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A 22-year-old female asked:

Chest pain, palps, cough, rapid heart beat. all negative mri/a, ct, echo, ecg, xray, bloods. but symptoms improve with diltiazem tildiem. what is it?

2 doctor answers6 doctors weighed in
Dr. Silviu Pasniciuc
Internal Medicine 28 years experience
Arrhythmia: Arrhythmia or an abnormal heart rhythm will improve with Diltiazem. You may need a Holter monitor trying to understand if that' s the case.
Dr. H Robert Silverstein
Specializes in Cardiology
Likely benign: I'd likely use up to 25 mg 3X/day of Lopressor (metoprolol tartrate) on an as necessary basis t control symptoms. 1st do 14 day event recorder to identify the arrhythmia (irregular heartbeat). See www.thepmc.org website. HRS, MD, FACCO
Dr. Marsha Davis
Internal Medicine 29 years experience
If it's better with the diltiazem why add another drug??
Jul 19, 2014

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