low pulse, high diastolic, normal systolic means?

[clk948]

Yesterday the RN at work took my reading ... 178/72 with a 49 pulse ... I am on atenolol and there has been an incredible amount of stress and anxiety at work ... but why would my pulse rate be so low with that reading? I have been dizzy and have had headaches after being at work for a few hours, so asked the nurse to read take a reading.

[kenkeith]

Slow bpm is a normal occurrence in some people, but evidently it is not normal for you?!. It can arise from a loss of blood or fluids, vomiting, dehydration, malnutrition or a medication overdose.

[edclout]

I was in a simular situation ...became very light headed...went to emergency room...they found my pulse was 41 and my BP was 210 over 110. Normally I was 124 over 80.
Interesting that the explanation was I had lost 34 LBS in 2 mo. and because Iwas taking Atenolol the beta blocker med lowered my pulse to 40 and  I was lightheaded due to very low pulse rait that did not provide enof blood to head. Dr stopped Atenolol and pulse went to 68 and no further lightheadedness. Distolic is a bit high at 85.
Hope this is of help

[NTB]

good diagnosis, Ed :)

for some, if a person's HR gets especially low (say, from a BB), then BP can rise to compensate... (the rate x pressure constant again)