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Regarding pulse rate
I want to know one thing I feel some uneasiness my pulse rate was 70 bpm than as soon as I lay it drop to 50 bpm one time feel butterflies sensation and feel a pause in pulse rate when check in hand also than I stand it cause to 60 bpm i am feeling panic thinking may it slow afib because I know that this also one problem people suffer i don't whether it's slow afib or what and done holter also one week ago which is normal and I take concor 1.25 for increase in pulse rate, after panicking pulse rate increase to 140 bpm , does slow afib start with dropping in pulse rate
Answers (12)
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You need to get evaluated and then can decide what treatment you will need
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Based on your symptoms and the normal Holter, ECG, and cardiology evaluation, this does not suggest slow atrial fibrillation or any dangerous rhythm disorder.
• A brief pulse drop when lying down (to ~50 bpm) is commonly due to increased vagal tone and is physiological
• The “pause” or “butterfly” sensation is most consistent with benign premature beats (PACs/PVCs)
• The sudden rise to 140 bpm occurred after panic, which strongly points to anxiety-induced sinus tachycardia
• Slow AF is persistent, irregular, and does not normalize quickly with posture, and it would almost certainly appear on Holter
Overall, this pattern fits a benign heart rhythm + anxiety cycle, not a structural or electrical heart disease.
Next Steps
1. Do not label this as AF
• Your investigations already rule that out
2. Review Concor (bisoprolol) dose with your doctor
• It lowers heart rate and may contribute to resting bradycardia
• Do not stop suddenly without medical advice
3. Address anxiety as a primary trigger
• Consider psychological support or structured anxiety management
• If needed, short-term anxiolytic or SSRI therapy can help reset the cycle
4. Follow up only if red flags appear
• Fainting
• Persistent irregular pulse for hours
• Severe breathlessness or chest pain
Health Tips
• Stop frequent pulse checking — it reinforces panic
• Avoid caffeine, nicotine, and dehydration
• Practice slow breathing (4-6 breaths/min) during episodes
• Adequate sleep reduces vagal and ectopic triggers
• Reassure yourself: normal Holter = safe heart
• Premature beats feel dramatic but are harmless in a normal heart
Your symptoms are real, but the cause is functional and reversible, not dangerous. Once anxiety is controlled, these sensations usually fade significantly.
If you’d like, I can also help you with:
• How to safely taper fear around heart rate changes
• Whether beta-blocker is truly needed
• Simple techniques to stop panic-induced palpitations quickly
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Stop concor and share, why you were taking it?Concor reduces heart rate.
Please get a thyroid profile done and consult a cardiologist to get echo done and share results.
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Better get an ECG done and report
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Can help you, kindly consult and provide detailed history for proper diagnosis and further management
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Consult for more details.
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Dr. Ashita Kuruvilla
General Practitioner
8 yrs exp
Kolkata
Few more details needed for further evaluation. Kindly consult
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Dr. Sajid Ali
General Practitioner
4 yrs exp
Kanpur
Get ECG done
Stop Concor
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Dr. Vetsa Sri Krishna Chaitanya
General Physician
7 yrs exp
Rajahmundry
Need a few more details please consult for further evaluation and treatment
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Dr. Suraj Sharma
General Practitioner
4 yrs exp
Jaipur
Need some more details kindly consult
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