Heart & Cardiology/Morning low pulse

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Question
I am a healthy 76, 200 lbs, 5'11", four way bypass in 96 after 3 angioplastys. I was recently experiencing higher than normal blood pressure with uncomfortable overall pressure. My doctor put me on water pills which helped the uncomfortable over all, and increased my Cozarr to two pills a day (50 mg ea.)The last week I have been exhausted when trying to do my regular farm labor, a little unsteady on my feet when this occurs. For several weeks I have awaken in the morning and felt short of breath. As that occurred this AM I took my blood pressure and for 3 hours it was fine  120/78 approx. but pulse rate varied 35, 42, 38. It normally is 63-67, (as it was latter in the day as I did light work.). I was resting during this period. As I was doing this light work I felt short of breath. This used to occur years ago when I first started Cozaar but after a few minutes of walking or exertion my heart seemed to catch up then and all seemed well. Not so this time. Is it possibly due to the increase in the beta blocker or other possible causes?

Answer
Dear Mr. Conway,

Cozaar is not a beta blocker, but an ACE Inhibitor.  It does not slow the pulse.  35 is pretty slow.  Please report the slow pulse and shortness of breath to your doctor promptly

Please write back if this note doesn't answer all your questions.

David Richardson

Heart & Cardiology

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David Richardson

Expertise

Adult heart function and disease. Not very good about children lesss than 12. Hypertension is o.k. Heart rhythm a special interest.

Experience

Certified in cardiology by the American Board of Internal Medicine. Was chairman of division of cardiology at the Medical College of Virginia. Am now mostly retired.

Organizations
Fellow of American Heart Association and American College of Cardiology and member of American Physiological Society..

Publications
Circulation, American Heart Journal, Hypertension.

Education/Credentials
M.D. from Harvard Medical School. Residency training at Yale Uhniversity School of Medicine and Medical College of Virginia.

Awards and Honors
Gold Heartt Award from American Heart Association in 1995.

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