apollo
  • male
  • 28 Years
  • 29/01/2025

I'm a 28-year-old guy and I've been on high BP medicine, Telma 40, for about 2 years. Whenever I lie down, especially on my left side, I can really feel my heartbeat. It's like it's beating outside my chest, and it's making it hard for me to sleep. I've had an ECG and a 24-hour Holter monitor test, and both came back normal. Can you help me understand why this is happening and what I can do about it?

Doctor 1

Answered by 1 Apollo Doctors

  • Feeling your heartbeat while lying on your side is often normal, especially if you're aware of your body due to anxiety or stress. Since your ECG and Holter are normal, it's unlikely to be serious. Try sleeping on your right side, managing stress, and l

Dr. Dhankecha Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I'm a 24-year-old woman with a weight of 37kg, and my heartbeat is constantly around 134bpm, even when I'm resting. For the last 5 years, my heart rate usually stays in the range of 120 to 130. I dont have any other health issues and havent felt any discomfort, but I'm worried this might be dangerous. Do I need surgery, or can this be treated with medicines? Does homeopathy have any solutions? I really want to avoid surgery if possible. Can you help me figure this out?

Your heart rate of 134bpm is slightly elevated, but since you have been experiencing heart rates in the range of 120 to 130 bpm at rest for the past 5 years without any other symptoms, it may not necessarily indicate a serious issue. Surgery is not typically needed for a slightly elevated heart rate. Medications can be used to help control heart rate if necessary. In your case, a beta-blocker medication such as Metoprolol can be prescribed to help lower your heart rate and manage any symptoms you may be experiencing. The usual starting dose for Metoprolol is 25mg to be taken once daily. It is important to consult with a healthcare professional to determine the most appropriate treatment plan for you.

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I've noticed that when I'm at rest, my pulse is usually around 65, but when I stand up, it shoots up to around 90-95 for a few seconds before settling back to around 75-80. Could this be a sign of POTS? I'm a bit concerned and curious about what's happening in my body.

Based on your description of a significant increase in heart rate upon standing, it is possible that you may be experiencing symptoms of Postural Orthostatic Tachycardia Syndrome (POTS). To help manage the symptoms of POTS, you can try increasing your fluid and salt intake, wearing compression stockings, and engaging in regular exercise. Medications such as Fludrocortisone or Midodrine may also be prescribed by your doctor to help regulate your heart rate. However, it is important to consult with a healthcare professional for a proper diagnosis and treatment plan.

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I'm wondering if I should consider getting an angiography. This morning I had a TMT, and back in 2012, I had a stent surgery because of a blockage. I have all the screenshots of my TMT report. What do you think?

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