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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Increasing Heart Palpitations, History Of GERD, On Beta Blocker. Numb Hands, Chest Pain. Is Anxiety A Cause ?

hi I am a 40yr old male with a history of gerd. I recently saw a cardiologist about my heart palpitations which were increasing. I was put on a beta blocker Toprol 50 by my primary. my echo was clear and I had 24 hr holter was clear and ekg was normal. I work in a highstress job I am surgical first assistant in heart surgery. also recently I had a bunch of palpitations in a row and my hands went nub no chest pain. I felt like I was gonna die so went to the er, I did forget to take my beta blocker in the morning it was like 5 in the afternoon. the doc prescribed Xanax. so c.ould I have an anxiety disorder which is causing thepalpitations. wht should I do thanks
Mon, 3 Jun 2013
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Cardiologist 's  Response
Hi friend,
Welcome to Health Care Magic

Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / Vitamin D, calcium, magnesium / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on - may be responsible.... / Illicit ‘drugs’ like Amphetamine are notorious to cause abnormal beats / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible!

If there are no clues and if the problem is still bothering to the extent of interfering with life style, you may need Electro Physiological Studies (EPS). Though the test is the gold standard, it is INVASIVE and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. The treating doctor may suggest them depending on need, based on his assessment of the situation.

Adjusting the dose of your Toprol and Xanax may solve the problem...
There are several other drugs / there is also advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS.

Take care
Wishing speedy recovery
God bless
Good luck
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Increasing Heart Palpitations, History Of GERD, On Beta Blocker. Numb Hands, Chest Pain. Is Anxiety A Cause ?

Hi friend, Welcome to Health Care Magic Anaemia / Anxiety / Alcohol / Tobacco (smoking) / Caffeine (too much tea, coffee, cola) / Fever / Infection / Pain / Stress / Thyroid / Vitamin D, calcium, magnesium / Medicines like Phenylephrine used for ‘cold’; Salbutamol used for asthma and so on - may be responsible.... / Illicit ‘drugs’ like Amphetamine are notorious to cause abnormal beats / At times, abnormal nerve paths in the heart (bypass tracts) or disease of the conduction system may be responsible! If there are no clues and if the problem is still bothering to the extent of interfering with life style, you may need Electro Physiological Studies (EPS). Though the test is the gold standard, it is INVASIVE and is not generally done unless there are compelling indications. This super-speciality expert is called ELECTRO-PHYSIOLOGIST. The treating doctor may suggest them depending on need, based on his assessment of the situation. Adjusting the dose of your Toprol and Xanax may solve the problem... There are several other drugs / there is also advanced treatment modalities - like ablation (thermal or radio-frequency), which could be done during EPS. Take care Wishing speedy recovery God bless Good luck