Hello and welcome to HCM.
Considering the clinical scenario you have mentioned,if I were your treating doctor,i would recommend,
-first ruling out cardiovascular risk conditions by doing ECG,
blood lipids,blood glucose
- controlling anxiety with mind
relaxation techniques,
meditation,yoga,breathing exercises
-balanced diet including lots of fruits,vegetables,dairy products.
-adequate rest and regular 8 hours of sleep
-if still symptoms persist ,management by drug like
metoprolol under physician's supervision becomes necesssary.
I would like to ask you did you reduce the dose of metoprolol without physician consultation?since metoprolol weaning can cause reflux
tachycardia and withdrawal should be done under expert supervision.
Hope this information helps.
Do ask further if you have any more query.
Thanks and regards.