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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Low Blood Pressure After Heart Attack?

husband had a heart attack 6 weeks ago tonight, had to have a stint have had him on metoprolol 2 times aday, his blood pressure was low when he went to heart rehab today, the nurse told him to tell his Doctor when he went back, tonight have not gave it to him bp is reading 109 over 58 and heart rate is 49, should I take him to the ER?
posted on Tue, 1 Jul 2014
Twitter Fri, 12 Sep 2014 Answered on
Twitter Mon, 15 Sep 2014 Last reviewed on
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Internal Medicine Specialist,  's  Response
Hello welcome to HCM.
I have sympathy for you as ur husband has having heart attack.
Let me clear something with you that after a heart attack some heart muscle permanently ceased to function but some recovery usually occurs after 3-6 months. Due to defective pumping of the heart the BP will remain low to normal.
Now coming to your case.. I am advising you to just reduce the dose of metoprolol to once a day in morning, because high dose reduces BP and heart rate both. But DOSE REDUCTION CAN ONLY BE DONE BY YOUR TREATING DOC, I AM JUST GUIDING YOU. so don't do self medication . He needs to undergo 2d echocardiography which will give idea about pumping of the heart. I presume that angiography has been done and if not done then it is highly recommended to prevent future heart attack.
At present nothing to get panic, slightly reduced BP is usual after recent heart attack and it's also effect of metoprolol..
Thank you.
Have a nice day.
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What Causes Low Blood Pressure After Heart Attack?

Hello welcome to HCM. I have sympathy for you as ur husband has having heart attack. Let me clear something with you that after a heart attack some heart muscle permanently ceased to function but some recovery usually occurs after 3-6 months. Due to defective pumping of the heart the BP will remain low to normal. Now coming to your case.. I am advising you to just reduce the dose of metoprolol to once a day in morning, because high dose reduces BP and heart rate both. But DOSE REDUCTION CAN ONLY BE DONE BY YOUR TREATING DOC, I AM JUST GUIDING YOU. so don t do self medication . He needs to undergo 2d echocardiography which will give idea about pumping of the heart. I presume that angiography has been done and if not done then it is highly recommended to prevent future heart attack. At present nothing to get panic, slightly reduced BP is usual after recent heart attack and it s also effect of metoprolol.. Thank you. Have a nice day.