RE Low HR
Hi I'm 54 and have had a dual chamber Meditronic PPM in place since Dec 2018 which was inserted for 2:1 heart block. The same week I had an Occlutech occluder device inserted via my groin to block a 3cm hole between my two upper heart chambers. I had some residual right sided heart failure and my cardiologist started me on a tiny dose of Bisoprolol 1.25mg.
In September 2019 I found out I had an inheritable form of high cholesterol (Familial Hypercholesterolaemia) when my cholesterol came back as 9mmols/L and was commenced on a high dose statin. I was also diagnosed with an additional and independent risk factor for developing a premature heart attack or stroke, which is a high level of Lipoprotein (a) for which there is no cure.
In April 2020 I developed hypertension and my GP increased my Bisoprolol from 1.25mg, to 2.5mg and then 5mg but my BP remained too high. In addition to Bisoprolol 5mg my GP has also added Lisinopril 2.5mg and my blood pressure is much improved.
However my concern is that these BP medications are making my heart rate too low and triggering my pacemaker to fire. My pacemaker is set to fire if my rate drops below 60b/pm but this is happening many times per day and at night. Although a pacemaker firing isn't painful, it is becoming very uncomfortable 😐. Also I feel breathless, sluggish and as if I have no power in my body.
Do any of you experienced pacemaker guys know if there's anything I can suggest to the electrophysiologist to minimise how many shocks I get? Sadly I had my last EP appointment cancelled due to COVID-19.
Many thanks 😊