Heart rate remains around 95 beats per minute after taking metoprolol.

Metoprolol tartrate tablets, commonly known as Betaloc, are generally used to control heart rate. If the heart rate remains around 95 beats per minute after taking metoprolol tartrate tablets, this may be related to factors such as a low dosage, severe anemia, hyperthyroidism, myocarditis, or angina pectoris. Treatment should be tailored according to the specific cause. The detailed analysis is as follows:

1. Insufficient dosage

If the heart rate still increases after taking the medication, one of the first considerations is whether the dose is too low. In cases where the current dosage is inadequate, it may be gradually increased under a doctor's guidance.

2. Severe anemia

Severe anemia can lead to reduced blood volume and may impair myocardial blood supply, resulting in myocardial ischemia. Additionally, it may increase the preload on the heart, causing symptoms such as chest tightness and chest pain, and may also lead to tachycardia. Therefore, it is important to promptly follow a doctor’s advice and use medications that improve myocardial perfusion, such as ferrous sulfate dextran tablets or isosorbide mononitrate sustained-release tablets.

3. Hyperthyroidism

In patients with hyperthyroidism, an increased basal metabolic rate and heightened sympathetic nervous system activity can affect cardiac function, leading to adverse effects such as elevated heart rate. Excessive secretion of thyroid hormones (T3 and T4) can negatively impact the cardiovascular system, causing symptoms like palpitations and rapid heartbeat. In such cases, patients may take antithyroid medications such as methimazole tablets or propylthiouracil tablets as prescribed by a physician.

4. Myocarditis

Tachycardia is very common in patients with myocarditis. This condition may lead to arrhythmias such as sinus tachycardia or supraventricular tachycardia, which result in a faster heart rate. For bacterial infection-induced myocarditis, anti-infective treatment should be administered as directed by a physician, using medications such as cefuroxime axetil capsules or amoxicillin-clavulanate potassium tablets.

5. Angina pectoris

During an angina attack, heart rate increases rapidly and blood pressure rises, often accompanied by chest pain, which can be relieved by taking medication. Angina is a clinical syndrome caused by transient and sudden ischemia and hypoxia of the myocardium due to insufficient coronary artery blood supply. Patients may take medications such as nitroglycerin tablets or isosorbide dinitrate tablets as directed by their doctor.

In summary, there are various potential causes for a persistently elevated heart rate despite metoprolol use. Therefore, it is strongly recommended that patients seek timely evaluation at a reputable medical facility for further diagnostic testing and receive appropriate treatment based on the underlying condition.