Metoprolol (short acting) is a twice a day drug. It would be normal for it to be less effective after a night and through out the day. Even if it was long acting metoprolol, your night time heart rate would still expected to be slower than your daytime heart rate.
Chest pain when you take a deep breath is not typical of cardiac chest pain. That is usually from another cause like musculoskeletal (bone, muscle or soft tissue). Having a diagnosis of non sustained VT is not a reason to panic. If you have a normal EKG, echo and probably stress test, VT with a normal heart is not associated with increased cardiac risk. Often a medication like metoprolol and a calcium channel blocker will help decrease the frequency.
I do not know any EP's in Arkanasas and unfortunately cannot recommend one. I hope this helps.
Also, can you recommend a good EP lab in Arkansas? THanks!
I am also experiencing extreme flushing of the right side of my face...the same side that my neck/head is hurting or feeling pressure.
Sorry to hear about your vt. I also have vt.. Well its nonsustained vt any thing under 30 seconds is considered nonsustained vt and lasting longer than 30 seconds is sustained vt which is much worse. I have had this since 2002 that I know of. I have seen cardiologist after cardiologist. Which my cardio is a EP doc as well. I have had two attempted ablations with no sucsess only because they cannot induce my vt during the eps. I did try toprol xl the smalles does possibel and still cut it in half im very sensitive to meds and the third day into it I had the worst episode every luckily I had a loop recorder implanted and it was recorded. it was 26 beats long felt like i was going to die.. thats why I had the first eps done. with all that said I have had all the work ups possible and I have a normal healthy heart. I will have to say one of the most important things here is your ef. Ejection Fraction that is how much blood your heart pumps out after filling. the normal ef is 50-70% mine is 67% that is why none of the cardios are worried about me. hahah i still freak all the time with this on a day to day basis. my vt usually happens when sitting and relaxing and that is probably why the meds are good for me because it slows my heart too much then my heart over compensates and i get nsvt... good luck let me know how you cope with this maybe it will help me too. I feel it every time do you feel it?
Also your chest pain and everything else is probably stress and panic attacks. I have been through it all.
Nice to see you back WMAC! I just wantd to tell Andie5 that I too have had NSVT. They caught a six beat run and I had all the tests to rule out any problems. I had two failed ablations as well because they could not induce the VT which I guess is a good thing. It is very uncomfortable though. I freak every time as well when I feel it doing funky things but I am still here! The first time that NSVT was caught on my monitor was 17 years ago and they have never caught anything else except benign PAC's and PVC's (triplets). They say "no big deal" because I have a normal heart. Frustating to say the least!