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What Causes Low BP And Chest Fullness While On Beta Blocker?
Question: I had a heart attack in 2012,I am on beta blocker like coreg, spirolactone, and crestor. lately I been experiencing low reading shortly after drinking coffee. .chest feall full .I seem to practice deep breathing and letting it slow it helps for a short time .this has been going on now for two month. I am a truck driver. was wondering if it a panic attack or something else.
Brief Answer:
I would explain as follows:
Detailed Answer:
Hello,
Welcome on HCM!
Regarding your concern, I would explain that it seems more likely to be exacerbation of anxiety: panic attacks (as they are triggered by coffee and relieved by breathing maneuvers).
Nevertheless, as you have a previous history of coronary arteries disorder (cardiac ischemia), it is necessary to closely monitor your blood pressure values for a couple of days and perform a cardiac check up, including a careful physical examination and some medical tests:
- a resting ECG,
- cardiac ultrasound (ECHO),
- fasting blood glucose,
- blood electrolytes level,
- blood lipid profile,
- a screening ecercise cardiac stress test
Only after excluding any cardiac ischemia and any other metabolic disorders, could anxiety disorder remain a rationale responsible factor of your recent complaints.
You need to discuss with your attending doctor on the above mentioned issues.
If you provide me with further medical data (including the recommended tests), I could give a more concrete opinion.
Hope to have been helpful to you!
Feel free to ask me in case of any further uncertainties.
Kind regards,
Dr. Iliri
I would explain as follows:
Detailed Answer:
Hello,
Welcome on HCM!
Regarding your concern, I would explain that it seems more likely to be exacerbation of anxiety: panic attacks (as they are triggered by coffee and relieved by breathing maneuvers).
Nevertheless, as you have a previous history of coronary arteries disorder (cardiac ischemia), it is necessary to closely monitor your blood pressure values for a couple of days and perform a cardiac check up, including a careful physical examination and some medical tests:
- a resting ECG,
- cardiac ultrasound (ECHO),
- fasting blood glucose,
- blood electrolytes level,
- blood lipid profile,
- a screening ecercise cardiac stress test
Only after excluding any cardiac ischemia and any other metabolic disorders, could anxiety disorder remain a rationale responsible factor of your recent complaints.
You need to discuss with your attending doctor on the above mentioned issues.
If you provide me with further medical data (including the recommended tests), I could give a more concrete opinion.
Hope to have been helpful to you!
Feel free to ask me in case of any further uncertainties.
Kind regards,
Dr. Iliri
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Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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