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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Could The Lowering Of BP And Heart Rate Be A Matter Of Concern?

My son had heart ablation surgery twice this year. He has had a very tough recovery, and has had continuous issues with his blood pressure dropping. Tonight, his blood pressure dropped, heartrate dropped to 42. But tonight's episode was different. His lower back is all bruised. Should I be worried about the bruising. Could this be related to his blood pressure drops? (He is being seen by multiple doctors.)
posted on Fri, 14 Mar 2014
Twitter Sun, 30 Oct 2016 Answered on
Twitter Wed, 2 Nov 2016 Last reviewed on
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General & Family Physician,  's  Response
Hello,
Thank you for your query.
I will address concerns one by one.

1)low heart rate - yes a rate of 42 is low and a cause for concern especially if it associated with low blood pressure.
This is most likely due to the medications and needs to be monitored by his treating doctor for adjustments in dosage.

2) bruising is not normal and means that there is a clotting problem. Large bleeds can cause a fall in blood pressure. This again is most likely due to the medications (blood thinners).
This again needs to be monitored by tests and dosage needs to be frequently titration to suit his needs.
Please talk to his physician and cardiologist. Certain medications, interact with each other and when taken together have an additive effect. Please discuss this with both clinicians.

Please consult his doctors right away as massive internal bleeding can cause life threatening complications as does a very low heart rate.

Hope this helps.
Please let me know if there is anything else I can help can help you with.
Wish you both good health.
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Could The Lowering Of BP And Heart Rate Be A Matter Of Concern?

Hello, Thank you for your query. I will address concerns one by one. 1)low heart rate - yes a rate of 42 is low and a cause for concern especially if it associated with low blood pressure. This is most likely due to the medications and needs to be monitored by his treating doctor for adjustments in dosage. 2) bruising is not normal and means that there is a clotting problem. Large bleeds can cause a fall in blood pressure. This again is most likely due to the medications (blood thinners). This again needs to be monitored by tests and dosage needs to be frequently titration to suit his needs. Please talk to his physician and cardiologist. Certain medications, interact with each other and when taken together have an additive effect. Please discuss this with both clinicians. Please consult his doctors right away as massive internal bleeding can cause life threatening complications as does a very low heart rate. Hope this helps. Please let me know if there is anything else I can help can help you with. Wish you both good health.