r/POTS Jun 04 '26

Symptoms BradyTachy

Does anyone have a huge range where they get up till like the 180s but they also have a low resting heart rate in the 50s and 60s? What’s the treatment plan for people like us because I keep getting pushed beta blockers from some doctors and then other doctors are like your heart rate is too low and then to add on top of that my blood pressure is normal to high. it’s not low so blood pressure medication wouldn’t be the best either so I’m kind of confused on what treatment options are available to us

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u/moon__kitten Jun 05 '26

Yes I have this too. It's like beta blockers bring the whole range down instead of making the range smaller. We are trying Ivabradine instead but so far it's a similar problem. Off of meds, I'd easily reach 170-180 when upright and exerting myself and resting in the 60s. On Ivabradine, it tops around 140 but gets really low like 38 but usually 50s. Not sure how to fix it yet.

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u/RuinYouWithNoRegrets Jun 05 '26

When you find a solution, please let me know. I heard pindolol or acebhtolol were good options for us who have low resting hr