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Arrhythmia and chest tightness

I am suffering from a rare heart disease CCTGA [L-TGA] +VSD+PS.
I underwent a surgery for VSD closure with Pulmonary valve replacement and implanted a dual chamber pacemaker in 2010.
I have been taking Metroprolol 25 mg OD since 2011.
Occasionally I feel arrhythmia and chest tightness.
I am taking spigelia 30 and Laurocerasus Q. But not feeling any relief.
Please advice. Should I increase potency of 30 to 200?
  akpt1978 on 2021-03-08
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