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 🙏🏼
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.
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)
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.
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.
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.
Far more informative than my cardiologist who is busy with people far sicker than I am and not interested in spending the time you have here informing me. You are spot on correct. PCV's gone, and I never had them before in my life. I am back to normal 6 months later.
Wow, this video is such a lifesaver and so informative! I was put on betablockers about 2 weeks ago for palpitations and wasn't sure how will that affect until I see my cardiologist. THANK YOU!!!
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).
Thank you so much. My cardiologist basically said I could take a beta blocker with no explanation of how they work, side effects, long term/short term etc. You seem to always answer the questions that we haven’t even asked yet. It’s very validating and comforting.Thank-you.
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.
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....
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. ♥️
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
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.
If I could sacrifice my everything for someone, it must have been Dr Sanjay Gupta. You really really have such a lovely heart ❤️ You're not only treating the hearts, you're also winning them ❤️ Love you my dearest Dr Sanjay Gupta Lots of love from Pakistan 🇵🇰
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.
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.
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 seem to be a great person, and thank you!!! I have been taking a beta blocker for 30 years now... I had severe palpitations, when I would go into these episodes with my heart, my pulse rate was over 200 times per minute... It turned out to be mitral valve prolapse... My heart rate was so fast I could not walk, I had to lay in the floor until it passed... I would have blinding headaches, and every time I stood up I would blackout... For me the beta-blocker only had one side affect... IT SAVED MY LIFE... I was placed on medicine at the age of 25... Once again I say it saved my life...
I am the same slight MVP. Had lots of palpitations, racing heart beat at times. Went into Afib 5-6 times over a 10 year period. Been on Atenolol 25 mg for 26 years. I have no symptoms or Afib in last 8 years. I think at 65 they may be causing fasting glucose to be 100-110. I feel also it may effect memory after 25 years. I would like to wean off. Anybody had any luck doing that I heard it is hard to do.
Thank you for this reassuring info! My doctor put me on a beta blocker about 6 weeks ago for high BP and palpitations. It does slow me down, but because I have anxiety, in some ways it’s a good thing. I’m enjoying your videos, and I’m relieved that you endorse the use of beta blockers. It has really helped my BP, and after a month or so the palpitations have lessened. I’ve been slowly losing weight and have cut way back on caffeine, carbs, etc., so I hope that I can go off the beta blockers in another month or two. 😊
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.
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.
What a blessing you are doctor to all of us who suffer from severe PVC's and who have cardiologists who either take these things too lightly or never explain what's happening to the extent you do. I suffer miserably with bigeminy PVC's on a constant nonstop basis. I've been through a series of beta blockers with no luck, metoprolol being the worst for me anyway, and finally have my life back with Bystolic, 10 mg in the am, Norvasc 5 mg in the afternoon and Bystolic 10 mg in the evening, no side effects whatsoever, thank God. I also followed your advice on the magnesium taurate 125 mg twice daily and feel so much better. To all out there who suffered like did, don't give up on the beta blockers, sometimes it takes going through a few to get the right one. God bless you doctor for helping us.
@@rosejackson7979 Metoprolol exacerbated my pvc’s, gave me chest pains, made me feel like garbage, and I had intermittent fluid retention in my lower extremities, and always felt like I had to cough.
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 don’t know what else to say that other people already haven’t except THANK YOU from the bottom of ‘my heart’ I get palpitations and tachycardia, in future I will try and use your information to try not to get so anxious. Thank you so much Sanjay
I've been dealing with SVT for about 10 years and finally started on Betta blockers today! Very low dose 3.15mg. uncomfortable feeling at first, it basically just makes you feel relaxed and for me makes me feel kinda heavy. Im really hoping it cures it, love your videos. You explain everything more than my doctor's do. Thank you very much!
If your own doctor is no good at teaching patients , tell him about this gifted intelligent teacher, who is brilliant at integrating theory and practice! Excellent evidenced based information, you can trust this Doctor.
