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Dr. Phil, MD
Dr. Phil, MD, Medical Doctor
Category: Cardiology
Satisfied Customers: 56567
Experience:  Cardiology Expert
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I have a new LBBB no CAD, echo o.k.,MIBI O.K. Stress Echo HR

Customer Question

I have a new LBBB no CAD, echo o.k.,MIBI O.K. Stress Echo HR 114 SR with LBBB. Palpitations are really uncomfortable,exercise tolerance reducing.Was on metoprolol 50mg BD till 2 days ago, now on verapamil 80mg TDS. Feeling worse, BP 120/70 HR88.
6months ago when I first presented to casualty it was intermittent, negative angio. Started on beta blocker, then swapped to perindopril,then back on metoprolol and off perindopril because of persistent palpitations. Now cardiologist trying verapamil. To be honest I am absolutely desperate. I would grateful for any suggestions, not anxiety attack have tried benzodiazepines with little effect, they do help me sleep.
Submitted: 1 year ago.
Category: Cardiology
Expert:  Dr. Phil, MD replied 1 year ago.

I would give the verapamil more time to work

Also, the dose might need to be adjusted.

Perhaps a smaller dose or half a pill

Expert:  Dr .Saeed ahmed replied 1 year ago.

Thank you for your question, I disagree with above expert, you have LBBB on your ECG and palpitations along with LBBB can be due to run of tachyarrhythmia for which you have been tried metoprolol and verapamil. You need a holter test to see which type of tachyarrythmia you are having and based on this it can easily be decided which type of anti arrhythmic you will need, in most cases with LBBB flecainide and amiodarone type medicine are more effective, although they have more chances of side effects but they are more effective in LBBB tachyarrhythmia. Let me know if you have questions, thank you. DO rate as positive if no further questions, Have a nice day.

Expert:  Dr. Phil, MD replied 1 year ago.

I disagree. amiodarone and flecainide have way too many side effects for your age

Expert:  Dr. Phil, MD replied 1 year ago.

please don't forget a positive rating. I appreciate it :)

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