Should a cardiologist be consulted for low heart rate while on a blood thinning medication?
Patient: I ha e a fib and take a blood thinner. I do not feel anything when I have had a fib attacks. I was diagnosed with while in the hospital 18 months ago following surgery. I have just purchased an Apple Watch. I notice with the heart rate app today while sitting watching tv my heart rate during an hour period was low at one point, 39, and within the hour as high as 151. Is this something I should see my cardiologist about? Thank you Doctor: Hi,  Are you on any drugs other than blood thinner medication? If your symptomatic while on bradycardia then you have to consult your Cardiologist. Usually during rest or sinus arrhythmia may present like this.  Get it done 24 hour ECG monitoring, echocardiogram, serum electrolytes and thyroid profile. If symptoms not improved please consult your doctor he will examine and treat you accordingly.  Hope I have answered your query. Let me know if I can assist you further.  Regards, Dr. Penchila Prasad Kandikattu, Internal Medicine Specialist