In this video, Dr Sanjay Gupta, consultant heart specialist talks about the use of beta blockers in patients who are getting recurrent palpitations, skipped beats, repeated PVCs and PACs
Consider virtual doctor consultations. Depending on what condition you're in, it can be a better experience, with more personal touch. However obviously some issues can only be addressed in person.
@@helix3291 How do they check your blood pressure? Mine is way lower at home but I have a phobia about going to the Dr and it goes up to hypertensive level there. Visual would be best for me . My Cardiologist checks my bp monitor any way when I come in, to see what my blood pressure runs at home. He understand anxiety, he has it too.
Robert, definitely scout around for another cardiologist. Your health is far too important and you need to be confident your dr has your interests at heart (pardon the pun)
U r a big man with gigantic heart. God bless your parents that they raised such amazing person like you. Big respect to you. Thank you so much for helping us. Am in love with your personality. We need more ppl like you in this world.
Very useful video... my cardiologist put me on 12.5mg of atenolol for my palpitations but I’m having so many side effects from it... cold feet, insomnia, tiredness. I’m have since started taking a 1/4 in the morning and 1/4 at night and the same side effects happen... should i stop taking them? Do I need to wean off of it? It’s only been 5 days
@dani cali may be he is inundated with calls and written requests!!! He also has a regular clinic to attend. Besides, answering queries without having personally checked the patient concerned may not be very responsible.
Thank you for these helpful videos. I just want to clarify that it’s not ‘flight or _fright‘_ but this sympathetic response name has recently been updated to, ‘fight, flight or freeze’.
I wish my cardiologist would explain things to me in more detail as you do on your videos, I have heart disease and have had 4 stents fitted, initially it helped greatly, but a recent heart scan showed very slight Aortic Stenosis, that was pretty scary for me then to be told I wouldn’t be scanned for another 2years unless anything happens in the meantime, as you can imagine it didn’t exactly fill me with a great deal of confidence! 🥺
What is the lowest starting dose & which is the BB with the least side effects? As a former chemo patient my tolerance to medication is very low. Thank you.💕 Also I was very happy to hear that one does not to have to stay on these permanently. Once again, great information
I have eat bb about three years i think? and lowest dose is 10mg, and my daily dose is 80mg so eight of those 10mg throughout day, but i have noticed that magnesium cit really helps with palpitations, no one told me that ever always (your heart is fine dont worry, eat those!) and yeah when i found his channel couple days ago this is pure gold for people who suffer palpitations
@@patriciaperreca2895 side effects are pretty mild even on my daily doses like cold hands and feet are pretty normal "side effect" but pretty much only real side effect is that its slows you down a little bit, but during aerobic exercise take it easier, my bb is called "propral 10 mg" hmm mb its in europe different brand...hope this helps!
@@patriciaperreca2895 can i ask what is your heart rate? mine is like 65-82 and i wanna give a little update about magnesium, its amazing!! my sys blood pressure is now always between 116-135, before 146-164 so i have eat those mag cit tablets with beta blockers, i hope you feel better!
I have minor leaks on aortic and mitral valves. They were triggering ectopic beats for years. Cardiologist started me with Bisoprolol (beta blocker) and they did helped, but did not reduce chest pains/angina. A specialist cardiologist suggested that I switch to Calcium channel blocker. Tried that and chest pain was gone, but palpitations kicked in. I read on the net to Combine half a dose of bisoprolol and half the dose of verapamil (calcium channel blocker). I discussed with my specialist and he wasn’t keen, but approved it. Result: almost no palpitations, no chest pain/tightness, no breathlessness!!!! Word of caution: every person has a different reaction to the meds and you have to experiment with dosage with your cardiologist. I found that taking the beta blocker before breakfast and the calcium channel blocker before lunch would help me get through the day. Hope it helps someone out there. I can live my life now!
Thanks, Dr. Gupta. I have hyperthyroidism and my heart rate is killing me. I'm so short of breath and my heart always pounds away, even while at rest. I hope my endocrinologist will give me something for it.
I was on Proponol(spelled wrong sorry) that wasn't working anymore. Then they put me on Bystolic one pill a day 5mg and that brought my heart rate down to 55 beats a minute. So they told me to cut the pill in half. Then they told me to only take it when I feel my Palpitations. Even when I do take the meds, it does nothing to get rid of the Palpitations.
York cardiology Hi, i am a big fan of your videos. Kindly help me. Is it possible that ECG, Echo are positive, blood pressure lavel is normal but heart palpitations ( hard palpitations, I feel palpitations all day long) are giving me very hard days. Always feel fatigue. Its even attack my left side of brain feeling like angry. What to do? Should i take beta blocker? If yes which one, how many days and quantity?
I was on Atenolol for High Blood Pressure it worked for 10 months however this drug gave me anxiety attacks for 2-3 months after this drug stopped it gave me mood swings,lethargic and cold hands and feet this drug is not safe . In some Doctors in US they say it can cause a heart attack or stroke if the medication was abruptly stopped. PS I suffered insomnia with this terrible drug. I have to say Clonidine repaired the damage what that beta blocker did. Clonidine is a central agonist pill in which treats high blood pressure in the medulla of the brain.
