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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Safe To Take Atenolol And Beta Blocker For Chest Pain?

I went to the doctor today for several issues. I am a 31 year old female.I have been having pains in my chest for about 2 months now. Basically, at random times my heart feels like it is going beat out of my chest. It becomes painful. It is worse when I try to do exercise. I have been gaining an excessive amount of weight, and cannot seem to get it off with a healthy diet, or exercise. I am extremely exhausted and feel tired and run down every day, no matter how well I sleep. I get headaches, lightheaded, and my stomach cramps after I eat. While at the doctor, she took an EKG, and said that I have a sinus arrhythmia, that could be cause by an underlining issue such as hypothyroidism. However, until my blood work is back in two weeks she will be putting me on a medication called atenolol 25 mg tablets one time daily, she also called in a beta blocker. I have never taken a medication like this in my life, and have always been pretty healthy up until recently. I am concerned about taking this medication because it is for my heart. should I be worried, and get a second opinion or take the medication?
Sat, 23 Jan 2021
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Anesthesiologist 's  Response
Hello,

It would have been better if you have mentioned your weight in the question. From the symptoms it looks like you have coronary artery disease which is causing fatigue and chest pain. The weight gain you have mentioned in your history can be due to the accumulation of edema fluid in the tissue which can arise due to heart failure.

The stomach pain after eating means you gave post prandial angina which indicates that the blood vessels supplying stomach are also blocked which causes reduced blood supply to these organs after a meal. The beta blockers -atenolol is a beta blocker, which you are getting can help only to some extent. You should get a thorough cardiology work up with stress ECHO and angiogram done and assess the vessels at the earliest. The above symptoms can be also due to a underlying valvular heart disease considering your age.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Meera Rajeev, Anesthesiologist
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Is It Safe To Take Atenolol And Beta Blocker For Chest Pain?

Hello, It would have been better if you have mentioned your weight in the question. From the symptoms it looks like you have coronary artery disease which is causing fatigue and chest pain. The weight gain you have mentioned in your history can be due to the accumulation of edema fluid in the tissue which can arise due to heart failure. The stomach pain after eating means you gave post prandial angina which indicates that the blood vessels supplying stomach are also blocked which causes reduced blood supply to these organs after a meal. The beta blockers -atenolol is a beta blocker, which you are getting can help only to some extent. You should get a thorough cardiology work up with stress ECHO and angiogram done and assess the vessels at the earliest. The above symptoms can be also due to a underlying valvular heart disease considering your age. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Meera Rajeev, Anesthesiologist