the problem. Since then I have been on Metoprolol 50mg twice a day. We have tried lowering my dose on more than one occasion but my symptoms required that I increase my dosage back to 50mg twice a day (symptoms for me is increased heart rate). I can tell if I missed a dose within a few hours after it was due. The fatigue sucks but unfortunately I have no other options. We have tried a couple other beta blockers but none were as effective for my symptoms as the Metoprolol.

If your PVC's are benign and you have your doctor's approval I would find the "sweet spot" where your PVC's and your fatigue symptoms are the most tolerable. I went into my first surgery with no high BP or irregular rhythms so the Metoprolol was a short term deal. After my second surgery my surgeon said that some type of beta blocker was most likely going to be a lifetime deal. I hope you are successful at finding a dose (or no dose) in order to avoid the issue with fatigue.

Forgot to add that I got a tissue valve for my 2nd surgery and the surgeon explained that keeping my heart rate at a lower level would help to extend the life of the valve.

 

[cldlhd]

Does your resting HR tend to drop after increasing your cardio training and getting better conditioned?

Prior to increasing my cardio level post surgery, my resting HR was still in the high 80s. The doctor and cardiologist were advising me to titrate up to 10 mgs of Bisoprolol per day to get my HR down to 60 BPM, from 2.5mg/day.

But I stood my ground and stayed at 2.5. And within a couple months of increasing my cardio, my resting HR was down to 40-50 BPM.

Wow that's a hell of a drop in resting HR. I'm no expert but I believe the hr does drop when you get in better condition . It makes sense the way I see it as the heart is basically a pump and if it's in better shape it can do it's job easier with less effort. Less beats to circulate the blood and keep the pressure adequate, congrats!