Your videos are so reassuring! More than my own cardiologist!! Reassurance is what i need to calm down this irritable heart of mine!! When i am having events i watch one of your videos and the palps start to calm down in no time. Thank you for your helpful videos :)
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
Yesss, thank you so much for this. Im on a low dose of Propranolol for palps caused by anxiety of palps/and caused by hormonal fluctuations. I love them and my life isn't about palpitations anymore, the relief I get from that is a beautiful thing. I do wonder about weaning off at some point but I'm not ready yet. All the information about how they work and what palpitations are -I've had to research for myself (I'll probably be a heart surgeon in my next life) and your videos explain all the details that us disco hearted people want. You're an angel🤩
Hi Lucy how low is your dose ? I just start taking a few days ago but It just makes me awful on and off all day. I still have palpitations but not like before. I’m taking 25mg but I take take half of the pill mornings and before bedtime.
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?
Thank you for all your videos. This week I took my first tablet of 10mg beta blockers and it worked amazing. I had really bad social anxiety issues at work and heart palpitations problems. The tablets got rid of it all completely. I can’t believe it actually worked. I’ve spent years trying to find a resolution and thank god I have now been prescribed this. My life has completely changed. I feel normal. I wish people that suffer from these issues knows about this cure!
Thank you for your comment. I really appreciate you taking the time to watch and comment. I would be so grateful if you would consider subscribing to my youtube channel (YORKCARDIOLOGY). It would also mean a tonne if you’d consider sharing the video. I am on Instagram as YORKCARDIOLOGY and my facebook page is “@yorkcardiologist” I will also be sharing transcripts of the videos on my website www.drsanjayguptacardiologist.com You can speak with me via www.yorkcardiology.co.uk My WhatsApp number is +447951310008 and I will be posting more videos on WhatsApp via WhatsApp broadcasts If you add me to your contacts and send me a message with your name we will be all good to go:-) best wishes Sanjay
Thank you Dr. for the time that you give to people to help re-assure them, I myself included. I have suffered with PVCs for over 30 years and i still feel anxious every time I have a flare up. I do have them daily but somedays they are a bit calmer than other days. I do take a Beta Blocker 50mg daily and that seems to help although it does not alleviate them totally. I have had many echos, stress tests and am followed by a cardiologist and my heart is good, EF greater than 70. I have learned a great deal from listening and watching your videos , all very helpful. Thank you again.
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.
as someone who had them everyday for a long time I can't recommend taking magnesium twice a day enough, huge difference, as long as I don't over indulge in food I never have them anymore
Thank you Doctor for the amazing knowledge you share with millions of people to help them to cope with HBP, and I am one of them, You are doing a fantastic job., I am on Beta-blockers and the palpitation was making my life misery during the night. When I watch your video and follow your advice, My palpitation is starting to slow down. I use to wake up 3 or 4 times a night to drink water, now I wake up twice. I just want once again to thank you for your contribution. God bless. you.
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
I get palpitations, but it's very random. Not daily. Never had my heart checked. My father did die of a heart attack and I have high cholesterol 😬. Got beta blockers. Great information, thank you
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?
Hello Dr Sanjay! I am admired the way you have explained all corners about plapitations. I have seen almost for more than 6 hours different videos on palpitations related to the types, seriousness and the reasons fall inn causing palpitation. I want to add here that your suggestion is quite safe as mentioning for 3 to 4 weeks at max. Whereas I took Tenormin 25mg (the lowest Potency) for 4 years as half self medication and half recommended by a practitioner, I have faced side affects very badly and on a long run it disturbs all type of cholesterols. Additionally it causes obesity and etc etc. So you are very right to maintain life style from Day 1.
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.
