as seen in your brief history there are some fluctuations in your blood pressure as well as heart rate. i would advise you to get an ecg done as soon as possible as we have to see what sort of heart rhythm are you on. the doctor who has suggested you propranolol must have done your ecg. so if it is a sinus rhythm (normal fluctuating rhythm) then it is not much to worry about. but if it is some sort of abnormal rhythm (arrhythmia) then it has to be taken care of. secondly propranolol 20 mg thrice a day is quite a heavy dose. propranolol 10 mg twice a day should be started and should be increased every week if required. if you are having chest discomfort after having propranolol then just drop the medication for this morning and noon and see if you are normal. as of now i would like to have a detailed history of you as cardiology suggestion can only be given after taking a detailed history. what is your age? is there any history of early onset of cardiac disease in your family? from how long are you hypertensive? are you an anxious personality? how is your sleep? do you have heartburn or gastritis or or flatulence very often? please explain your lifestyle? do you smoke or drink alcohol? do you have any history of arrhythmias in the family? was propranolol advised by your gp or cardiologist? revert back with the answers to the above questions to a cardiologist online --> <link>
i have thyroid problem my hr and bp fluctuates often. why?