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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Chest Pain And Palpitations After Food

Tonight, after dinner, I experienced a racing heart, sweating, shortness of breath and some chest pain when sitting down. I took my BP and it was 132/86 but my pulse was 145. After an hour of sitting, the sweating stopped, and my pulse lowered to 122 with BP of 119/82. I take metaprolol - 3 tabs per day, and am on blood pressure meds also and have been stable and managed for quite a few years now. When I checked my med dispenser, I wondered if I might have missed my morning metaprolol, because there was none for the morning compartment for the next day. So I decided to take my usual night dose of 2 early to see if that helped. Now my pulse is down to 109 but is not moving lower even though a few hours have passed now.
Wed, 22 Jul 2020
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General & Family Physician 's  Response
Hi,

A missed dose of Metoprolol can cause changes in your blood pressure and heart rate. But other causes of chest pain and palpitation such as arrhythmia and myocardial infarction should be ruled out. Cardiac function should be assessed by ECG or Echo. Avoid stress and heavy work for a few days.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Saranya Ramadoss, General & Family Physician
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Suggest Treatment For Chest Pain And Palpitations After Food

Hi, A missed dose of Metoprolol can cause changes in your blood pressure and heart rate. But other causes of chest pain and palpitation such as arrhythmia and myocardial infarction should be ruled out. Cardiac function should be assessed by ECG or Echo. Avoid stress and heavy work for a few days. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Saranya Ramadoss, General & Family Physician