Question 1

I've noticed when I'm lying down that I can really feel my heartbeat in my left chest and sometimes even in other parts of my body. I've already had an ECG, echo, and TMT, and they all came back normal. My anxiety has been under control, but this is still happening. Could it be something else or is this just something normal?

Accepted Answer

can be due to benign causes such as heightened awareness of your heartbeat (palpitations) or muscle twitching. This can be exacerbated by anxiety. To help alleviate these symptoms, you can try taking a beta-blocker medication like Metoprolol (25-50mg) once daily to reduce the sensation of palpitations. Additionally, practicing relaxation techniques such as deep breathing exercises or yoga can also be beneficial in managing these symptoms.

Question 2

I'm dealing with this strange chest pain situation on my left side. It's kind of like a sharp electric shock that lasts for about 12 seconds, then it's just gone. The spot where it happens is almost always the same, and it's been randomly showing up and disappearing for the last 10 days. Could you help me figure out what this might be?

Accepted Answer

This type of chest pain could be indicative of a condition called costochondritis, which is inflammation of the cartilage that connects a rib to the breastbone. To help alleviate the pain, you can take over-the-counter pain relievers such as ibuprofen (Advil) 400mg to 800mg every 6 hours as needed for pain relief. It is important to rest and avoid activities that worsen the pain. If the pain persists or worsens, it is recommended to follow up with a healthcare provider for further evaluation and management.

Question 3

I've been taking metoprolol 50 mg once a day for the past 3 years, but I'm experiencing some side effects like weight gain, gas, indigestion, abdominal swelling, and a puffy face. Are there any alternative beta blockers I can consider, especially since I have mitral stenosis with a measurement of 1.6?

Accepted Answer

Considering your side effects with metoprolol, you can discuss with your doctor about switching to a different beta blocker such as Nebivolol (5 mg once daily) or Carvedilol (6.25 mg twice daily). These medications may have a different side effect profile and could be better tolerated in your case. However, it is important to consult with your healthcare provider before making any changes to your medication regimen.

alcohol cessation is advised. Also salt restricted diet , DASH diet like fruits,vegetables, legumes are advised to the patient.

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