Question 1

I'm really worried about my heart rate. I was prescribed Propranolol 20 MG for anxiety and palpitations by my cardiologist, but when I started feeling uncomfortable with light chest pain, I went to another cardiologist who told me to stop taking it. So I did, and I felt normal for a day, but then my heart rate jumped from 85 sitting to 145 standing the next day. I'm scared to go to the hospital because my heart rate might increase even more. If it's already at 140 just standing, I can't imagine how high it would go while working. Is this something very serious? Also, my blood pressure at night was 130 after eating and 127 before eating while I was on the medication, but it hardly ever went over 120 before all this. If just two days of using Propranolol caused these withdrawal effects, how am I supposed to handle this medication for the long term? I'm living in constant fear of dying. Can you help?

Accepted Answer

It sounds like you are experiencing significant anxiety and palpitations along with withdrawal effects from Propranolol. The sudden increase in heart rate upon standing is concerning and may indicate a condition called orthostatic intolerance. This needs to be evaluated further by a healthcare professional. To address your symptoms, you can try the following: - Discontinue Propranolol under medical supervision to avoid withdrawal effects - Practice relaxation techniques such as deep breathing or meditation to help with anxiety - Stay well-hydrated and maintain a healthy diet - Avoid sudden changes in posture to prevent orthostatic intolerance In the meantime, it is important to consult with a cardiologist or a healthcare provider for a proper evaluation and management plan. They may consider alternative medications or therapies to help with your symptoms. Remember, sudden changes in heart rate and chest discomfort should not be ignored. Take care.

Question 2

I'm really concerned because every few days, I feel my heart beating really strongly, especially when I'm lying down. It's so intense that my whole upper body shakes with each heartbeat. I've had an ECG and an echo, and both came back normal, but these episodes still happen occasionally. What could be causing this? Should I be worried?

Accepted Answer

It sounds like you may be experiencing palpitations. Since your ECG and echo results came back normal, it's good to rule out any underlying heart conditions. In this case, you can try using a beta-blocker medication such as Metoprolol (brand name: Lopressor) at a low dose of 25mg to help reduce the strength and frequency of your heartbeats. It is important to follow up with your doctor to discuss this option and any potential side effects.

Question 3

Can you help me understand these heart-related numbers? Im seeing terms like "left atrium 3.9cm", "aorta 3.5cm", and "EF 60". It mentions things like mild MR, trivial TR, and concentric LVH too. I'm curious if these results are normal or if there's anything to worry about, especially with LV diastolic dysfunction and no pericardial effusion mentioned. Could you explain them for me?

Accepted Answer

Based on the information provided, you have Concentric LVH, Mild MR, Trivial TR, Good LV Systolic function, Gr II LV diastolic dysfunction, and no clotpericardial effusion. It is important to continue monitoring your condition regularly with your healthcare provider to manage your heart health effectively.

I'm really worried about my mom. Shes got low blood pressure at 11060 and her pulse rate is high at 94. Shes feeling dizzy and hasnt been able to sleep well. What should we do about this? Any advice would be really appreciated.

Normal. if u get symptoms like vcough,breathing difficulty, tremors,seizures immediately physician opinion is advised to the patient.

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