Dr. Nilanko Ghosh (General Practice) needs a second opinion on this medical case.
a 51yr old female, obese with no dyslipidemia, normal thyroid profile, and cbc .
having persistent tachycardia and intermittent palpitations since a year..serial ecg done shows sinus tachycardia (H.R ~110-115 bpm)
woman is hypertensive on azilsartan 40mg od.
can we start metoprolol succinate 25mg od in this case or ivabradine 5mg od could be considered?