AboutDavid 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.
Question Is Coreg 6.25 mg contraindicated for an elderly patient with Sick Sinus Syndrome and severe bradycardia? Could a dosage this strong (Coreg 6.25) worsen the bradycardic effect prior to a pacemaker insertion?
Answer Dear Ms. Kevorkian,
Beta blockers iike Coreg usually don't slow the heart much when it's already slow. But the only way to find out if you can tolerate Creeg is try. You could start wtih 3.125 mg. If Coreg slows your heart significantly, you can always stop it, and your heart will rapidly return to its current rate. How severe is your bradycardia? I wouldn't hesitate to try Coreg if your heart rate is 45, would be a little reluctant if it's below 35. Why do you want to take Coreg anyway?
Please write back if you think I can help more, and PLEASE let me know what happens if you decide to try Coreg.
