Hi doctor, I had a highly varying HR (63 to 128 at rest) and BP (109/78 mmHg to 154/104 mmHg at rest) for around three days. I consulted my doctor on the third day and started taking Propranolol 20 mg thrice daily for seven days and twice a day after seven days. Yesterday night onwards, I was having discomfort and slight pain in the chest. Please help.
Hi. As seen in your brief history, there are some fluctuations in your blood pressure as well as heart rate. I would advise you to get an ECG done as soon as possible as we have to see what sort of heart rhythm are you on. The doctor who has suggested you Propranolol must have done your ECG. So, if it is a sinus rhythm (normal fluctuating rhythm), then it is not much to worry about. But, if it is some sort of abnormal rhythm (arrhythmia), then it has to be taken care of. Secondly, Propranolol 20 mg thrice a day is quite a heavy dose. Propranolol 10 mg twice a day should be started and should be increased every week if required. If you are having chest discomfort after having Propranolol, then just drop the medication for this morning and noon and see if you are normal. As of now, I would like to have a detailed history of you as cardiology suggestion can only be given after taking a detailed history. Revert back with the answers to the above questions to a cardiologist online -->