Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
169 Doctors are Online

Experiencing increased stress during periods. Should I increase the dose of atenolol?

User rating for this question
Very Good
Answered by
Practicing since : 1966
Answered : 4498 Questions
In 6 yrs ive had 5 bouts of afib highly symptomatic all terminated in cardioversion approx 2 hrs after onset. Since my early 2o's have 3500 pac's/ day. During periods of increased stress including the flu or edpecially upper gi upset ill have days when the pac's become highly symptomatic and theyre bothersome. Why do i feel them during these periods of time and should i increase my atenolol during these times . Cant tolerate fleicainide causes mecto have migraines. Thx
Posted Tue, 17 Dec 2013 in Hypertension and Heart Disease
Answered by Dr. Anantharamakrishnan 33 minutes later
Brief Answer: Atenolol up to 100 mg / EPS can help Detailed Answer: Hi friend, Welcome to Health Care Magic Stress stimulates the sympathetic nervous system, which will up the heart rate and/or pressure – directly or by production of adrenaline The maximum dose of Atenolol is 100 mg. It helps in Anxiety and stress too – but, can bring down the resting heart rate and blood pressure... If there are no clues and if the problem is still bothering to the extent of interfering with life style, you may need advanced investigation – Electro Physiological Studies (EPS) > it resembles angio – a catheter is put inside the heart / electrical activity recorded / stimulation and suppression tests are carried out / suitable medicine tested and so on. Though the test is the gold standard, it is INVASIVE and hence is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. There are advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS. The treating doctor may suggest them depending on need, based on his assessment of the situation. Good luck Take care Wishing all well God bless
Above answer was peer-reviewed by
Follow-up: Experiencing increased stress during periods. Should I increase the dose of atenolol? 1 hour later
Thank you I turn 55 in XXXXXXX probably time for epstudy thanks for the info. So the increase in adrenaline is why I feel the pacs more right? Thx again happy holidays. Good news is I'm otherwise healthy ex athlete and had a negative angiogram recently along wih NL echo did not do stress echo as when my hr increases over 100-110 trigger for a fib. Thx again
Answered by Dr. Anantharamakrishnan 7 hours later
Brief Answer: You are well / you will be well Detailed Answer: Hi A negative angiogram and normal echo are greatly reassuring – practically rule out diseases of the heart muscle, valve and coronary arteries. The cause is the conduction system (nerves) and that can be addressed by EPS Prognosis is excellent Regards
Above answer was peer-reviewed by
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Diseases and Conditions
Medical Procedures

The user accepted the expert's answer

Ask a Cardiologist

© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor