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The patient is still without symptomatic bradycardia , however the heart rate decrease persists despite reducing the dose of concomitant medications.
The most common adverse effects are dizziness, worsening of heart failure, symptomatic bradycardia , and hypotension.
Beta blockers should not be administered to patients with heart failure who have bradycardia , heart block or hemodynamic instability.
Adverse drug effects, which were more common in the rhythm control group, included bradycardia (abnormally low heart rate) and lung problems.
Overdrive pacing might improve cardiac function, and thus pulmonary congestion might be ameliorated in patients with heart failure or bradycardia .
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