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Having heavy heart beats, high BP. ECG was normal. Recommended metoprolol. Suggest? - Online Doctor Chats

Date : 08-Jun-2013
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2585 Questions
Doctor:How can I help you?
User:Am having some heavy heart beats for some days now
User:had got the check up done
User:echo was normal, ecg was normal
User:bp was high
User:having slight pain on my right side of chest
User:doctor had recommended we 12/5 mg metoprolol
User:am 36
User:sometime earlier also i had my bp high which i got down to normal with some home remedies
User:thinking once on medicine will have to continue long term
User:is it once u start u have to be on it
Doctor:Blood pressure is subjected to variations due to the numerous physical and psychological factors.
Doctor:One reading of high blood pressure doesn't always make you a hypertensive.
Doctor:Medications are generally advised for long term in a hypertensive.
User:it has been for few days now
Doctor:But with some one who is not hypertensive, they can be only for temporary period.
User:is it ok to take medicine now
Doctor:Metaprolol apart from controlling blood pressure is also useful in reducing heart beat.
Doctor:Since you mentioned you feel your heart beating hard, perhaps the doctor suggested metaprolol to bring that down.
Doctor:So I would suggest you to take the medications as suggested.
User:wht abt the pain
User:left side of my chest is persistently heaviness or pain
Doctor:Since the ECG and echocardiogram suggested normal findings at this point of time, the pain may not be linked to the heart.
User:wht cud it be then
User:pain, breathlesness, fast heart beat
Doctor:Non cardiac chest pain is a well known entity.
Doctor:Such pains are attributed to various other causes.
Doctor:A few known reasons for non cardiac chest pain being anxiety, gastritis, GERD, Muscular aches, etc.
Doctor:However you also need stress test / TMT to rule out angina
Doctor:before we call this as non cardiac chest pain.
Doctor:Hence my suggestion was to continue the medication suggested to you.
Doctor:And plan a visit to a cardiologist.
Doctor:He can further evaluate you, record your heart beat and blood pressure again and plan the other test.
Doctor:We should be able to have a clear understanding of the cause with the reports.
Doctor:If the stress test / TMT also comes normal, then you need not be concerned.
Doctor:We can be able to treat and control the symptoms easily with medication and life style changes.
Doctor:Have you followed?
Doctor:Do you have any other query?
User:the medicine recommended was by a cardiologist
Doctor:As far as medicine metaprolol is concerned, I absolutely agree that it is needed to control the heart rate.
User:now shud i see a cardiologist or a general phsician
Doctor:The duration of treatment is concerned varies individually.
Doctor:In relation to the chest pain, the cause could be non cardiac or angina.
Doctor:Stress / TMT test is necessary to rule out angina.
User:k, so mandate to continue medicine life long if taken now
User:i mean no mandate to continue medicine life long if taken now
Doctor:Hope I was able to clarify your doubt.
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