6 weeks ago today I had an emergency pacemaker. Doctors said prior to the pacemaker I would be taken off Atenelol as it was slowing the heart rate. At the time it was 30 to 35 bpm and very irregular. My blood pressure is still very high but at doctor last week it was very low. Tomorrow I see my primary and hope to get my medication adjusted. The videos are very informative. Unfortunately I have become anxious about a possible stroke. During hospitalization I was not anxious. During the hospital stay my b.p. was too high.
@@bettecarlson3660 I wish you the best towards your recovery and please stay positive as best you can. I went to the hospital twice with racing heartbeats only to find out it was just anxiety attacks. God Bless you 🙏🏼 you’re gonna get through this
@@bettecarlson3660 age is just a number to me Bette! And just remember that god loves you no matter what and this too shall pass, my palps stopped awhile ago but I still get really anxious from time to time and to be honest I still don’t what causes it or how my anxiety even started. My mental heath took a big hit because of it but my spirit will not allow me to quit so I just keep going. I send this message with the most love & positivity. God Bless you Bette ❤️
@shahzaib hassan to be honest sir I’ve never taken meds for my palpitations in fact they’ve gone away thank god but I would talk to a doctor just in case, god bless you as you too will overcome whatever has been ailing you 🙏🏼
I have had issues with palpitations for almost 7 years. Ive also had surgery to correct WPW through ablation. I called my cousin who's a nurse practitioner and had a conversation with him. He suggested beta blockers but said I needed to talk with my doctor first. I was having bad anxiety the day that I called the doctor because of the palpitations. They went ahead and prescribed me beta blockers.. that was 3 days ago and I haven't had any since. I know everyone is different and should probably discuss this with their doctor but for me it seems to have worked.
Thank you and thank you for this video. I truly feel your compassion for someone like me who is constantly anxious with constant palpitations and a racing heart rate. I saw my cardiologist yesterday and she prescribed beta blockers. What a BIG DIFFERENCE even with a very low dose. It’s comforting to hear your informative video that it’s safe to take to help with my physical symptoms. Btw, I have no underlying issues with my heart other than age-related issues (62 yo).
Very interesting a few years ago my then doctor tried to get me on beta blockers , at the time I was training for the London Marathon , running 70 miles a week and with a resting pulse of 38 so interesting what you say doc about not taking them with a low heart rate ! also he said under NHS guide lines I was bordering on being obese even though I didn't have an ounce of fat on me ! I completed the Marathon in 2hrs 53mins at age nearly 50 and I doubt I would have been as quick on the beta blockers as you said it slows adrenaline > All goes to show you know your body better than the doctor and not to always believe what they say , much better to get a second opinion .
@@gloriamaryhaywood2217 Yes I did ! I told him I would come back when I had less time ! :-) Trouble is these days big pharma are too involved with the medical profession.
Also I want to change my dr , she don't make me feel safe 😩 she's very in and out , and goodbye Sam 😢 I want a dr I feel safe with,and has time with me 😔
hiya ye i agree ime new to all this my docter advised me to talk with other ppl who suffer with the same thing they say its anxiety and depression but eclvertimr i mention a symptom they just say no thsts normal they dont give an exsplanation and they must just guess cos 3 diff docters have said 3 diff things what it could be yanno so there all just come in ok by so ive turned to rrying to talk with pll who have same thing.. cos am getiing nowhere....do you get palpz then
Hi Doctor. Thanks for taking the time to make your cardio videos. I find them easy to understand and they have stopped me from worrying unnecessarily. I've viewed a few because I seem to be suffering from what I perceive to be 'missing heartbeats' - sometimes one every 5 or so heartbeats, that sometimes goes on for several hours and at seemingly unrelated times (e.g. in bed, resting.... post meals). My 'missed heartbeats' are very noticeable and the period between these 'episodes' is getting shorter. I'm getting on a bit now (62) so best go see my gp and go from there. I wouldn't mind a referral, leading to electro &/or echo cardiograph but would feel v uneasy if specialist wanted me to undergo something more invasive like getting a camera/sensor inside my veins/arteries (I tend to think - if there are 'bits' (partial blockages) happily 'stuck' in there (i.e. causing no problem), I don't want possibility of them being dislodged, proceeding to cause complete blockage in smaller blood vessel (e.g. lung, brain). Very good case for leaving things alone. I know it's about weighing risk/reward etc. Anyway, thanks again for taking the time.
I have paroxysmal afib. I was taking 25mg metoprolol succinate morning and before bed. I have afib once every 3-6 weeks . I started noticing my heart wold start skipping beats 20 minutes after taking my evening medicine as I would be in bed going to sleep. I then realized nearly al of my afibs have been while laying in bed or sleeping. I think the metroprolol was lowering my pulse too low, below 50, and was then causing my heart to go into afib. I have since stopped taking my evening pill unless my pulse is high and have halved my morning pill to 12.5 g. I recommend people check their pulse before taking their evening pill. if it is low maybe they should skip it. I take magnesium and vitamin d3 and also 2 grams of vitamin c as I read of a study that it helped reduce reoccurrences of afib in patients who had ablations. I have not had an ablation yet but think it can't hurt.
