Q. Can ECG changes occur due to anxiety?

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 reports (attachment removed to protect patient identity).

There is only a slight variation in the normal sinus rhythm, so do not worry about it. Your blood pressure is high and needs treatment. For that, you said you are on Betaloc-50 (Metoprolol). When did you start taking this medicine? I will suggest you keep taking medicine for BP and hope that will control your blood pressure. Keep a record of your blood pressure, and after sometime, make a follow-up to see how things are working. If needed, we may add some medicine for blood pressure. Diabetes and high blood pressure are two important risk factors for heart diseases, coronary artery diseases, and heart attacks. You also need to go for some important blood work to see how your blood sugar level, cholesterol, kidneys, and liver are working. I am advising you to take some tests for that. It is necessary to see if diabetes and high blood pressure have affected your body organs.

Go to the laboratory with overnight fasting and have the following tests such as serum proteins, serum electrolytes, liver function tests, kidney function tests, fasting blood sugar, HbA1c (Glycated hemoglobin), fasting lipid profile, and thyroid profile.

Continue the medicine and consult a psychiatrist for anxiety. Make an appointment, as you need an in-person visit to discuss the past medicines in detail.

Revert back with the laboratory results to a cardiologist online.

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.

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.

Your blood sugar levels had not been in good control. Either you are not taking medicines on time or your diet is not proper as it should have to be. Also, you need to be physically active to keep glucose in limits. Your (HbA1c and HbA1) levels in blood work are high and show that your blood sugar levels had not been in normal limits in the past 120 days. Control your diet. It is very important to take no added sugars and salts. No, coffee, tea, beverages, energy drinks, meats, chicken, fried foods, or junk food. Avoid alcohol and cigarette. You do not have viral hepatitis, but you still have fatty liver. This may be due to alcohol intake or another disease. Rest of the reports are grossly unremarkable. Your kidneys and liver is working otherwise fine. Your lipid profile is normal and you have little to no cardiac risk due to cholesterol.

Thyroid profile must be done.

For urolithiasis (stones) you need an appointment with an urologist. Take plenty of water and avoid hot and humid environments. Take cranberry juice to maintain urinary hygiene.

Revert with the thyroid report.

Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Dr. Muhammad Majid Hanif

Experience: 12 + Yrs

Cardiology

---

Related Questions:
Can anxiety and stress cause frequent urination?

I use to get those episodes every few months when I had stress but since I got the fear it might never go away I get it almost daily now ... Can anxiety cause polyuria like this clear urine when I am stressed .   Read full

Diabetes Mellitus and Oral Health

Diabetes mellitus is a metabolic disorder which affects the uptake and use of glucose by the human body ... Types Of Diabetes Insulin-dependent diabetes mellitus:   Read full

Diabetes and Eyes

It is very important factor for individuals to be independent in their life" Diabetes is a metabolic syndrome entity which is characterized by hyperglycemia, high blood pressure and dyslipedemia ...   Read full