Thank you for your in depth on beta blockers im 26 and my EF ejection fraction is at or around 40-45% i go to the cardiologist tommorow and i wasnt having the palpations for a while but have had bad anxiety the past month and i noticed i been having palpations more because i get worried and its like u said a cycle but the beta blockers really do help im on Metoprolol 50mg twice a day and they help i just pray my heart will get better and my EF will improve only God can heal me thank you and God Bless!
TexasMadeBoy I had the same problems as you around the same age and was prescribed the same medication and dose. I found out it was GERD. It’s twenty years later and I’m STILL taking Metoprolol because I can’t get off of them!
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.
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.
Thanks for this video, I have been put on beta blockers propranolol for anxiety due to palpitations and waking up during the night with my heart racing. One tablet a night seems to be helping with both anxiety and the palpitations. Thanks for taking the time to explain this to us . My doctor did not explain any of this, she just gave me the choice of anti depressant or beta blockers. I'm seeing a cardiologist this week so hopefully she will be able to investigate more and give me the answers I'm looking for . Thanks your a 🌟
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.
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 :)
Better than my Ex-pharmacist wife and many other cardiologist I saw - they tend to be very complicated people. You also doing excellent in BBC news good job - bless you!
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.
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 ..
I wish I had your videos when I was so consumed with this problem. I still have palpitations but I now have Generalized Anxiety Disorder which got worse with the palpitations. It makes life hard but trying to move forward. I appreciate your videos. I know how reassuring it can be for people who suffer from palpitations.
Laurie Trotman mine are normal rate but a forceful strong beat in my neck especially- they drive me crazy drs tell me anxiety but I’m not sure :( . How long have you been having them for? Have you found any tips to stop them?
7 years later and this video is still helping people get through this. I appreciate it Dr. Gupta hope all is well
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
@@xavierlo4832 this made me smile with my heart. I'm 85. Thank you for the encouragement.
@@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 🙏🏼
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.
thank you so much - you make my day!
York Cardiology thank you beautiful person. I wish you all the best in this world cause you deserve it. Have a amazing day Doctor 😊
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.
@@nahemaibrahim1047 Atenolol is an old beta blocker. I take Coreg which is much better.
The absolute best cardiologist on planet earth. You make me feel so much better.
I’ve said this before; I’ll say it again: you are a godsend. Thank you so much.
Thank u very much for the info doc
I wish my cardiologist was like you.
I see him once a year and I’m out the door in two minutes
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.
Change him ASAP!
@@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 watson all he wants to do is swipe your ins card. 2 minutes is all it takes
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)
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.
@@monicaclark9581 Trust me they're no good in the UK, Dr Gupta here is a rare man
Just leaving now the cardiologist with a beta blocker prescription and found this video. Super helpful thank you
It is so refreshing to see an authentic human being as a doctor.
Despite being busy .
God bless you.
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’m going through the change, and my palpitations are terrible. Thank you for this! It’s giving me peace of mind.
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.
Far more informative than my cardiologist who is busy with people far sicker than I am and not interested in spending the time you have here informing me. You are spot on correct. PCV's gone, and I never had them before in my life. I am back to normal 6 months later.
What did you do?
What did you take?
Wow, this video is such a lifesaver and so informative! I was put on betablockers about 2 weeks ago for palpitations and wasn't sure how will that affect until I see my cardiologist. THANK YOU!!!
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).
Thank you so much. My cardiologist basically said I could take a beta blocker with no explanation of how they work, side effects, long term/short term etc. You seem to always answer the questions that we haven’t even asked yet. It’s very validating and comforting.Thank-you.
I went to my GP after watching your videos and she couldn’t have been less interested. Thank you for your wonderful, informative videos.
Mines the same always say anxiety anxiety anxiety if I had a urine infection my doc would blame my anxiety... Very disconcerting ❤️
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.
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....
Thank you Doctor for such a well presented discussion on Beta Blockers! All Respect to You Sir for this authentic and complete messaging!
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. ♥️
Beta blockers work wonderfully for me. They make me calm also. Thank you for your great videos, you are an amazing cardiologist!
