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Medical Forum / General / General / August 2005

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bradycardia and valium

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stryped@hotmail.com - 29 Aug 2005 14:46 GMT
I have episodes of low blood pressure and a pulse that is 53 when I sit
down. I am scheduled to have a vasectomy in October. I just found out
they will use Valium injected in my vain. Will this cause problems or
my heart to stop? I am serious. I have had a cardiologist look at my
heart but have not mentioned the low pulse or blood pressure. I did
wear an event monitor though. It showed periods of tachycardia. At
night sometimes I get dizzy when sititng down.
Sbharris[atsign]ix.netcom.com - 30 Aug 2005 05:08 GMT
> I have episodes of low blood pressure and a pulse that is 53 when I sit
> down. I am scheduled to have a vasectomy in October. I just found out
[quoted text clipped - 3 lines]
> wear an event monitor though. It showed periods of tachycardia. At
> night sometimes I get dizzy when sititng down.

Sounds like you need the Valium NOW.

When you have the surgery you're going to be lying down. It's pretty
hard to kill somebody lying down with Valium, unless you give so much
they quit breathing, which they won't, since that's a LOT.

Anyway, if you're worried, I'd see the cardiologist again, and this
time have a heart-to-heart talk, so to speak.
dcholiman@ev1.net - 30 Aug 2005 07:23 GMT
~~~~~~~~~~~~~~~~~~~~~~
Valium is a muscle relaxant, and your
heart is a muscle.  With such a low blood
pressure and low pulse, you may have a
weak heart.  The valium and other drugs
you may receive during the operation may
put you to sleep for good.
Quack, Quack
David H
~~~~~~~~~~~~~~~~~~
stryped@hotmail.com - 30 Aug 2005 13:34 GMT
SO should I not have the procedure?
> ~~~~~~~~~~~~~~~~~~~~~~
> Valium is a muscle relaxant, and your
[quoted text clipped - 6 lines]
> David H
> ~~~~~~~~~~~~~~~~~~
Sbharris[atsign]ix.netcom.com - 30 Aug 2005 21:18 GMT
> ~~~~~~~~~~~~~~~~~~~~~~
> Valium is a muscle relaxant, and your
[quoted text clipped - 6 lines]
> David H
> ~~~~~~~~~~~~~~~~~~

Bjorn Borg's heart rate dropped to 35 in sleep at the height of his
tennis career. Think that was due to weakness?  You do not detect
people with "weak hearts" by their slow pulse rate. Almost all people
with "weak hearts" (unless they have TWO problems) have a high pulse
rate.

Valium in animals models works as a calcium channel blocker in heart
(surprizingly) and is a modest negative inotrope. However, big effects
from this are not seen clinically, and are of little consequence.
Perhaps they would be when opperating on a heart transplant candidate,
but not somebody who walks into your office for a routine surgical
procedure.

Anybody seriously making decisions about this kind of thing based on
random advice from the net, should probably actually have the
vasectomy. For eugenics purposes.

SBH
Don Kirkman - 31 Aug 2005 00:21 GMT
It seems to me I heard somewhere that Sbharris[atsign]ix.netcom.com
wrote in article <1125433092.414637.72400@g44g2000cwa.googlegroups.com>:

>> ~~~~~~~~~~~~~~~~~~~~~~
>> Valium is a muscle relaxant, and your
[quoted text clipped - 6 lines]
>> David H
>> ~~~~~~~~~~~~~~~~~~

>Bjorn Borg's heart rate dropped to 35 in sleep at the height of his
>tennis career. Think that was due to weakness?  You do not detect
>people with "weak hearts" by their slow pulse rate. Almost all people
>with "weak hearts" (unless they have TWO problems) have a high pulse
>rate.

You don't even have to be a tennis or cycling star (Armstrong says his
is 32 to 34 bpm).  I have a long running career, but nowadays only do
about 12 miles a week; my all-out resting heart rate, aided by a little
atenolol, is around 35 just before sleep.  My cardiologists have never
had a problem with it over the past seven years, though one person who
plays a cardiologist on Usenet has written that at around 50 bpm a
person will be lethargic and lose alertness, or words to that effect.
Signature

Don Kirkman

David Wright - 31 Aug 2005 00:45 GMT
>It seems to me I heard somewhere that Sbharris[atsign]ix.netcom.com
>wrote in article <1125433092.414637.72400@g44g2000cwa.googlegroups.com>:
[quoted text clipped - 23 lines]
>plays a cardiologist on Usenet has written that at around 50 bpm a
>person will be lethargic and lose alertness, or words to that effect.

