Can electrocardiogram changes occur due to anxiety?

Question

Hi doctor,

I am a diabetes patient. Recently, I had an ECG done which showed borderline normal sinus arrythmia. Immediately, I had a 2D echo and it showed a normal study. But my blood pressure is not normal. It is around 150/90 mm of Hg, so my doctor advised me to take Betaloc-50. In addition to this, I have anxiety problem for many years. Please help with some advice.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and can well understand your genuine concerns. I appreciate the efforts you put in to upload the case completely along with EKG (electrocardiogram) reports (attachment removed to protect patient identity).

I hope this helps.

Please revert so I can assist you further.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I would like to mention the following points.

Your 2D echo report (attachment removed to protect the patient's identity) is markedly unremarkable as it is massively normal. No major change seen especially in the septum which is the wall between the heart chambers. The heart is pumping the blood normally and there is no thickness or dilatation of the chambers of the heart seen. Your heart's covering is not inflamed and heart chambers have no issues. This is not an anxiety induced change. Also flat T-waves as I mentioned in my previous reply are not an issue of major medical concern. No doubt that flat T-wave may also be due to heart muscle ischemia (partial loss of blood supply) but this is unremarkable and has no significance especially in your case where there is no finding and no more abnormality seen. Please take your blood pressure medicines regularly and let me know after a few days how are you doing. Please make a chart right now. Write down blood pressure recordings with date and time on that chart and attach the picture of the same. We will see how to proceed. Also go for the blood work as advised and attach the reports. It is necessary to keep the blood pressure in check to save the heart from enlargement and to save the blood vessels from clogging and getting stiff due to high blood pressure.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Answer 3

Hi,

Welcome back to icliniq.com.

I want to assure you that do not worry as everything is going to be fine soon. I have thoroughly gone through your case and laboratory reports (attachment removed to protect the patient's identity) and can well understand your genuine concerns.

I hope this helps.

Please revert so I can assist you further.

Thank you.