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
billjoang same for me. I started to toprol xl. Same dose. Noticing nothing thus far as far as side effects. Settled PVCs a bit so far and less intense
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.
The abolutely same thing is happening with me! Very thankful for this good Doctor! ♡
If I could sacrifice my everything for someone, it must have been Dr Sanjay Gupta.
You really really have such a lovely heart ❤️
You're not only treating the hearts, you're also winning them ❤️
Love you my dearest Dr Sanjay Gupta
Lots of love from Pakistan 🇵🇰
So appreciate your sensitivity to the "patient-perspective", and your calm, comprehensive, comprehensible explication of topics,
DR GUPTA IS SMART AND A GOOD MAN.
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.
How r u now?
I'm 16 and I'm experiencing heart palpitations I'm currently on beta blockers and it having a major impact on my life
The medication you’re taking only works 50% of the time. Switch meds!
@@Brandi.Nicole Switch to what?
@@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.
Sanjay, as always your videos are concise yet comprehensive, clear and just amazing.
Thank you sir !
I can’t thank you enough for sharing your knowledge. And taking the time out of your busy schedule to help complete strangers. God bless you!!!!
You have a kind soul
Thank you so much for this. Very precise explanation. You are helping a lot of us experiencing palpitations that lead to anxiety. Kudos Doc!
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.
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!
Hey I'm currently on inderal 10mg.
How long should I have to take this..??
@@ArjunSingh-sl8zr ask ur cardiologist
Beta blockers are not safe long term. You are altering body function in an unnatural way.
You seem to be a great person, and thank you!!!
I have been taking a beta blocker for 30 years now...
I had severe palpitations, when I would go into these episodes with my heart, my pulse rate was over 200 times per minute... It turned out to be mitral valve prolapse... My heart rate was so fast I could not walk, I had to lay in the floor until it passed...
I would have blinding headaches, and every time I stood up I would blackout... For me the beta-blocker only had one side affect... IT SAVED MY LIFE...
I was placed on medicine at the age of 25... Once again I say it saved my life...
Have you been evaluated for an adrenal tumor?
@Teresa Coins which Beta Blocker did you take
Good to hear as im in hospital now for it
I am the same slight MVP. Had lots of palpitations, racing heart beat at times. Went into Afib 5-6 times over a 10 year period. Been on Atenolol 25 mg for 26 years. I have no symptoms or Afib in last 8 years. I think at 65 they may be causing fasting glucose to be 100-110. I feel also it may effect memory after 25 years. I would like to wean off. Anybody had any luck doing that I heard it is hard to do.
What was your bp when pulse was 200
This is an older video, but I am benefiting immensely from your videos. I wish & pray I can find a doctor like you!
Thank you for this reassuring info! My doctor put me on a beta blocker about 6 weeks ago for high BP and palpitations. It does slow me down, but because I have anxiety, in some ways it’s a good thing. I’m enjoying your videos, and I’m relieved that you endorse the use of beta blockers. It has really helped my BP, and after a month or so the palpitations have lessened. I’ve been slowly losing weight and have cut way back on caffeine, carbs, etc., so I hope that I can go off the beta blockers in another month or two. 😊
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!
Me to
@ClarkyGuitar which Beta Blocker did you take?
@@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.
@@ClarkyGuitar how long did it take for Bisoprolol to work? I have been given that but scared to take it
Wow, what a simple explanation. This is so helpful. I was so worried since last few weeks. After this video I am not worried.
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.
What a blessing you are doctor to all of us who suffer from severe PVC's and who have cardiologists who either take these things too lightly or never explain what's happening to the extent you do. I suffer miserably with bigeminy PVC's on a constant nonstop basis. I've been through a series of beta blockers with no luck, metoprolol being the worst for me anyway, and finally have my life back with Bystolic, 10 mg in the am, Norvasc 5 mg in the afternoon and Bystolic 10 mg in the evening, no side effects whatsoever, thank God. I also followed your advice on the magnesium taurate 125 mg twice daily and feel so much better. To all out there who suffered like did, don't give up on the beta blockers, sometimes it takes going through a few to get the right one. God bless you doctor for helping us.
