- Male
- 42 Years
- 22/01/2025
I've been having this really intense chest pain whenever I'm sleeping or after sitting down for a long time. It's weird because it never happens when I'm walking around. The pain doesn't spread to my jaw or arms, and I'm not experiencing any breathlessness, but my digestion isn't right either. This has been going on for about a month now, but only occasionally. Could you give me some advice on what's going on or what I should do?
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I've been told I have an Incomplete Right Bundle Branch Block, but I'm really concerned because I'm experiencing irregular heartbeats quite often, lasting anywhere from 30 minutes to an hour. My heart rate slows down, skips beats, speeds up, and this cycle keeps repeating. I've had an echo, and my blood tests are fine. The first ECG showed an abnormal sinus rhythm, but the more recent ones only show the IRBBB with a normal sinus rhythm. Im not stressed or anxious, so I cant figure out what might be causing this. What could be going on?
It sounds like you may be experiencing episodes of arrhythmia, given your symptoms of irregular heartbeats with variations in speed. Since your echo and blood tests came back normal, and your ECGs have shown Incomplete Right Bundle Branch Block (IRBBB) with a normal sinus rhythm, it's important to further investigate the cause of your arrhythmias. One possible reason for your symptoms could be Atrial Fibrillation (AF), which can sometimes be difficult to detect on ECGs. I recommend discussing with your healthcare provider about possibly wearing a Holter monitor or undergoing a cardiac event monitor to capture your heart's electrical activity over an extended period. This can help in identifying any underlying arrhythmias such as paroxysmal atrial fibrillation. In the meantime, to help manage your symptoms, you can consider taking a medication like Metoprolol (brand name: Lopressor) at a low dose under the guidance of your healthcare provider. Metoprolol is a beta-blocker that can help regulate your heart rate and reduce the frequency of irregular heartbeats. The usual starting dose for Metoprolol is 25mg to 50mg once daily, but your doctor will determine the appropriate dosage for you based on your individual health needs.
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I'm trying to come off the beta blockers my doctor prescribed for the heart palpitations linked to my anxiety. I'm a bit worried about the process and wondering if stopping them might lead to any issues or side effects afterward. Can you help guide me on what to expect and how to do this safely?
To come off beta blockers that were prescribed for anxiety symptoms like heart palpitations, it is important to gradually taper off the medication under the supervision of your healthcare provider. Abruptly stopping beta blockers can lead to rebound symptoms such as increased heart rate, blood pressure, and anxiety. One common beta blocker used for anxiety symptoms is Propranolol. Your doctor may gradually reduce your dosage over a period of time to minimize withdrawal symptoms. It is important to follow your doctor's instructions carefully during this process. After stopping beta blockers, some individuals may experience a temporary increase in heart rate and blood pressure. However, these symptoms typically subside as your body adjusts to being off the medication. If you have any concerns or experience any troubling symptoms during the tapering process, be sure to contact your healthcare provider for further guidance.
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.






