Question 1

I'm trying to figure out which beta blocker is better for dealing with anxiety and arrhythmia between propranolol and metoprolol succinate. Could you help me understand the differences? I'm curious if one is more effective than the other or has fewer side effects. Can you advise on what might be best for me?

Accepted Answer

Regarding anxiety and arrhythmia, both propranolol and metoprolol succinate are commonly used beta blockers. However, propranolol is typically preferred for anxiety due to its additional effects on reducing physical symptoms of anxiety such as tremors and palpitations. On the other hand, metoprolol succinate is often preferred for arrhythmias due to its specific effects on the heart's electrical activity. For anxiety, propranolol is usually prescribed at a dose of 20-40mg taken 2-3 times daily as needed. For arrhythmias, metoprolol succinate is typically prescribed at a dose of 25-100mg once daily. It's important to consult with your healthcare provider to determine the most appropriate medication and dosage for your specific condition.

Question 2

I'm experiencing heart palpitations and my heart beats faster sometimes along with chest discomfort, all this in the past six months or so. I've had an ECG, echo, and TMT and they all came back normal. My blood pressure at home is usually below 12085, but when I go to the doctor's office, it shoots up to 13090 and sometimes even 150100. Should I be worried about this difference in blood pressure readings, and could it be linked to the palpitations I'm feeling?

Accepted Answer

Since six months some time feel heart palpitation and beat faster and chest discomfort. I have done ecg echo tmt everything normal. Bp also below 12085 at home But doctor clinic always 13090 some time 150100. It sounds like you may be experiencing episodes of palpitations and chest discomfort despite normal results on your ECG, echo, and TMT tests. Your blood pressure readings are also slightly elevated at the doctor's clinic. In such cases, your symptoms may be related to anxiety or stress. I recommend trying a beta-blocker medication such as Metoprolol (dosage: 25-50mg once daily) to help with the palpitations and chest discomfort. Additionally, practicing stress-reducing techniques such as deep breathing exercises or yoga may also be beneficial.

Question 3

I'm 29 and just had some tests done, including an ECG, ECHO, and TMT, and the results came back normal, but there was a note in my ECHO report about "LV diastolic dysfunction grade 2." My cardiologist said it's normal and nothing to worry about, but I'm still a bit concerned. I don't smoke or drink and I'm not overweight. I did some Googling and found different explanations about that note, which is making me a bit anxious. I also didn't sleep well  only about 4 hours the night before the tests  and wore double masks during them. Could any of that have impacted the results? Just want to make sure there's nothing I should be concerned about.

Accepted Answer

"Based on your description, it seems like you are concerned about the comment in your ECHO report regarding LV diastolic dysfunction grade 2. Your cardiologist has reassured you that it is normal and nothing to worry about, which is a good sign. LV diastolic dysfunction grade 2 indicates some stiffness in the left ventricle of your heart during the relaxation phase, but it is a common finding and may not necessarily indicate any serious issues. Considering your age, lifestyle habits, and the fact that all your other tests (ECG, TMT) are normal, there is likely no cause for concern. Factors such as inadequate sleep and wearing double masks during the tests could have influenced the results slightly. To further support your heart health, you can focus on maintaining a healthy lifestyle with regular exercise and a balanced diet. If you have any specific symptoms or concerns in the future, do not hesitate to follow up with your cardiologist for further evaluation. No specific medication is required for LV diastolic dysfunction grade 2 at this stage. Just continue with your healthy habits and follow up with your cardiologist as recommended for routine check-ups."

What is the main cause of high blood pressure?

Common factors that can lead to high blood pressure include: A diet high in salt, fat , and/or cholesterol . Chronic conditions such as kidney and hormone problems, diabetes, and high cholesterol. Family history, especially if your parents or other close relatives have high blood pressure.

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