apollo
  • male
  • 50 Years
  • 22/01/2025

I'm really puzzled and a bit worried about what's been going on with me lately. Every time I try to catch some sleep, I get woken up by this chest pain and a rapid heartbeat. It's been happening for over a month now. Climbing stairs also brings on this uncomfortable chest feeling. I'm around 100 kg and on met XL and telmisartan for blood pressure. I had a Stress Echocardiogram and CT angiogram recently, and both came back normal. I also attached my last two ECGs for a reference. I've been reassured that this isn't cardiac pain, but it genuinely feels like angina to me. So I'm kind of confused and not sure whats going on. Could this still be related to my heart in some way, or maybe it's something else entirely?

Doctor 1

Answered by 1 Apollo Doctors

It's good that your recent tests have come back normal, ruling out any cardiac issues. The symptoms you are experiencing could be due to acid reflux or GERD. I recommend trying over-the-counter medication like Omeprazole 20mg once daily before breakfast for 2 weeks. Additionally, you can try raising the head of your bed and avoiding heavy meals close to bedtime. If the symptoms persist, you may need to follow up with a gastroenterologist for further evaluation.

Dr. Dr Khaleel Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I understand that feeling a drop in your heartbeat can be quite alarming. Given that you are taking high blood pressure medication and Concor (bisoprolol, a beta-blocker), it's possible that your symptoms could be related to your medication. Beta-blockers like bisoprolol are known to lower both blood pressure and heart rate, and sometimes they can cause bradycardia (a slower than normal heart rate). This can occasionally make you feel lightheaded or cause an irregular heartbeat. It's important to discuss these symptoms with your healthcare provider, as they might need to adjust your medication dosage or explore other underlying causes for your symptoms. In the meantime, keep monitoring your heart rate and blood pressure, and avoid any activities that could trigger these symptoms or put you at risk.

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