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My heart rate is 58-60 normal recently I hv problem of having chest pain in heveyness in left hand n my ecg is not showing anything abnormal,I m on concor 2.5 mg but after taking tablet i m feeling like heavy ness in head

Y
Yuvraj Patil
Posted Under Cardiology / Heart, on 22 February 2025

Y
Yuvraj Patil
Posted Under Cardiology / Heart, on 22 February 2025
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D
Dr. Rudrani DholeExpert

Dear Yuvraj Patil,

Thank you for sharing your concerns. Based on the symptoms you described—chest pain, heaviness in the left hand, and a normal ECG, along with the sensation of head heaviness after taking Concor (Bisoprolol 2.5 mg)—a few important considerations need to be addressed:

1. Understanding Your Symptoms

  • Chest pain & left-hand heaviness: While your ECG is normal, it’s essential to assess other potential causes, including angina, muscular strain, or anxiety-related symptoms.
  • Heart rate of 58-60 bpm: This is on the lower side but can be normal, especially for individuals on beta-blockers like Concor.
  • Head heaviness after medication: Beta-blockers can sometimes cause dizziness, fatigue, or a feeling of heaviness in the head due to their effect on heart rate and blood pressure.

2. Key Questions for Further Evaluation:

To better understand your condition, please consider the following:

  • Is the chest pain triggered by exertion, or does it occur at rest?
  • Does the pain improve with rest or worsen with activity?
  • Do you have any history of high blood pressure, diabetes, or previous heart issues?
  • Have you experienced dizziness, fainting, or extreme fatigue along with head heaviness?
  • Any recent changes in lifestyle, stress levels, or physical activity?

3. Next Steps & Recommendations:

  • Further cardiac evaluation may be needed. If symptoms persist, additional tests, such as a stress test, echocardiogram, or Holter monitoring, may be advised to rule out subtle heart conditions.
  • Medication review: If head heaviness is significantly affecting you, discuss with your cardiologist whether an adjustment in dosage or an alternative medication is needed.
  • Monitor blood pressure regularly to ensure it’s not dropping too low with Concor.
  • Lifestyle considerations: Stay hydrated, avoid sudden position changes to prevent dizziness, and maintain a healthy diet with moderate physical activity (as per medical advice).

Since chest pain and left-hand heaviness should not be ignored, we strongly recommend you consult a cardiologist in person for a thorough evaluation. If symptoms worsen—such as severe chest pain, shortness of breath, or fainting—seek emergency medical care immediately.

Please let us know if you need help finding a specialist in your area. Wishing you good health.

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