To review your original Holter report and design a safe tapering schedule if your blood work is normal, please book a full consultation session via my Practo profile."

Caffeine & Stimulant Audit: "Reduce or eliminate coffee, energy drinks, and nicotine. These are potent triggers for PVCs and high pulse rates; often, removing these can allow a patient to stop medication entirely." Stress Management: "Since your pulse rate was high, incorporate 10 minutes of deep-breathing exercises (Pranayama) daily. This calms the autonomic nervous system, which is what the beta-blocker is currently doing chemically." Caution: "Beta-blockers can sometimes mask the symptoms of other issues. Do not assume that a 'normal pulse' on medication means the underlying cause has been 'cured' without further investigation." Red Flags: "Seek immediate medical attention if you experience fainting (syncope), sudden chest pain, or if you feel your heart 'skipping' multiple beats in a row, especially if accompanied by breathlessness

dose of Beta blockers should decreased first.

Should you require additional assistance, please do not hesitate to consult us.