Suggest remedy for spasms in chest followed by warm blood rush
Patient: Hi. Since last week I ve been feeling spasms in my chest followed by a warm rush of blood sensation. I actually went to emergency because of this and was admitted to hospital for a few days with tachycardia. They reduced my heart rate with beta blockers but never addressed theses spasm sensations which are more disturbing to me than the fast pulse. Doctor: Thanks for your question on HCM.I can understand your situation and problem.Betablockers are known to cause bronchospasm.Beta receptors in bronchi are needed for bronchodilation, Especially beta 2 receptor.So whenever nonselective beta blockers are given, they will block the action of beta 2 mediated bronchodilation and cause bronchospasm.So better to start cardio selective betablocker (beta 1 selective). It Is having only beta 1 action and no action on beta 2 receptor in bronchi, So no bronchospasm. Beta 1 receptors are present in heart so beta 1 antagonist ( cardio selective beta blocker) will have effect only on heart.So consult your cardiologist and change to cardio selective beta blocker.