What are the possible causes for palpitations in a 31-year-old?

Hello,

Welcome to icliniq.com.

I understand your concern.

You are having symptomatic bradycardia, which is due to Metoprolol. The dose of Metoprolol should be reduced to 50 mg once a day, and it should be a sustained-release formulation. Another antihypertensive should be added instead of tablet Azilsartan or Telmisartan 40 mg once a day. It would help to have a healthy lifestyle, like avoiding fatty, oily, and high-calorie diets. Have a low salt diet and monitor blood pressure regularly, and blood pressure should not be persistently more than 140/90 mm Hg. Regular exercises like brisk walking and jogging according to your capacity at least 30 minutes a day and five days a week. Lots of green leafy vegetables, fruits, and fish once or twice a week. Avoid meat, smoking, and alcohol. Get your lipid profile and sugars tested once.

I hope this information will help you.

Thanks.