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Irregular heart beat, chest pain in the night - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Average Posted in: Heart Rate and Rhythm Disorders
Answered by

General & Family Physician
Practicing since : 2004
Answered : 40 Questions
User :   Been to ER twice at night in last 2 weeks for what they call unclear chest wall pain. Been tested for cardiac, blood clot in lung, aneurism, etc. Am going in tomorrow for heart AAAAAAA already have a stent, can do 9 min on treadmill at cardiologist, but nothing shows up. Have been doing quite a bit of strenuous activity (helping son remodel house) & lifting. Pain goes away during day but is terrible at night. In ER had morphine, which helped, but vicodin does not. Had occasional irregular heartbeat show up in last couple months; cardiologist increased metoprolol to 50 (mg I think) AM and Pm to smooth out irregular beat. Could this be too much metoprolol causing a week heartbeat at night while resting and then pain?
Doctor :   HI
Doctor :   I am Dr. xxxxx
Doctor :   I am reading ur query
Doctor :   Plz wait
Doctor :   Metoprolol woeks on the hearts conduction system
Doctor :   and decreases the heart rate
Doctor :   If your heart on Metoprolol is decearsed it is due to med
Doctor :   Do not worry
Doctor :   It the action of the medicines
Doctor :   But make sure u have symptoms due to low heart rate
Doctor :   the symptoms are : dizziness , syncopy, faiting
Doctor :   The rate should be min 50 even on metoprolo
Doctor :   I would like to know whether u have any symptoms luke diziiness , faiting?
Doctor :   It seems you have moved out of the chat window. Please log in back if you have
medical queries
Doctor :   hi
Doctor :   plz cont. the chat
User :   No fainting, shortness of breath, dizziness
Doctor :   ok
Doctor :   Do you know ur hear rate now
User :   Nothing showed up re: heart rate concerns in ER; but I do not know his heart rate
Doctor :   ok
Doctor :   How long have you ben on metoprolol
Doctor :   *been
Doctor :   Many people stay on metoprolol 50 two times a day
Doctor :   Some times they are on 100mg 2 times a day
Doctor :   It slows the heart rate and decreases stress on heart
User :   Had stent 5-6 yrs ago & was put on M. even tho he did not have high blood pressure, 25 mg twice a day. Was increased to 50 twice a day 5weeeks ago.
Doctor :   that is fine
Doctor :   metoprolol has severalindications
Doctor :   1 high blood pressure
Doctor :   2.Heart failure
Doctor :   3, Abnormal heart beats
Doctor :   4. Ischemic Heart disease like in ur case
Doctor :   For heart patient they usually keep on 2 med
Doctor :   Metoprolol
Doctor :   telmesarton
Doctor :   Plavix
Doctor :   Aspirin
Doctor :   these are standard medication in when u r stent
User :   My husband takes these meds but instead of telmesarton he takes Crestor. Right now since he got up the pain is lessening, as usual, but he can't take it any more at night.
Doctor :   crestor is cholesterol med
Doctor :   do not chnage the medsnow
User :   What is Ischemic heart disease like you say he has?
Doctor :   just foloow what ever ur doctor advised
Doctor :   I schemic heart diseasemeans there is narrowing of blood vessel supplying heart muscles
Doctor :   That leads to ischemia
Doctor :   means low oxygen supply lading to pain
Doctor :   * leading
Doctor :   Do u have any other Q
User :   Why is the pain so terrific at night & going away now?
Doctor :   I need more time to counsel u
Doctor :   I recommend you buy for 15 more min and clarify your questions which is very imp .
Doctor :   I am giving advicse on the best interest of ur health
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