Robb's Homemade Life . Hello mr.Robb. My name is MALLI , im from India. I have atrial fibrillation,I have similar complaints like you. I get palpitations/skipped beats when I’m at rest and especially when I’m slipping in to sleep. Some times its very uncomfortable getting in to sleep. I use kardia device and it shows my heart rate is less than 50 almost always wen i feel ectopics. Im on amiodarone and bisoprolol. I was using bisoprolol even before afib, i never had complaints. Im guessing its due to amiodarone in my case. It would be very helpful. If we can share our experiences regarding this. Please do contact me. Phone number +918106064031, Email ravimallikarjun321@gmail.com. Thank you
Robb's Homemade Life..... that's exactly what I do too. Twice a day is too much. My pulse drops so low I don't need two pills a day....and I only half the one in the morning. I have AFIB as well but half of a metoprolol in the morning does great for me. No issues at all.
The warning sheet says do not stop taking beta blockers all of a sudden because you could have a heart attack but my stress test preparation says to stop taking them 48 hours prior. Is this safe?????
I facing palpitations after eating but not regularly. after that my doctor start beta blocker. Everything is good while taking beta blocker. But after I stopped my condition is getting worst ,I'm facing palpitation issue everytime and heart rate is also getting high after small movement.I want to stop beta blocker. Please help me with this.
I suffer from heavy anxiety and take a betablocker very often when I go for a walk, to the supermarket or when I meet friends. They are really a small "wonder" for me because the suppress the heart palpitations and I feel nearly normal with them. You still feel the anxiety but the symptoms are blocked, they don't get through. Even a small dose of Metoprolol (25 mg) works well. When I am very nervous, I might even take 50 mg. Antidepressants didn't help me at all, they had no effect.
You need to take a regular dose once a day, or twice a day based on the doctor’s recommendations. Beta Blockers are not instant pills. You need to have steady stable concentration in your blood stream, otherwise you are playing with fire with your own heart beat.
Hello dr. Gupta. My physician gave me metoprolol 25 mg tablet but only told me to take half twice a day until I see my cardiologist this Monday. They ran double EKG test of which I was having no Pops at that time, two X-Rays every 3 hours and two separate blood works for the heart every 3 hours and they said that everything was normal he wants me to see the cardiologist because my palpitations are uncomfortable and scary so I'm going Monday and Monday can't come fast enough. It's limiting my abilities of everyday tasks and life and I absolutely hate it and I am sad over it. I do suffer from high anxiety and I get my palpitations early in the morning as well as when I lay down at night. I can also get it if I'm sitting down during the day and I'm not distracted. It's just a horrible thing to live with. Thank you for your videos. I just hope that on Monday the cardiologist won't find anything wrong because I think that's what's giving me even more anxiety. Good luck to everyone. Stress, anxiety sucks! Make it stop please Lord.
@@Sanket3525 there’s others on the market. Just research it. Also they have excellent groups on FB for this with real people who have said the same thing. Join a group or two and it will benefit you greatly.
Dr Gupta, you mentioned lifestyle and your on the right track. Toxicity and deficiency also contributes to palpitations. Do you have videos about possible exposure to mercury through dental procedures or nutritional deficiency?
I tried beta blockers April-June of this year and I had almost all side effects - most of all my heart pounded all day and my rates were down between 38 and 42, my pressures were below 99/55 and I had more skipped beats and panic attacks than I ever have my entire life. They also ruined my stomach and I had constant tightness in my chest. Started with Metoprolol and switched to Bystolic. Even on doses as low as a fourth of a pill were a hassle for me. I wish I was one of the people able to tolerate them but I ended up in the ER 3 times while on them before finally being switched to Verapamil.
Another great video Dr Gupta. I can feel my anxiety levels going down already. Not so scared now. Got my magnesium caps now so hope I can kick those rapid heart beat problems out of my life. Thanks for your advice....
Start drinking arjun tea 2 times a day.. everyone .. and stop coffee for life and cold drinks and walk everyday 1 hour . And stop the oily food for life and eat fruits juices .. and keep yourself happy ..
This video was very helpful thank you. I've had palpitations for about 6 months, which have completely ruined my life. They would last 12 hours at a time. I went to the doctor twice for the quick ECG and of course it was calm at the time and was basically told to go home and relax, given nothing. At the weekend I phone NHS 24 after a bad episode and they sent an ambulance, the paramedics were able to capture the issue properly, with my beats going up to as much as 200bpm. Then straight to hospital it was and on to beta blockers for atrial fibrillation which are working perfectly so far. Also on blood thinners as I may need my heart restarted. It's a vicious cycle, I was getting the palpitations and then worrying about them. I think the way you described it was great, you just need a break from them, beta blockers help and hopefully that will sort it out :)
ClarkyGuitar Really happy I’m not alone in this. My heart palpitations have never really had a diagnosis. I even wore a monitor for a month, and didn’t catch anything worth noting. I’ve dealt with this on and off for almost 15 years, and it’s really affected my life style. I’m to scared to push myself physically, in fear that I might have an episode, and something bad will happen. Have an upcoming appointment with a different cardio doc, and will be trying Bystolic in the mean time. Thanks for giving me hope!