Did you get ever get fluid retention from metoprolol ?
@@rosejackson7979 Metoprolol exacerbated my pvc’s, gave me chest pains, made me feel like garbage, and I had intermittent fluid retention in my lower extremities, and always felt like I had to cough.
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 the same problem.....can you tell me if something has helping you?
I don’t know what else to say that other people already haven’t except THANK YOU from the bottom of ‘my heart’ I get palpitations and tachycardia, in future I will try and use your information to try not to get so anxious. Thank you so much Sanjay
I've been dealing with SVT for about 10 years and finally started on Betta blockers today! Very low dose 3.15mg. uncomfortable feeling at first, it basically just makes you feel relaxed and for me makes me feel kinda heavy. Im really hoping it cures it, love your videos. You explain everything more than my doctor's do. Thank you very much!
@@daveonthegocurley I'm doing great! I haven't had any attacks on the medicine, I get a few skip beats here and there but that's it.
What kind of beta blocker you have? What name of the beta blocker?
Sorry but 3.15mg of toprol is a homeopathic dose. Probably you benefitted from a placebo effect. But if it helps, thats good enough.
If your own doctor is no good at teaching patients , tell him about this gifted intelligent teacher, who is brilliant at integrating theory and practice! Excellent evidenced based information, you can trust this Doctor.
Thank you so much for this brilliant video. Mr Gupta you are a blessing from God!
Your videos are so reassuring! More than my own cardiologist!! Reassurance is what i need to calm down this irritable heart of mine!! When i am having events i watch one of your videos and the palps start to calm down in no time. Thank you for your helpful videos :)
I'm grateful for yr explanations and for my beta blocker. It DOES cause nightmares, tho.
Wow my mom said it makes you feel sad and depressed. That's what I'm not tryna do tho lol. I have heart palpitations.
Well that was both so informative and reassuring, you have allayed all of my betablocker concerns in a 15 minute video.
Thank you so much.🙏
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
So useful. Thank you. So nice of you to take the time to put all this info out there. Much appreciated.
I could cry because you have brought me so much peace right now. ... going in for more testing tomorrow..
No doubt, you are the best cardiologist one could wish for. Thank you so much for the info you are sharing which i havent heard from my doctors🤗
Couldn’t agree with you more!!
This has been so useful!
You are such a great person!
Im a nursing student, really like this video cause it helped me understand what it is, thank you
Love your videos! So kind of u to address so many questions we didn't ask during our too-short doc appointments.
Yesss, thank you so much for this. Im on a low dose of Propranolol for palps caused by anxiety of palps/and caused by hormonal fluctuations. I love them and my life isn't about palpitations anymore, the relief I get from that is a beautiful thing. I do wonder about weaning off at some point but I'm not ready yet. All the information about how they work and what palpitations are -I've had to research for myself (I'll probably be a heart surgeon in my next life) and your videos explain all the details that us disco hearted people want. You're an angel🤩
Hi Lucy how low is your dose ? I just start taking a few days ago but It just makes me awful on and off all day. I still have palpitations but not like before. I’m taking 25mg but I take take half of the pill mornings and before bedtime.
I forgot to mention that I have sinus tachycardia
@@gaby2786 Hi, I take 10mg, twice a day- I'm allowed 3 per day but seldom take 3. Have you been told to split the tablet?
@@gaby2786 how are you now?
@@gaby2786 how are you doing now
Amazing. Just what I needed to know. Much appreciated.
This Doctor is amazing
Very good videos on palpitations, thank you Dr Sanjay, these have helped me immensely
Thank you Dr. for sharing your expertise in Cardiology. An RN & MedTech here from the Philippines thanking you so much!
