Hello
Thank you for your query at doctorspring.com
From the history that you give she seems to be suffering from copd with atrial fibrillation. It would be greatly beneficial if you could upload documents related to medical advice and investigation.
As of now she seems to have drug induced hypotension and bradycardia. I am not aware what dose of each of the medication she is currently taking.
But if she really has copd which requires her to take oxygen therapy then she shouldn't be on bisoprolol. Also she is suffering from hypotension and bradycardia so bisoprolol should be stopped.
If the bp doesn't rise above 100/60 and pulse ratw to 60 then even diltiazem should be stopped.
However I would like to go through her medical records for a complete management advice
Regards
Dr Vivek Mahajan
DM Cardiology