@@aprilmakeupworld6305 I took Bisoprolol (I think that's it's name). I haven't taken them for a year now. I found ways to deal with it like lots of exercise and drinking loads of water. No caffeine too. Still get the odd episode but the worst thing in the world is to worry about them. I took me a long time to do that so it's not easy but it helps.
Pauline van der Hoff can I ask which one and how much. My doc wants me to start metroprolol 25 mg for PVCS. I’m nervous about starting , I’m afraid of the side effects and being stuck on them forever
Dr Gupta, you are simply superb. I am family physician, practicing over last 15 yrs. I haven't seen cardiologist with so much of clarity and good communication skills. God bless you.
Yes, I agree. If I had the same info from my past cardiologist or my reg MD , I think life would a little easier and less gropping around in the dark in what really ails me. All practitioners here in the USA are in a hurry to get to the next patient. Can't always think the the right questions to ask them. Therefore benefical health treatment and perhaps life enhancing advice is not forthcoming coming.
Thank you, Dr. Gupta. I just got a call from my cardiologist that I have too many beats in my upper and lower chambers. He suggested possibly taking a beta blocker after I get some more tests done to rule out something else. I am anti-medication due to side effects. I'm a little comforted to know that I may not have to take them for life, so thank you. ♥️
Excellent video Dr. Gupta! I did suffer from palpitations for about a month, in some instances pretty severe! My cardiologist checked me out, everything was OK! So, he prescribed a small dose of beta blocker, which caused a significant (or dramatic) reduction in palpitations! His plan is exactly what you've described, take it for a couple months and then perhaps go off it, we will see. But the drug is safe and there is cardiac benefit even if we decide to continue it long term. Thank you for such informative videos, really appreciate it!
You forgot to mention the real side effects " Beta1-adrenergic receptor blockers are known to cause central nervous system (CNS) effects, including bizarre or vivid dreams, sleep disturbances, delirium, psychosis, and visual hallucinations.22 Psychosis and delirium have been reported for metoprolol and propranolol." I took propranolol and everyhtime I did I had viual halluciantions at night and vivd nightmares.
Ive been on a beta blocker for many years to help control my BP. Ive noticed over the last several months an increase in PVC's/ectopics and finally got an appt with a cardiologist to be evaluated again (was evaluated 20 yrs ago when the pvc's first appeared). The cardiologist told me at my appt that he's thinking about lowering my dose of beta blocker (currently 100mgs/day) as they can sometimes cause and or exacerbate pvc's/ectopics. Have you heard that theory?
Here is the part of the label from the beta blocker Metroprolol that deals with side effects. First the post-marketing reports and then the clinical trials. 6.2 Post-Marketing Experience The following adverse reactions have been identified during post-approval use of TOPROLXL or immediate-release metoprolol. Because these reactions are reported voluntarily from a population of uncertain size, it is not always possible to reliably estimate their frequency or establish a causal relationship to drug exposure. Cardiovascular: Cold extremities, arterial insufficiency (usually of the Raynaud type), palpitations, peripheral edema, syncope, chest pain and hypotension. Respiratory: Wheezing (bronchospasm), dyspnea. Central Nervous System: Confusion, short-term memory loss, headache, somnolence, nightmares, insomnia. anxiety/nervousness, hallucinations, paresthesia. Gastrointestinal: Nausea, dry mouth, constipation, flatulence, heartburn, hepatitis, vomiting. Hypersensitive Reactions: Pruritus. Miscellaneous: Musculoskeletal pain, arthralgia, blurred vision, decreased libido, male impotence, tinnitus, reversible alopecia, agranulocytosis, dry eyes, worsening of psoriasis, Peyronie’s disease, sweating, photosensitivity, taste disturbance Potential Adverse Reactions: In addition, there are adverse reactions not listed above that have been reported with other beta-adrenergic blocking agents and should be considered potential adverse reactions to TOPROL-XL. Central Nervous System: Reversible mental depression progressing to catatonia; an acute reversible syndrome characterized by disorientation for time and place, short-term memory loss, emotional lability, clouded sensorium, and decreased performance on neuropsychometrics. Hematologic: Agranulocytosis, nonthrombocytopenic purpura, thrombocytopenic purpura. Hypersensitive Reactions: Laryngospasm, respiratory distress. Clinical Trials Experience Because clinical trials are conducted under widely varying conditions, adverse reaction rates observed in the clinical trials of a drug cannot be directly compared to rates in the clinical trials of another drug and may not reflect the rates observed in practice. The adverse reaction information from clinical trials does, however, provide a basis for identifying the adverse events that appear to be related to drug use and for approximating rates. Most adverse reactions have been mild and transient. The most common (>2%) adverse reactions are tiredness, dizziness, depression, diarrhea, shortness of breath, bradycardia, and rash. Heart Failure: In the MERIT-HF study comparing TOPROL-XL in daily doses up to 200 mg (mean dose 159 mg once-daily; n=1990) to placebo (n=2001), 10.3% of TOPROL-XL patients discontinued for adverse reactions vs. 12.2% of placebo patients. The table below lists adverse reactions in the MERIT-HF study that occurred at an incidence of ≥ 1% in the TOPROL-XL group and greater than placebo by more than 0.5%, regardless of the assessment of causality. Adverse Reactions Occurring in the MERIT-HF Study at an Incidence ≥ 1 % in the TOPROL-XL Group and Greater Than Placebo by More Than 0.5 % TOPROL-XL n=1990 % of patients Placebo n=2001 % of patients Dizziness/vertigo 1.8 1.0 Bradycardia 1.5 0.4 Accident and/or injury 1.4 0.8 Post-operative Adverse Events: In a randomized, double-blind, placebo-controlled trial of 8351 patients with or at risk for atherosclerotic disease undergoing non-vascular surgery and who were not taking beta-blocker therapy, TOPROL-XL 100 mg was started 2 to 4 hours prior to surgery then continued for 30 days at 200 mg per day. TOPROL-XL use was associated with a higher incidence of bradycardia (6.6% vs. 2.4% ; HR 2.74; 95% CI 5 2.19,3.43), hypotension (15% vs. 9.7%; HR 1.55 95% CI 1.37,1.74), stroke (1.0% vs 0.5%; HR 2.17; 95% CI 1.26,3.74) and death (3.1% vs 2.3%; HR 1.33; 95% CI 1.03, 1.74) compared to placebo.
