apollo
  • Male
  • 33 Years
  • 29/01/2025

I've been noticing that when I exercise at the gym, my heart starts beating really fast, almost like it's racing. It seems to take a bit longer than I'd like for everything to calm down afterward. I had some blood work done, and everything came back normal, including my cholesterol levels. My cardiologist has mentioned that everything seems okay, but I'm still experiencing these palpitations. What should I do about this?

Doctor 1

Answered by 1 Apollo Doctors

Palpitations during exercise can be concerning, even if your cardiologist has given you the all-clear. One possible cause could be anxiety or stress. I recommend trying a beta-blocker medication such as Metoprolol (25-50mg) before exercising to help control your heart rate and reduce palpitations. Additionally, make sure to stay hydrated and avoid caffeine before working out. If the palpitations persist, it would be best to follow up with your cardiologist for further evaluation.

Dr. Mubarak Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've had some tests done like ECG, 2D Echo, and a thyroid test, and they all came back normal. But still, my pulse rate sometimes jumps to like 120 or 140 and then goes back to normal after a bit. I tried beta blockers for about 4 months, but it didnt really help, so my doctor told me not to worry and said it's normal for me. I've stopped taking the meds now. Should I really not be concerned about these spikes in my pulse rate?

It sounds like you have been experiencing episodes of high pulse rate despite normal results on your ECG, 2D echo, and thyroid tests. Since beta blockers did not effectively control your pulse rate, you may benefit from a calcium channel blocker such as Amlodipine. The usual starting dose for Amlodipine is 5 mg once daily, which can be adjusted based on your response. It is important to monitor your pulse rate regularly and report any persistent high readings to your doctor.

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I'm wondering if taking a beta blocker before getting an ECG might hide any signs of a heart attack. Could it affect the results or mask any important signals that might indicate a problem?

Taking a beta blocker before an ECG can indeed affect the results by potentially masking or hiding signals of a heart attack. Beta blockers can lower heart rate and blood pressure, which may impact the ECG readings. It is generally recommended to avoid taking beta blockers before an ECG if there is suspicion of a heart attack. If you are scheduled for an ECG and are taking beta blockers, it is advisable to consult with your healthcare provider about whether to temporarily stop the medication before the test.

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I'm really worried because I've heard that heart attack symptoms in women can be different from what men experience. Can you explain what signs I should be looking out for? And how can I tell if chest pain is from a heart attack or just something else? Its been on my mind lately, and I'd love some clarity.

See a specialist for accurate diagnosis and targeted treatment.

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