Betablocker

Beta blockers are a group of medicines that work by decreasing the heart activity by blocking the action of hormones like adrenaline and noradrenaline. It is mainly used in the treatment of high blood pressure, heart arrhythmias, heart failure, angina, heart attacks, migraines, etc. Examples of beta blockers include Atenolol, Bisoprolol, Propranolol, Metoprolol, and Nadolol.

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Is the QRS contour abnormality normal for a patient with severe diabetes and hypertension?

Query: Hi doctor, My father experienced chest pain and back pain two days ago. He is 74 years old and diabetic. His BP was 130/84 mmHg and he takes medicine for high BP. His pulse rate was 95. His fasting sugar reading is 126 and PP is 154 with medication. We went for an ECG and something written on the gr...  Read Full »


Dr. Vivek Pillai

Answer: Hi, Welcome to icliniq.com. Your doctor has done the right thing. All those abnormalities mentioned by the ECG machine including the so called inferior infarct are a consequence of hypertension (attachment removed to protect patient identity). The final call on the ECG has to be taken by the treat...  Read Full »

Why do I have unusual palpitations with my blood test reports showing troponin levels dropped below 40?

Query: Hello doctor, Recently, I had unusual palpitations. My doctor diagnosed it as abnormal heart rhythm and referred me to a cardiologist, who suggested a few tests. The blood test report shows that the troponin levels have dropped below 40. Currently, I am using tablet Colchicine 0.5 mg once daily. I a...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. I understand your concern and would be happy to help. I have checked your ECG (electrocardiogram) and other test reports (attachments removed to protect the patient's identity). All the investigations are within the normal range, except for the slightly elevated tropon...  Read Full »

Is there any medicine available to cure left ventricular dysfunction?

Query: Hello doctor, My mother is 53 years old. I have to discuss with you about my mother's heart problem. Two years ago, we get to know that she is suffering from heart disease so we consulted a reputed cardiologist. He examined her and said that the only treatment for her problem is bypass surgery and...  Read Full »


Dr. Ilir Sharka

Answer: Hello, Welcome to icliniq.com. As far as I understand your mother is suffering from heart failure. Unfortunately, there is not too much to be done. A definite solution would be a heart transplant. Anyway, an optimization of her therapy can help improve her situation. So, I would recommend adding a...  Read Full »

I have PVC after starting Methadone. Will beta blockers help?

Query: Hi doctor, I am a 35 year old male, and I am currently on Methadone for chronic pain. I currently have PVC, and my last EKG showed a long QT (over 500 ms). The doctor recommended that I take Magnesium and Potassium supplements as he believes that Methadone may be reducing my magnesium and potassium ...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. I have gone through your explanation in detail, and I understand your worries. Long QT syndrome can predispose you to a fatal arrhythmia known as torsades de pointes. In your case, I will strongly advise you to commence treatment with a beta blocker. This is a saf...  Read Full »

Why do I suddenly experience heart flutters and skipped beats while exercising?

Query: Hi doctor, I am a 24 year old male, who is 5.9 feet tall and weighs 160 lbs. I have been experiencing weird heart flutters and skipped beats. It mostly happens when I am at the gym lifting weight, and taking a deep breath in while doing so. I have always exercised without experiencing such feelin...  Read Full »


Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to icliniq.com. You are probably having PVCs (premature ventricular contractions), which are extra beats and most of the time are benign and not worrisome. The other possibility is atrial fibrillation, especially, if you have episodes of rapid heart beat. Usually, at this young age, i...  Read Full »

How can I get rid of social phobia and performance anxiety?

Query: Hi doctor, I am 17 years old female. I have persistent depression and social anxiety disorder. I have not ever taken medication for this issue. My social anxiety usually springs me into full-blown panic attacks like shaking, feeling unsteady, trouble catching breathes, extreme twitchiness and my th...  Read Full »


Dr. Awadhesh P. Singh Solanki

Answer: Hi, Welcome to icliniq.com. Your symptoms are suggestive of social phobia and performance anxiety. Do not worry as there are lots of good medicines which will help you to perform without anxiety. Medicines like Beta blockers like Propranolol will help to reduce your anxiety symptoms. You can also ...  Read Full »

Will increased BNP value cause edema and dyspnea?

Query: Hello doctor, I will try to be brief. I am a 49 year old female who has been pacemaker dependent for several years. Due to cardiomyopathy EF of 30 %, BNP of 186, and a cardiac event resulting in high troponin. I eventually was switched to a biventricular pacemaker/defibrillator. I had an echo last ...  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. I understand your concern. Although your ejection fraction is now 50%, your BNP (brain natriuretic peptide) value is high which is the reason you are experiencing edema and dyspnea. Increased BNP causes a fluid and pressure increase in your heart, which in turn mani...  Read Full »

I am attaching my dad's medical reports regarding his heart problem. Kindly advise.

Query: Hello doctor,My 65 year old father has a heart problem. I am attaching his medical reports with this message.  Read Full »


Dr. Isaac Gana

Answer: Hello, Welcome to icliniq.com. I have gone through your dad's results (attachment removed to protect patient identity). The echo investigation indicated an evidence of diastolic dysfunction. This can be caused by cardiomyopathy, or in aged patients with diabetes or hypertension, etc. I  generally r...  Read Full »

Is it possible that anxiety causes episodes of bradycardia?

Query: Hello Doctor,   Is it possible that anxiety causes episodes of bradycardia?  Read Full »


Dr. Ashok Kumar Choudhary

Answer: Hi, Welcome to icliniq.com The answer is definitely NO which means anxiety in pure form does not cause bradycardia since anxiety is associated with increased adrenergic activity. But bradycardia can be found in a person with anxiety disorder because of other factors: If you are taking beta-bloc...  Read Full »

Can Metoprolol be used for anxiety?

Query: Dear doctor, I am on longtime BP medicines, Metoprolol 50 mg and Losartan 80 mg once a day for two years. My BP went up to 145/100 often in the last month. I got a new medication from my doctor, Irbesartan 150 mg and Metoprolol 50 mg once a day. Now the BP is excellent, over the day 125/85. Pulse ar...  Read Full »


Dr. Anshul Varshney

Answer: Hi, Welcome to icliniq.com. Let me tell you very clearly that, Metoprolol is the drug of choice, not just for hypertension but it has shown to have mortality benefits to cardiac patients. It helps for that purpose by : Reducing cardiac remodeling. Controlling heart rate. So, I would suggest...  Read Full »

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