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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Any Suggestion For Major Dizzy Spell, Irregular Heartbeat When Taking Metoprolol Tartrate?

I had a major dizzy spell on Saturday evening. Ended up in hospital, until tonight. Heart monitored, stress tests and dyes. One dr told me not to take metroprol tartrate and one told me I must. Heart test clear. Irregular heartbeat though. I am confused.
Thu, 9 Apr 2015
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Psychiatrist 's  Response
Hi Welcome to HCM.

I understand your query and concern.
Dizzy spells can be a definite feature of heart rhythm disturbances.Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way.Few drugs like beta blockers are certainly known to reduce the heart rate and accelerate the dizzy spells.I advise you to have a complete 24 hr holter ECG which can accurately determine the cardiac conduction abnormalities.Drugs like Isoproterenol will help to increase the heart rate.Drugs like amiodarone can also help to minimise the rhythm irregularities.A 2 Dimensional echocardiography will help to assess the functional reserve of the heart ruling out organic heart lesions.Radiofrequency ablation will also help to eliminate abnormal foci of rhythm.Consult your cardiologist for expert management.
Thank you
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Any Suggestion For Major Dizzy Spell, Irregular Heartbeat When Taking Metoprolol Tartrate?

Hi Welcome to HCM. I understand your query and concern. Dizzy spells can be a definite feature of heart rhythm disturbances.Irregular heartbeat is known to alter the blood supply to the brain leading to impaired function in a transient way.Few drugs like beta blockers are certainly known to reduce the heart rate and accelerate the dizzy spells.I advise you to have a complete 24 hr holter ECG which can accurately determine the cardiac conduction abnormalities.Drugs like Isoproterenol will help to increase the heart rate.Drugs like amiodarone can also help to minimise the rhythm irregularities.A 2 Dimensional echocardiography will help to assess the functional reserve of the heart ruling out organic heart lesions.Radiofrequency ablation will also help to eliminate abnormal foci of rhythm.Consult your cardiologist for expert management. Thank you