How doltish. It's been known for a long time that championship
athletes can have exceptionally low heart rates (biathloners are
another example).  I've read that they sometimes also have very
unusual-looking EKGs that can really freak out an unaware
cardiologist, so I've even seen the recommendation that such athletes
have an EKG done to provide a baseline.

 -- David Wright :: alphabeta at prodigy.net
    These are my opinions only, but they're almost always correct.
    "If you can't say something nice, then sit next to me."
                                -- Alice Roosevelt Longworth
Tony Wesley - 31 Aug 2005 12:20 GMT
> [...] my all-out resting heart rate, aided by a little
> atenolol, is around 35 just before sleep.

Mine is about 48.  My doctor is happy with it.

>  My cardiologists have never
> had a problem with it over the past seven years, though one person who
> plays a cardiologist on Usenet has written that at around 50 bpm a
> person will be lethargic and lose alertness, or words to that effect.

As I recall, your cardiologist was accused of ignoring "relative
bradycardia".
Andrew B. Chung, MD/PhD - 31 Aug 2005 13:02 GMT
> It seems to me I heard somewhere that Sbharris[atsign]ix.netcom.com
> wrote in article <1125433092.414637.72400@g44g2000cwa.googlegroups.com>:
[quoted text clipped - 25 lines]
> --
> Don Kirkman

"A malicious man disguises himself with his lips, but in his heart he
harbors deceit. Though his speech is charming, do not believe him,
for seven abominations fill his heart. His malice may be concealed by
deception, but his wickedness will be exposed in the assembly." -- King
Solomon

Truth is simple:

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The way to the truth is straight and narrow:

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Again, Lord Christ teaches from Matthew 5:

11Blessed are you when people insult you, persecute you and falsely
say all kinds of evil against you because of me. 12Rejoice and be glad,
because great is your reward in heaven, for in the same way they
persecuted the prophets who were before you.

You will remain in my prayers, dear Don, whom I love, in Lord Christ's
holy name.

May you reject your pride and accept Him as your personal Lord and
Savior, someday, so that you too will have eternal life and the
fascinating riches of His everlasting kingdom.

Here's how:

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Please note that God truly made this special link describing that He is
the great "I am" and that His message is as simple as the number 2 which
is a number between 1 to 9 and reminds us of His 2 commandments,  the 2
arms of the cross, the 2nd part of the Trinity, the 2 finger sign of the
Prince of Peace [who remains *V*ictorious over death and satan], and the
2PD-OMER Approach.  Let it not ever be written that Christ did not make
His presence known here on Usenet :-)

Also, note that Exodus 16:16 continues to remind us that 16 oz plus 16
oz makes 2 pounds, which is "a certain measure of weight," which is what
"omer" literally means in Hebrew.

Enter the 2PD-OMER Approach, which can "cure" metabolic syndrome (MetS)
thereby bringing this thread back on topic in these NGs :-)

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You may hear me speak about the 2PD-OMER Approach in person and meet
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You may also choose to have me speak to your group or organization about
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In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
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dcholiman@ev1.net - 31 Aug 2005 10:10 GMT
~~~~~~~~~~~~~~~~~~~~~~~~~~~
Calcium channel blocker?  So that's why
my last BP reading at the VA was 128/88
instead of 150/95.  I had taken a valium at
0500 and the reading was done at 1000.
I had always had high, "white coat" readings
until inadvertently taking a Valium on an
ad lib prescription from my VA specialist.
David H
~~~~~~~~~~~~~~~~~~~~~~~`
Andrew B. Chung, MD/PhD - 31 Aug 2005 13:02 GMT
> I have episodes of low blood pressure and a pulse that is 53 when I sit
> down. I am scheduled to have a vasectomy in October. I just found out
[quoted text clipped - 3 lines]
> wear an event monitor though. It showed periods of tachycardia. At
> night sometimes I get dizzy when sititng down.

Would suggest you inform your doctor(s) about your concerns.

In Christ's love and service,

Andrew

--
Andrew B. Chung, MD/PhD
Board-Certified Cardiologist

**
Suggested Reading:
(1) http://makeashorterlink.com/?G1D5217EA
(2) http://makeashorterlink.com/?W13A4250B
(3) http://makeashorterlink.com/?X1C62661A
(4) http://makeashorterlink.com/?U1E13130A
(5) http://makeashorterlink.com/?K6F72510A
(6) http://makeashorterlink.com/?I24E5151A
(7) http://makeashorterlink.com/?I22222129

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