Thank you! Thank you! Thank you! Thank you! I appreciate what you are doing for everyone! I hope to meet you one day... but if i don’t, at least you know, you have helped immensely.
I have a question I have some kind of rhythm issue with my heart I've seen a cardiologist in the past they said my heart looks fine my thyroid is normal I was just rushed to the hospital last night because of the heart palpitations my heart rate on normal day laying down or sitting is 90 beats per minute and last night I was watching tv relaxed and started having flutters than I my chest tightened and felt a very sharp pain in the middle of my chest couldn't take a deep breath the more I would breath the sharper the pain would get I called 911 I have a blood pressure machine my blood pressure was 140/ 98 and 187 beats per minute which my blood pressure today and everyday is always 111/69 90-100 beats at a rest can I take beta blockers to control my rhythm with out having to worry about my blood pressure going lower than it is because a lot of years ago my doctor had me on a low does beta blocker and I had no issues except feeling light headed when standing up I have not taken any since I was 21 I just turned 30 in june and it seems my heart flutters are getting worse and my rested pulse rate seems to be getting higher the older I get like today after leaving the hospital my pulse has been 101 all day with 111/69 blood pressure
and another note of the irregular beats my heart will skip from 90 beats a minute and jump up to 105 than down to 87 than back up to 101 it just keeps having fluctuation like that all day
Side Effects: HBP and SVT sufferer back on metoprolol after a bad episode two weeks ago. Don't worry, there's a rainbow at the end of this...keep reading. Betas wipe me out - energy drops, dizziness and this time, particularly if I put on a clean shirt or crawl in bed, my skin itches like crazy, but I can ignore it. Mostly. My sleep is odd (suddenly not getting to sleep til 2 am because I took a cat nap that went on for 4 hours!) and the erection stuff comes and goes. I enjoy a hard workout, used to anyway, but all that went away (I first started betas 9 mos ago and got off 4 mos ago). My weight also went up tremendously I think mainly from stress and some stress-eating habits I've since shed. Also I gave up caffeine, alcohol and greatly reduced intake of inflammation causing carbs, keeping just the absolute necessities like warm sourdough bread with butter cuz otherwise life isn't really...I'll let you finish that sentence. So, after two weeks of being back on betas things are beginning to settle. Yesterday I took a 30 min walk and in the evening I did a 20 min low intensity kettlebell workout and felt great after. I capped that with my new daily practice of meditation, something I really suggest you try. My weight is steadily falling, the lethargic zombie vibe almost gone and my energy is restoring. I'm not going to return to previous fitness levels but hey, I'm 53, and really, really enjoy walking. For me, the best, or other side effect is that I have been forced to make healthy changes in my life...and that is a really good thing for the future.
Great to hear you have a plan in place with regards to excerise and wellbeing. I'm 38 and work in an office finance job running my own biz, during covid lockdowns I got into a bad habit of excessive drinking and dependency of caffience, never ending cycle of work stress, coffee during the day to wake me up, often skipping meals and then straight into beer after work. Have recently had a serious panic attack as had a week of Afib combined with anxiety and couldn't get out of fight or flight stage. Ended up owning a hospital bed for 6 hours whilst my heart settled down. Luckily my heart reversed back to normal rhythm after a massive panic meltdown in the hospital (I thought I was having a heart attack and was going to die). They gave me beta blockers to use just in case. That was 2 months ago and now I've just had another episode of afib. But this time I'm not panicked and have broken past the fear stage. What I have realised from all this is that I'm now really sensitive to caffiene and booze and stress and that life is too short for abusing my body with toxins. My heart is saying it's payback time for all the years of not looking after myself. I was scared to take beta blockers however I'm now 3 hours into bisopropol and feeling much better already. Wishing you all the best
So what cured you of the beta blocker lethargy? I'm suffering hard with having 1% of the energy I used to have a few years ago since going on 20mg X 2 a day of propranalol for constant palpitations / PVC's. Are you saying the meditation and diet did it all?
