<s>[INST] Hi, My uncle (Age 64 years, 5 feet 7 inch, 68 kg ) went through a CABG X 2 on november 2005. suffering from DM for more than 6 years. form last 6 months he was worried about the number of his drop pulse beat (6 to 8/min) as his cardiologist told him upto 5 drop beat/min is normal. seeking advice from a different cardiologist about his drop beat problem and being adviced to take Amiodarone. with other medicine he took amiodarone for three month and the drop beat problem was over. now he developed some new complain like leg oedema and pulse rate is 50 to 55. his CT angiogram shows patent graft, on echo LVEF 48. taking Carvedilol, nitro glycerine tab, atorvastatin, PPI, Aspirine+clopidogrel. what should he do now with his bradycardia and leg oedema [/INST] Hi, This is Chat Doctor. It is good for any heart patient to have a low pulse rate as it keep the metabolism of heart low. So pulse rate of 50-55 is good for him. Significant symptomatic long pauses can be abnormal & he should go for a holder test which is a 24hr monitoring of ECG. Leg swelling is very common in post CABG patients as they have low protein - albumin. So I'll recommend you to test for Serum proteins in him & he can be given oral protein supplementation. Heart function of 47% is ok & won't cause much problem. Medicines are fine & he should continue them. Thanks </s>