Question 1

Why does my heart start racing for about an hour after I have lunch or eat a heavy meal? I've been on Concor 1.25 mg for two weeks now. My echocardiogram, ECG, Holter monitor, and cholesterol, including LDL levels, all came back okay. I've been diagnosed with panic disorder, but I'm worried if there's a connection here. Any insights?

Accepted Answer

It sounds like you may be experiencing episodes of tachycardia after meals. Since your heart tests and cholesterol levels are normal, and you have been diagnosed with panic disorder, the fast heart rate may be related to anxiety or panic attacks. In addition to Concor (Bisoprolol) 1.25mg, you can try taking a medication called Propranolol 10mg as needed to help with the rapid heart rate. Propranolol is a beta-blocker that can help control the physical symptoms of anxiety, including tachycardia. It is important to discuss this with your doctor to see if it is suitable for you and to determine the appropriate dosage for your specific situation.

Question 2

I'm working from home and I've had some episodes of heart palpitations like 4 or 5 times, along with mild giddiness, but I was able to walk around during those times. That's really all I felt back then. Just to be safe, I went through all the heart tests twiceECG, echo, TMT, chest X-ray, and blood testsand they all came back normal. But my blood pressure and LDL are a bit high, around 140. I've never experienced this before working from home, and nothing's happened for the last 67 months. However, I've been having these symptoms lately: a pinpoint mild pain in my left chest that only lasts a few seconds, sometimes a fluttering or pounding feeling in my left chest or other body parts, and occasionally I feel dizzy, lightheaded, or like I'm floating. So, I'm wondering if this is a heart-related issue or something else entirely, and whatever it is, what can I do to make these symptoms stop? I'm really worried that something bad might happen to me.

Accepted Answer

Based on your description, it is good that you have already undergone several heart tests which came back normal. The symptoms you are experiencing could be related to anxiety or stress. However, it is important to continue monitoring your blood pressure and LDL levels and make necessary lifestyle changes to improve them. To address the occasional mild chest pain and flutteringpounding sensation in your left chest, you can try taking a low dose of a beta-blocker medication like Metoprolol (25mg) once daily to help with palpitations and chest discomfort. Additionally, for the giddiness and lightheadedness, you can take a daily dose of Aspirin (75mg) to improve blood flow. It is also advisable to practice stress-reducing techniques such as deep breathing exercises, yoga, or meditation to help manage your symptoms. If the symptoms persist or worsen, it would be beneficial to consult with a cardiologist for further evaluation and management.

Question 3

I'm monitoring my blood pressure, and it's been around 15595 for the past three days. I've been feeling a slight sensitive vibration in my head, too. This is the first time my blood pressure has been high like this, and I haven't taken any medication before. What would you recommend I do? Is there a specific tablet I should consider?

Accepted Answer

Visit your gen medicine doc for evaluation and appropriate management

I'm really concerned about my mom. She's got a heart rate that's sitting at 100 bpm. What can we do to bring it down to a normal range? Could you suggest any steps, actions, or medications that might help?

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