Hello Dr.Gupta i am having terrible heart palpitations at night when i try to sleep i have been limiting Caffeinated drinks i have had this for about a week and a half due to stress/anxiety.
Was on beta blockers briefly for anxiety, to try and break the vicious cycle, but found the side effects a little rough. Mainly as I'm an athlete, with normal resting HR of 45-50bpm, you can guess what happened on beta blockers :P (I did tell my doctor about this upfront, and they said it was still worth trying anyway). Then given I was on a relatively low dose, I still got anxious about the side effects, esp because it's quite unnerving to feel your HR dropping into the 30s while resting/sleeping. Secondly, I found that I became useless with exercise, and my HR would be quite limited and felt like my physical performance was heavily capped off. They definitely did get rid of the palpitations but were preventing me from doing what I enjoy. However given my health anxiety has gotten worse recently, might be an idea to try again. Interestingly, the week after I was taken off them again, was the best week I had had from a mental health point in a while. Wasn't getting palpitations, but was still able to physically push myself. I guess the beta blockers were long enough for my system to calm down. The other downside was that I felt like if this was the case, its only ever going to be a temporary sticker to mask symptoms, i.e. it doesn't cure the anxiety, or my mental response to things, so naturally it will keep coming back. The feeling of anxiety was definitely still there, I guess the stress response was just curbed.
DR Carolyn Dean says many athletes have heart attacks from being severely deficient of Magnesium which really helps anxiety and levels the heart rate out. Please look her up she is the leading expert in Magnesium and has an article about athletes suffering from Mag deficiency. It is great for anxiety and for the heart.
I’m a sixteen year old girl and my resting heart rate is 100 or over :( heart palpitations and shortness of breath won’t go away and the doctors did an ecg of my heart.
@@leona5508 Sorry to hear that ): Hope you are keeping okay. That does sound incredibly scary and feel sorry that you are feeling that way. I would certainly keep in check with the doctors, while anxiety will certainly play a part, breaking the cycle is important (but also the hardest step). It is entirely possible that there is something that needs addressing, but your anxiety could be making it worse. I'm not a doctor but have read that a resting HR of 60 to 100bpm is considered normal. It's entirely possible that you could be well within the normal range, but anxiety is also elevating your heart rate. From my own anecdotal story, while I have a very low heart rate (45bpm), when I suffered from bad anxiety last year, there were days of intense stress where it shot above 75-80 for a few days. That said, what I would honestly recommend is paying attention to other things in your life and doing things which can make your mind and body feel good. Exercise, yoga, balanced diet and good sleep can literally make a huge difference :) (Also, try and go a week without googling symptoms, honestly, it'll just make you feel rotten). I know its really hard, but see if you can spend a few days focusing on being kind to yourself, if you have people you can talk to, that's really important as well. Whether it is family, or friends who will make the time to listen. If not, then counselling is really good. Even if you don't feel you can get much from it, it can give you guidance and stability. Please don't feel you need to suffer in silence! There are loads of people who can help. The overwhelmingly likely possibility is that there could be some underlying cause such as an iron deficiency, caffeine sensitivity (few of us are perfect). You should be able to trust the doctors, they will honestly know best. it may be hard if they tell you there is nothing to worry about, and its just stress/anxiety, but at this point, you should take reassurance knowing your health is fine.
You can't use beta blockers if your heart is too slow. I had to come off mine after many years because it slowed my heart rate too much... I suggest you try Magnesium I'm using Dr Carolyn Deans, Remag, it works wonders to regulate heart beat and fights anxiety. Co Q10 is is also a good one to take.
@@sixpackbinky Did you stop all or once or wean off them? How did you do it? I have been on 25 mg metoprolol for 5 years. Never had heart problems and doctor put me on them because heart rate was rising upon standing. I found out last year it was due to coming off benzodiapines.
Zee I just came off my Metotoprol 25mg for the same reasons , I cut my dose in half for two days the half again for two days and then I stopped. I’ve only been taking it for 6 weeks though.
Hiya! I have started the menopause and my palpitations are horrid and very random . My practice nurse was talking about treatment for menopause and possibly beta blockers. Last year I wore a 24hr heart monitor and had a ct scan of my heart but all appeared normal. I still suffer from palpitations and had a really annoying episode today. They are so random and make me really anxious. Which probably makes them worse . How about you? Really interested as you said you were also going thro the change.
you probably wont see this but I too am going through the change get yourself some coq10 and magnesium glycinate. Take 320 mg of mag daily I myself take 400 mg you will feel a change by the 3rd day of taking this combo. 200 mg of the coq10 by the way.
Amazing video, even 6 years later. Everything you say is something I can relate to and definitely reduces my anxiety towards palpitations. Which correspondingly reduces my palpitations.
