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I'm 36yoa, in my sixth week post open heart to repair an aortic aneurysm and a bicuspid aortic valve. I've been on 12.5mg of metoprolol twice a day. My resting heart rate has almost come down to my pre-surgery level - low 60s. My systolic blood pressure is lower than normal, hovering just over 100. How long have other folks stayed on metoprolol post-surgery? My cardiologist wouldn't give me an answer when I asked how long I was going to stay on it. I'd like to have some sense of when others have come off so that I know how much to advocate on the issue. Thanks!
AHAASAKatie, November 30, 2020 9:34am EST
Good morning, unfortunately, this is a topic for which I do not have an answer. My thought would be to talk with your pharmacist and your doctor. I mention pharmacists because they are excellent resources when you have medication questions. However, the decision must be made between you and your cardiologist. Best Katie
DougZ, December 1, 2020 12:23pm EST
Here's my experience with taking Metoprolol...
I had a CABGx1 eight weeks ago and 3 stents 6 weeks ago. I have been on 12.5mg Metoprolol 2x daily since my surgery. My cardiologist told me that I would be on a beta blocker for about 1 year after surgery. I went to see him today to discuss some minor issues I have been having with dizziness and tiredness occuring later in the day/evening (I feel great during the majority of the day). We decided together that reducing my Metoprolol to 12.5mg 1x per day (taken at night) would be okay since my BP and heart rate are responding well from the data obtained during my cardiac rehab sessions. We will see how this affects my symptoms and adjust as necessary.
Talk to your doctor, this is a decision you need to make together.
Good luck and I hope you are doing well after your surgery!
krb81, December 1, 2020 1:32pm EST
Thanks, Doug! Very helpful. I'm experiencing fatigue and dizziness in the evenings as well. I've reached out to my cardiologist.
JamesPL, December 2, 2020 8:49pm EST
After my bypass surgery, I was on a number of medications including blood thinners, statins and blood pressure meds. I questioned the medication I was given to control blood pressure as I never had an issue with high blood pressure before. I was told that for the first year after surgery they wanted to have strict control over the heart function while I was being monitored. The blood pressure medication was Lisinipril. After awhile I was slowly weaned off after my dizzy spells seemed to persist. My cardiologist told me that I no longer needed to be on it. Through all of this I got the impression that each patient is treated differently depending on how they react and how well they are functioning after surgery. Nine years later, I am still on the statins which I was told I'd be on for the rest of my life.
I'm guessing your cardiologist lack of a difinitive answer is because he/she is waiting to see how you progress. Keep pressing for answers. While they may not be able to give you time specifics, they should be ablle to give you a good idea of the long term game plan. But just remember each of us are different and each doctor approaches treatment differently.
Joerich, December 12, 2020 5:06pm EST
after my first MI in 2001 I was on Toprol and Altace both and after about ten months I was lucky enough to draw the cardiology head at mayo and he felt my hands and feet(ice cold) and said with low bp(90/60) and pulse(60ish) you don't need both so toprol went away. Now I just had a 2nd MI and am back on it and will stay that way until things all calm down and I am 2 to 3 months post stent.
I agree with talk to your cardiologist but also do some research as they see so many, best advocate for you is you.