Can help you with the next course of action and treatment plan. Kindly consult via whatsapp at nine zero two nine six zero zero four seven zero.

Physical examination needed by general physician. Visit nearby hospital.

It’s not necessarily dangerous if you are asymptomatic, but since you are on Concor (bisoprolol) 5 mg and have a history of frequent PVCs (>5%) with recurrent chest tightness/left-sided chest pain, the low BP may be medication-related and warrants reassessment. It would be advisable to review your medication dose and undergo a repeat ECG/Holter monitoring.

Need few more details for proper understanding of your issue. You can consult with me online on Practo or whatsapp on eight three one eight four six nine eight eight six for proper diagnosis, conclusion and management

Consult superspecialist like cardiologist

Hi, Proper evaluation and personalised advice are needed for your concern. A detailed consultation would be best to provide accurate guidance. Feel free to consult me for further assistance.

Not dangerous, but not desirable as it can lower further on standing  and cause dizziness. Concor does lower b.p and it's use can be reviewed.  Concor can be replaced by ivabradine,  as it will not affect b.p. But  consult your treating doctor before. Avoid sitting for long with legs hanging down, spread legs in front, while sitting. Take some rehydrating, salty fluids in the day like salted butter milk, lemonade, etc. Get your thyroid function tests done and share results.

Based on this, you are experiencing mild clinical hypotension. While your past cardiac tests like TMT, Echocardiogram, and ECG were normal, a sudden structural drop in blood pressure can make you feel lightheaded and requires close attention. You mentioned a history of left-side chest tightness and a skipping beat issue where your Premature Ventricular Contractions (PVCs) make up more than 5% of your total heartbeats, for which you take Concor 5mg (Bisoprolol) every morning. Concor is a beta-blocker that treats PVCs by slowing down the heart rate and relaxing blood vessels; your current drop to 90/57 \text{ mmHg} is very likely a direct pharmacological side effect of this medication lowering your blood pressure too heavily today.

Need a few more details please consult for further evaluation and treatment

Avoid fried and spicy food Water intake more Green leafy vegetables more Fiber meal Walk Do connect and consult Will help you

Change meds