Thank you Dr for explaining about those beta blockers. I always feared them 👍
You're a great man,thank you for all the extra information.
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.
Do you recover from post covid19
I have also same problem
There are many reasons this could be going on . You need a kind, thorough practioner, perhaps a cardiologist and an endocrinologist to study you
@@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?
The most helpful videos online! Thanks so much! Just started on Beta blockers for Palpitations and anxiety.
Thank you for all your videos. This week I took my first tablet of 10mg beta blockers and it worked amazing. I had really bad social anxiety issues at work and heart palpitations problems. The tablets got rid of it all completely. I can’t believe it actually worked. I’ve spent years trying to find a resolution and thank god I have now been prescribed this. My life has completely changed. I feel normal. I wish people that suffer from these issues knows about this cure!
Propanalol
Thank you for your comment. I really appreciate you taking the time to watch and comment.
I would be so grateful if you would consider subscribing to my youtube channel (YORKCARDIOLOGY). It would also mean a tonne if you’d consider sharing the video.
I am on Instagram as YORKCARDIOLOGY and my facebook page is “@yorkcardiologist”
I will also be sharing transcripts of the videos on my website www.drsanjayguptacardiologist.com
You can speak with me via www.yorkcardiology.co.uk
My WhatsApp number is +447951310008 and I will be posting more videos on WhatsApp via WhatsApp broadcasts
If you add me to your contacts and send me a message with your name we will be all good to go:-)
best wishes
Sanjay
Thank you Dr. for the time that you give to people to help re-assure them, I myself included. I have suffered with PVCs for over 30 years and i still feel anxious every time I have a flare up. I do have them daily but somedays they are a bit calmer than other days. I do take a Beta Blocker 50mg daily and that seems to help although it does not alleviate them totally. I have had many echos, stress tests and am followed by a cardiologist and my heart is good, EF greater than 70. I have learned a great deal from listening and watching your videos , all very helpful. Thank you again.
I suggest you have an iron test for anaemia.
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.
Mmmmm, D3 -- my favourite 'vitamin'.
any body plz reply me madicines is good for svt or no
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.
How do I contact you to share my thoughts
The very way you speak has a calming effect on someone already anxious on related topics. Good going Sir. Good wishes :)
Great advice about heart palpitations. I have them . I'm learning a lot from you!
as someone who had them everyday for a long time I can't recommend taking magnesium twice a day enough, huge difference, as long as I don't over indulge in food I never have them anymore
@@AhYesIndeedItsFunTime heii dear how dd u get rid of the palpitations
Very clear and so useful. Thank you 😇
You are a great Dr. Highly recommended and respectful. Thank you!❤️
This is the most helpful video I've ever watched! Thank you!
I see a lot of questions..no answers. Love your videos
I think he picks topics to discuss from views' comments.
Thank you Doctor for the amazing knowledge you share with millions of people to help them to cope with HBP, and I am one of them, You are doing a fantastic job., I am on Beta-blockers and the palpitation was making my life misery during the night. When I watch your video and follow your advice, My palpitation is starting to slow down. I use to wake up 3 or 4 times a night to drink water, now I wake up twice. I just want once again to thank you for your contribution. God bless. you.
Bro my life is hell due to palpitation ....im not able to sleep can you tell me if something helped you?
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 😔
My nurse Practioner is the same way, I don't feel confident in her and I want to run out of her office from anxiety.
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
@Random Autonomous Drone Pilot NHS?
@Random Autonomous Drone Pilot
It’s all free in UK
I get palpitations, but it's very random. Not daily. Never had my heart checked. My father did die of a heart attack and I have high cholesterol 😬. Got beta blockers. Great information, thank you
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?
