### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I was told that metoporal helps a person to not pass out due to low blood pressure. Is this true? I had passed out in 2010 and landed on my bottom and fractured my back. My history has included passing out once in a blue moon. It has been indicated that my blood pressure went up at that time, but since then, my blood pressure drops occasionally and I feel like I might pass out. I really would like to be taken off the metoporal medicine and put on BP meds. Would this not be a good idea? My doctor absolutely will not take me off this beta blocker.

### output:

Hi, After going through your case there is likely possibility of cardiac arrhythmia (abnormal electrical activity of heart) that may be responsible for your episodes of passing out. For controlling heart rhythm and preventing cardiac arrhythmia you might have been prescribed metoprolol and not for blood pressure.  For better advise I want to know-1) Your age.2) Presence of other comorbid conditions like diabetes.3) Any other medicines other than metoprolol going on. Following investigations may be helpful in decision making-1) ECG during period of passing out.2) Resting ECG.3) 2DEcho of heart.4) Holders monitoring and electrophysiologist study of heart.5) Complete blood count, Kidney & Liver function tests, serum electrolytes, calcium, magnesium, phosphorus.6) Thyroid function test.7) If nothing is significant in above-mentioned test then there may be need for MRI brain with angiogram. From above test we can come to know about cause for your symptoms and accordingly appropriate decision cane be taken. Hope this may be helpful to you. If so do vote.