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Am I having a heart problem or PTSD?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. K. Shobana

Published At August 8, 2018
Reviewed AtJune 13, 2023

Patient's Query

Hello doctor,

I have already talked to my very own Cardiologist but have not really gotten much. They just told me I have been having a lot of tachycardia lately but with a normal rhythm. They told me I should be fine but I feel I am not. Three months back, I had gone into cardiac arrest due to a drug overdose when I got a laced pill full of Fentanyl when I tried to get the old medication I was once prescribed, Adderall. It took 12 mg of Naloxone to bring me back to life. Then about six months ago I had an ER visit because I decided to take what I thought was MDMA with some friends for a party. I do not take drugs anymore. The drug test only came back for Amphetamine and I took around 200 mg of the drug Methamphetamine. I started to go into cardiac arrest again but was luckily brought back to normal levels. It was a scary experience which haunts me now causing anxiety whenever I notice my heart rate go up. Three months ago I started to display worse symptoms. My cardiologist only put me on a heart monitor for three weeks but said I had a lot of tachycardia with a normal rhythm. I am not quite sure whether it is just anxiety or if my heart may actually have problems. I am only 18 but I feel these close calls might have put a toll on my heart. I just need somewhat of an answer on whether these experiences could have caused one term problems to my heart at my age. I do not do any drugs anymore. I vape but that is all. I get chest pains through the day and sometimes will get light headed and cannot think clearly. I will space out and not pay attention to anything else around me. I am worried it is a heart problem or could be PTSD cause from those events. Any information will help.

Hello,

Welcome to icliniq.com.

Likely it is an anxiety only causing you tachycardia. If possible please attach your reports like monitoring report, and echo if you have. Echocardiography will tell us whether there are any residual effects on the heart of your previous problems. You should get a thyroid test done to rule out hyperthyroidism if did not have recently. You may use a portable monitor which is a mobile-based portable system to keep watch over heart rhythm. It is better you get started on Ciplar which is a beta-blocker that help to control heart rate and anxiety. Consider regular exercises to tone your heart.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Sagar Ramesh Makode
Dr. Sagar Ramesh Makode

Cardiology

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