Heart rate changes and beta blockers

Q: I have had blood pressure readings on average about 139 over 81 with a heart rate of 70, but at times the heart rate drops to 40. When this happens I have no energy and usually have to lay down for several hours. When I have this challenge should I rest until my heart rate comes up or should I go for a fast walk? I am on a beta blocker for slightly high blood pressure.

A: It is always smart to listen to your body. Your body is telling you to rest because for some reason your heart isn’t able to respond and beat faster to meet the increased needs of greater activity. It is possible this is related to your beta blocker or you may be having an intermittent heart rhythm problem. You should discuss this with your doctor. Make note of what you are doing when your heart rate falls to 40.

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