Hi, My son is suffering from high blood pressure for last two three months and the echo cardiogram report is saying mild concentric LVH. Doctor prescribed Prolomet XL 50 mg. His bp is 150/100. After taking the medicine I observed his hear beat is bit low. I want to know what should be the lower limit of heart beat, so that if required, I can consult my cardiologist. Thanks.

Lower limit is 60 but some patient can feel better even at 50 beats / min . 

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Dr. Sameer MehrotraCardiologist20yrs exp

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1) Please understand that BP when it has been high for a while, causes heart muscle to thicken, your son's echo report shows that when it says mild LVH. This does not mean that you need to panic, it simply indicates that his BP requires proper management so that it can be controlled and brought in acceptable range. 2) 150/100 is still very high and in my opinion there are better antihypertensives like ARB'S, ACE inhibitors, Calcium channel blockers etc that are available and should be used in his case rather than Prolomet which is a beta blocker. So please consult your cardiologist for change of medication. 3) Prolomet which is a beta-blocker, causes slowing of heart rate. Normal heart rate should be between 60-100 bpm, if a patient is on beta-blockers it can be as low as 50bpm. If heart rate is any lower than this you should contact your treating cardiologist 4) Alongwith medication a change in lifestyle and food habits is absolutely must for BP control. So please ensure that he does not smoke or drink. He should exercise daily for 40 mins and eat a diet low in salty food and high in fruits, vegetables, proteins etc.  

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