Hello Dr Sanjay! I am admired the way you have explained all corners about plapitations. I have seen almost for more than 6 hours different videos on palpitations related to the types, seriousness and the reasons fall inn causing palpitation. I want to add here that your suggestion is quite safe as mentioning for 3 to 4 weeks at max. Whereas I took Tenormin 25mg (the lowest Potency) for 4 years as half self medication and half recommended by a practitioner, I have faced side affects very badly and on a long run it disturbs all type of cholesterols. Additionally it causes obesity and etc etc. So you are very right to maintain life style from Day 1.
Another brilliant video, so informative ! Thank you for taking the time to explain all these issues .
+Gillian Retallack Thanks Gillian!
Your presence in tube a boon to so many people. Keep doing 🙏🏻🌿
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 .
What a complete incompetent you had for a doctor!! OMG. I certainly hope you fired him and found a *real* doctor!? Good Night Nurse!!!😳
@@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.
Having just been diagnosed with pulmonary hypertension I thank you for your videos as it is helping me understanding my condition
So, are you taking metoprolol..??
Thank you for your in depth on beta blockers im 26 and my EF ejection fraction is at or around 40-45% i go to the cardiologist tommorow and i wasnt having the palpations for a while but have had bad anxiety the past month and i noticed i been having palpations more because i get worried and its like u said a cycle but the beta blockers really do help im on Metoprolol 50mg twice a day and they help i just pray my heart will get better and my EF will improve only God can heal me thank you and God Bless!
TexasMadeBoy I had the same problems as you around the same age and was prescribed the same medication and dose. I found out it was GERD. It’s twenty years later and I’m STILL taking Metoprolol because I can’t get off of them!
YOURE AMAZING PLEASE CONTINUE TO SHARE KNOWLEDGE
Great expectation. It's very obvious that you are passionate about what you work. Greetings!
You understood what my gastro did not in a few years.
God bless thanks 🙏
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 your case and mine..i would just use them when needed..use themfor..kinda like a chill pill...not a take away my energy for the day pill....
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.
MishMash Thank you for your helpful words ❤️
I have been taking these for 2 weeks now so this was very helpful Dr Gupta
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.
Do you have high Blood pressure? Get checked for hyper aldosteroneism…and lots of things..
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.
Thanks for this video, I have been put on beta blockers propranolol for anxiety due to palpitations and waking up during the night with my heart racing. One tablet a night seems to be helping with both anxiety and the palpitations. Thanks for taking the time to explain this to us . My doctor did not explain any of this, she just gave me the choice of anti depressant or beta blockers. I'm seeing a cardiologist this week so hopefully she will be able to investigate more and give me the answers I'm looking for . Thanks your a 🌟
Thank you for your videos and giving your time! I have learned so much!
Very Helpful information. Thank You Dr. Gupta.
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.
And on Metoprolol my blood pressure would spike 150/104 and up.
How's everything been since you been switched to Verapamil?
Thank you so much! This has put my mind at ease❤️God bless you✝️🙏🏻
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 :)
Orang indo bro?
Yes, I'm from Indonesia
Better than my Ex-pharmacist wife and many other cardiologist I saw - they tend to be very complicated people. You also doing excellent in BBC news good job - bless you!
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.
Thankyou, I like the way you explain it , it’s comforting to hear your honest evaluation
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 ..
Are you from India?
I wish I had your videos when I was so consumed with this problem. I still have palpitations but I now have Generalized Anxiety Disorder which got worse with the palpitations. It makes life hard but trying to move forward. I appreciate your videos. I know how reassuring it can be for people who suffer from palpitations.
Laurie Trotman are your palpitations an abnormal rate or a strong heartbeat type?
They can be both
Laurie Trotman mine are normal rate but a forceful strong beat in my neck especially- they drive me crazy drs tell me anxiety but I’m not sure :( . How long have you been having them for? Have you found any tips to stop them?
Such a charming man. Thank you for your videos, they are very much appreciated
You benefit of many and demystify medical knowledge!! Thank you Dr Sanjay