I am anxious about strong feeling in chest without pain or pressure. Please interpret my EKG.

Hello,

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Your ECG (electrocardiography) is fine. It just shows sinus tachycardia, which is a normal form of elevated heart rate. So nothing to worry about it. Now considering your age and symptoms, it is unlikely to be a cardiac issue. It is probably anxiety and maybe some gastric issues, and reflux which frequently accompanies the anxiety. Extra systoles are fine to have and not worrisome other than causing symptoms. Now, you should get your thyroid status checked once if not recently tested, as more than required doses can also cause tachycardia and these symptoms. You should get some antianxiety medications prescribed like Propranolol for few weeks with gradual tapering. Also, you should have some good antacids like Rabeprazole or Pantoprazole before breakfast once daily for a few days, rather than Denol. Avoid oily spicy and heavy meals. Have some walk after the meals rather than resting immediately. Also, go regular exercises like brisk walking or running according to your capacity. You should do meditation, yoga which may help to alleviate your anxiety. I hope this helps.