Thanks for contacting with your health concern and going through your history following is/are necessary guidelines: 1. Since chest pain and abnormal ECG is present thus consult a Cardiologist for stress test and angiography. PS. It is wiser to detect angina early and ask for investigation and bypass surgery, than to wait till an infarct develop. ii. Funny rhythms (palpitations) could be due to anxiety,anemia,hyperthyroidism, left ventricular hypertrophy and Arrhythmias fir which ask for: . ECG & Holter monitor test for Arrhythmia . Serum T3,T4 and TSH to exclude hyperthyroidism . Blood sugar to rule out hypoglycemia . Hemoglobin for blood value 2. Till then: . Avoid excess of tea & coffee . Avoid alcohol & smoking . Avoid mental strain . Avoid sudden exertion like running to catch a bus, moving furniture in house, climbing stairs in hurry 3. Beta blockers are drug of choice in hypertensives with angina and tachycardia or tachyarrhythmia which reduce cardiac mortality and sudden death due to arrhythmia and if you are experiencing side effect with use of the same than your attending doctor may prescribe an alternative drug, preferably a calcium channel blocker. 4. If you want to avoid surgical procedure then one may follow the 5 step approach i. Exercise: brisk walking for 45 minutes every day, at least 5 days a week. . Yogasanas/ Pranayama to relax and stretch various muscles (learn under expert guidance) ii. Stress Management: practice meditation and learn to live with a relaxed mind iii. Low fat diet: Avoid: alcohol, tobacco,caffeine, butter, ghee, cheese,unskimmed milk,saturated oils, deep fried foods,yellow of egg. Take: more of soups, plenty of salads, sprouted pulses,more of bhajis, skimmed milk,margarine instead of butter, onion, garlic, soybean, apple,curd of skimmed milk iv. Elimination of known risk factors: maintain ideal weight (if overweight), avoid mental strain, control sugar (if present) v. Drugs: . Keep the vasodilator at hand: in bedroom, in bathroom, at the office, in travel kits. It is also very important that the relatives know where the tablets will always be found in case of emergency.