What Are The Long Term Side Effects Of Embeta?

Hello, Thank you for writing at HCM. I read your question and am considering few things that might be good to address. 1. High blood pressure alone is very unlikely to cause chest pain. High blood pressure might cause more work load for the heart and the heart might get changes related to high blood pressure and than due to those changes or due to the constant hard work of the heart the patient might get chest pain. As I saw in the list of the tests you mention treadmill test (TDT) that was normal which gives us a pretty good confidence the heart is not striving and might not be the cause of the chest pain. A normal ultrasound rules out any problem with covering layers around the heart also. In the blood test list is there sugar test, lipid tests, electrolytes (Ca++, K+, Na+) and a complete blood count for anemia or other findings?- these are very important in the first blood work up for hypertension. 2. There are several causes of chest pain- muscular/skeletal pain which is episodes of sharp pain and lasts few seconds to minutes, rarely longer and is worse with breathing and movements and sometimes worse to touch. Reflux disease (acid reflux) can be a frequent cause of chest pain also- it causes burning pain under the chest bone and it generally gets better with over the counter antiacids. Rarely the lungs and it s covering layers can be a cause of chest pain but you should have mentioned symptoms like cough, shortness of breath, fever, ect. Sometimes stress and anxiety might cause chest pain which may come from muscular spasms and they seem more like muscular pain. 3. Metoprolol is generally a very well tolerated medication and many patients that use it have no side effects. Literature tells us that the most common side effects are dizziness, headaches, tiredness and low pulse rate. These symptoms are very unlikely in your case with the dose you prescribe and being otherwise a healthy mid-age men with just hypertension. 4. If the chest pain is still happening you need to let your doctor know and have a visit and another evaluation of pain. How has your blood pressure levels been? If your BP is normal and pain continues it is obvious pain and BP are not related so have a visit for a better diagnosis and treatment plan. Hope this is helpful and answers to your question