Today, i was used Concor 2.5 mg for my PVCs suspect for the first time, because my cardiologist was diagnosed it to me. my blood pressure is 140/70. So far, amazing, my heart beat rate is slow 54-60 bpm, so relaxing and PVCs in on day, is gone. Next week i will take Echo, i hope the results is well :)
Thank you so much for making this video. It has answered all the questions that I was having in regards to Beta Blockers and the tachycardia and palpitations that I have been having. My stress level has been so high that I thought I was having a MI and started having panic attacks. My dr ordered a Beta Blocker and I have been more anxious since he ordered it because I have been scared to take it as to what or how I might feel. After watching this and now knowing that after things calm down I could be weaned off of it makes me feel so much better. I am young and was freaking out a little if I would have to be on this for life. Thank you again for this video!!
I'm commenting 4 months after this post bur how are you now? I have been on metoprolol 25mg for 2 months and I have had a couple episodes of ventricular tachycardia and I was getting sever anxiety over it. The beta blockers helped me tremendously. Ask for a low dosage first because it may spook you just how effective it can be.
Your life will change after your 1st dose I just started and I feel very good and never feel tired I used to be tired all the time I could sleep all day. Now my body is happy and wants to get out of the bed
@@aerodynamicist4 dam I'm started at 50mg I guess my doctor seen something more lol I feel great now I'm so happy I got put on it. I probably needed it many years ago.
Thank you for making this video doctor. I do have PAC's, PAC's, skipped beats and palpitations. I'm on a small dose of a Beta Blocker. After watching your video I have a greater understanding of Beta Blockers. Thank you for taking the time to keep us informed.
Dr Gupta, You are rightly being praised by everyone who has watched this video. I join them in thanking you for taking the time and explaining the use of this drug, which as you have said, has been shown to be effective in managing the vicious cycle of anxiety causing ectopic beats. I’ve been ignoring mine for many years and recently started on blood pressures meds but still the ectopics continue. My cardiologist has now recommended beta blockers and again, as I do with all meds, I fight the idea taking them. I now accept that the fight or flight that seems to be a part of my everyday response needs controlling and that I obviously can’t do it myself. Thank you for making it clear that it is possible to stop these - if ones heart keeps to its new beating pattern. I also don’t like the idea of starting and staying on meds forever. I’ll hold on in hope that my heart/ body will make use of the low dose beta blockers and learn to manage stress a whole lot better. Thank you for a thorough explanation on the use of beta blockers. Solid medical information that is still relevant today.
I suffer from PACs and it has destroyed my life .. i suffer from bad panic attacks during the day and night terrors when I sleep.. would asprin or a blood thinner help with this? Beta blockers made my arrhythmia worse.
Hello can you tell me what PAC means. I also suffer from panic attacks and night terrors. I am on a blood thinner called Eliquis. I take one morning and night. If you need surgery one only has to stop it for a. Couple of days. It also stops one having a stroke.i am bp med which if i miss one my bp spikes it is horrible. I feel for you and understand where you are coming from.
@@HRH.Princess PACs stand for pre atrial contractions. An irregular heartbeat.. what do you do for panic attacks and night terrors if you dont mind me asking?
I'm 39 male with anxiety and some difficult times in life currently. An AFib episode issued me bisiprolol and it has been the most unpleasant drug experience of my life. Can't sleep...vicious cycle...feelings of doom...very dark thoughts. Massive panic.
I thank you gratefully for your learning videos that are so educational and informative. By guiding me forward through your videos I find one after the other answers I am looking for after have got the diagnosis PVC. It is very calming and comforting to listen to your knowledge and good compassionate heart. You are very admirable - thanks/Antonio,Thailand
Was on propranolol and when I first started it made me dizzy, disassociated, ED, and nightmares. These subsided almost all the way in 2 weeks but were always there in the background tho. Was taking 60 mg Inderal.
You are amazing sir, i feel a skipped beat every two to three days, when i feel it, it feels like very disturbing like what happened for a second, it's unexplainable, my doctor has suggested me Inderal La 40 Hope it would work 🙂
Thank you for covering this topic. I started with dizzy spells and fast heartbeat last November, and I’m struggling to understand my suddenly unreliable body.
@@mohammadaarif3578 I have same problem, happened after covid 19 . I have covid in March and all symptoms started in may and still going on. Do you still have these symptoms?
Dr.gupta my age is 28 and I am suffering from mild MVP but lot of chest pain occur while working .I saw cardiologist thay say there is nothing to worry about your problem but I can't avoid this pain please tell me some advice
SHARAD BANGAR don't worry I too have same problem. Never do heavy work. Always eat light food drink hot water. Don't take ice cream. Check sugar bp cholesterol yearly once . Walking daily..
Hello Dr Gupta, Thanks you so much for detailed sharing of your knowhow. You busy so I'll jump onto my question. My mother 80 years old has mild Asthma, Vascular problems (under control), had a stroke 10yrs ago, has skip heart beats(Heart doc said, its not dangerous) takes a lot of tablets due to stroke. Has been taking Beta Blockers for 10 years, but recently(2yrs) hands and feet especially feels EXTREMLY cold and finds it difficult to cope. Is there an alternative to the Beta Blocker?(I have been told and heard that this is the reason why she is feeling so much cold) What shall I tell my doctor? Doctor does not know why my mum is feeling cold and has slowed down very extremly(she has begun eating whilst sleeping-this was never the case before) Please help. I am from London, UK
I was told I have benign pvcs and pacs. I feel like my heart goes into weird rhythms. I have had stress echos ekgs etc. They say they are all normal. My pvcs seem to be getting worse. What can i do?
