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?

Answered by 1 Apollo Doctors

Dr Mubarak Parveez B

General Practitioner

MBBS
2+ Yrs

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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.

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Answered 04/07/2025

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I'm experiencing some palpitations over the past few days, so I decided to get an ECG done. It showed a slight elevation in v4 and v5. Could you check things over for me? My echo came back as normal.

The presence of slight ST elevation in V4 and V5 on an ECG can sometimes indicate issues such as early repolarization or, in more serious cases, ischemia or myocardial infarction. Given your palpitations and the ECG findings, it's important to follow up with a cardiologist, even if your echocardiogram (echo) is normal. The echo provides information on the structure and function of the heart, but the ECG findings and your symptoms warrant further evaluation to rule out any acute or chronic cardiac conditions.

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Hey, I was wondering at what point of heart or coronary artery blockage do doctors usually recommend angioplasty? I've been reading up on it and I'm a bit worried. Appreciate your insights on this!

ngioplasty is recommended depends not just on the percentage of blockage, but also on symptoms, overall heart health, and the location of the blockageIn patients with symptoms like chest pain or shortness of breath, a blockage of 70% or greater is usually considered significant enough to benefit from angioplasty to restore blood flow to the heart.

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What should we do when BP is high?

You must be evaluated and started on medications appropriately. Do some lifestyle modifications too such as low salt diet, physical activity daily and quit smoking, alcohol.

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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.