Thank you for this helpful video! I have a question. I take Metoprolol 25mg/day since I have A-Fib and palpitations. My eco-cardiogram result is always "normal". I take magnesium and a potassium rich diet every day (avocado, green leaves, coconut water...) Since I consume more potassium and magnesium, I feel so much better, and less and less palpitations. (Finger crossed.) I want to avoid taking the blood thinner (Xarelto) because of many reasons, I prefer use more natural solutions for the better blood flow. I take Omega-3 Cod liver oil, D3+K2 MK-7 (10,000 IU/day), B complex, Acerola extract Vit C, MCT oil and Serrapeptase in the morning. My question is, if you can please answer. I would like to start Nattokinase (without K2 Made in Canada) before bed. I don't know, if I could take it together with Metoprolol and with the other above detailed supplements? Thank you so much for your advise and for all the helpful videos!
Thank you so much for your informative videos! Question for you, I had a cardiac ablation in a May after an episode of SVT that had to be converted with Adenosine. I decided to have the ablation because that episode scared me to death and I didn’t want to worry the rest of my life wondering g when it might happen again. My cardiologist ablated two areas where he found extra accessory pathways. Since this ablation though I feel like I have more ectopic then I’ve ever had, some every day usually. I’m on 100mg of Metropolol to keep them to a minimum which is working well but I’m curious could the ablation have caused all these pvcs?
I'm on 50mg of atenolol once per day. The first two weeks were horrible. Now on week 3 and my symptoms are slowly going away as are the side effects. I had a few episodes of sinus tachycardia where my heart rate got up to 170, it was super scary and that's why I got put on the beta blocker in the first place. Hopefully I will continue to have good results. My heart rate stays between 68-130 depending on what I'm doing. The only side effect that remains is tiredness, but it's not super concerning because I was always tired before I started the medicine.
I've been taking beatable blockers since I was 21 years old for tachycardia, ectopic beats and palpitations. I am now 61 years old. I've had all the tests you can think off. Was told years ago I had mitral valve prolapse by a cardiologist but every other one I've seen over the years have said there is no prolapse and my heart Is normal. I've been on inderel, antenolol and now been on sotalol for the last 20 years. I still get ectopic beats and what I call heart wiggles throughout the day. I may not get them for weeks then they will start again. Even when I'm sitting down relaxing, not worrying about anything they can just start, then I start to worry about them again. I have been on beta blockers for 40 years and no one has told me to come off them. Ofcourse I would be too worried to come off them now so is it OK just to carry on with them for the rest of my life.
I am taking propranolol 10 mg in morning and at night since 18 years. Sometimes when my heart rate accelerates then i take another 10mg at that time to control heart rate. Usually it was 80 per min. Two years ago i had an episode of fast heart rate and it took almost 2 hours and 20 mg to came back to normal. After that i noticed that i am having mostly low heart rate like 60 to 70 and it gives me discomfort i feel very low heavy heart and tired. How can i wean my propanolol to get rid of slow heart rate? Or should i continue with the same dose? What is all this? I am confused. Please pour in your suggestions. Thanks. I also have pvcs PACs flip flops flutters and irregular heart beat sometimes. Please help me dr Sanjay.
I know exactly what you mean about the low resting heart rate. I started Propranolol 20mg 2x day yesterday. My heart rate was down into the low 60's, I was scared to take second dose and phoned my EP's office. They kept saying it was ok to take second dose, then they said well take half tonight. I did not take it. Today they changed my dose to 10mg 2x day. My fear was that since the med had my resting heart rate down into the lower 60's would the second dose just knock it down further. They kept saying no that if it goes down it will only be a few beats. Take both doses. Ugh. I've read about half life and all that but it's scary when it's happening to you. So here I'm online looking at videos and reading comments. I would not wish this stuff on anyone. It's scary.
I found propranolol great. Released in the 1950s still on the market so would appear safe. Caused no erectile dysfunction, great for reducing palpitations, reduced my anxiety anx bp. Only problem I had with them was the fact that they inhibit the production of melatonin though j did not get insomnia from them.
Have you ever heard of mobile internet technology causing heart palpitations? My palpitations started shortly after I began using an iPad. I used it primarily in bed so it was placed on my stomach, close to my heart.
Anyone on beta blockers who gets shallow heart palpitations? Before beta blockers they were the standard intense ones but now they're shallow which feel scarier? Is it because my heart rate is slower now?
For me the solution was calcium channel blockers. 240ml every day. From 10000 Palpitations per day it went down to 20 and somedays to 0. Firstly I took beta blockers but it was a nightmare. Calcium channel blockers was the solution for my PVCs.
My palpitations accompanied with chest pain started after taking a single dose of Sompraz IT, 2 weeks ago. Currently my GP has put me on a beta blocker (Betacap TR 40) but i still feel my heart racing though it has reduced by 25%. Should I continue my med for 4 weeks as prescribed or skip to an alternative ? Your advice will be highly appreciated. Thank you, doc.