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Does anxiety affect the heart and cause MVP with mild MR?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I have done my ECG (echocardiography), echo, TMT (treadmill test), and all blood tests. All the reports are normal. The echo showed MVP (mitral valve prolapse) with mild MR (mitral regurgitation). I feel anxious and stressed. I also have tiredness and atypical chest pain. I have lost five kilograms weight, and now I weigh 105 pounds. Will anxiety cause weight loss or MVP? I am taking tablets Sertraline - 50 mg and Etizolam 0.25 mg for anxiety. Are these tablets fine for anxiety? Please check my reports and give your opinion.

Thank you.

Answered by Dr. Gulati Ranjitsingh Awtarsingh

Education:

MBBS

Professional Bio:

Dr. Gulati Ranjitsingh Awtarsingh is a skilled physician specializing in Internal and Preventive Medicine, dedicated to promoting overall health and preventing disease. He has expertise in managing chronic illnesses, lifestyle-related disorders, routine health assessments, and preventive healthcare strategies. With a patient-focused approach and strong clinical knowledge, Dr. Gulati emphasizes early detection, personalized care, and holistic wellness to ensure long-term health and improved quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome to icliniq.com.

I have read your query and saw your reports (attachments removed to protect the patient's identity). I understand the anxiety you are having. All reports, including echo and ECG (echocardiography), are normal. You do not have anything to worry about. Gradually stop all anti-anxiety drugs, and I suggest the following. Relax completely.

I suggest you take a tablet of Propranolol once daily at night after food for ten days, aCapsule containing coenzymes once daily for ten days after breakfast, atablet containing Ibuprofen once daily for five days after breakfast, atablet of Pantoprazole - daily for ten days before breakfast. Do follow-up after ten days.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

What about MVP with mild MR. Is this a problem related to the heart? But my TMT reports are normal.

Thank you.

Answered by Dr. Gulati Ranjitsingh Awtarsingh

Education:

MBBS

Professional Bio:

Dr. Gulati Ranjitsingh Awtarsingh is a skilled physician specializing in Internal and Preventive Medicine, dedicated to promoting overall health and preventing disease. He has expertise in managing chronic illnesses, lifestyle-related disorders, routine health assessments, and preventive healthcare strategies. With a patient-focused approach and strong clinical knowledge, Dr. Gulati emphasizes early detection, personalized care, and holistic wellness to ensure long-term health and improved quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back toicliniq.com.

There is no problem with mild MR. About 40 % of the general population have mild MR (mitral regurgitation). ECG (electrocardiogram) and Echo are normal. If it gets worse, respiration becomes difficult, and the blood starts coming in a cough. If that does not happen, do not worry. The blood pressure also tells whether the MR is progressing. If it occurs, the doctor will repeat the Echo after one year. I have studied your case in detail. Do not worry. I suggest starting my treatment, and you will feel the improvement. Get back to me if you have any other doubt.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Patient's Query

Hello doctor,

Thank you for the reply.

As informed, I took Sertraline 50 mg, Clonazepam 0.25 mg, and Etizolam 0.25 mg for the past five days. Since yesterday I have been taking Sertraline 25 mg. After taking these tablets, I feel sleepy, dizzy, and have other side effects. Please tell me, can I take or stop these tablets? For two days, I feel nausea and digestive issues. I am not able to eat food normally and spit mucus. Are these the side effects of taking Sertraline and Etizolam tablets? Will these tablets affect the heart?

Thank you.

Answered by Dr. Gulati Ranjitsingh Awtarsingh

Education:

MBBS

Professional Bio:

Dr. Gulati Ranjitsingh Awtarsingh is a skilled physician specializing in Internal and Preventive Medicine, dedicated to promoting overall health and preventing disease. He has expertise in managing chronic illnesses, lifestyle-related disorders, routine health assessments, and preventive healthcare strategies. With a patient-focused approach and strong clinical knowledge, Dr. Gulati emphasizes early detection, personalized care, and holistic wellness to ensure long-term health and improved quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Hello,

Welcome back to icliniq.com.

I suggest you start the treatment advised earlier.

Thank you.

Patient's Query

Hi doctor,

Thank you for your reply.

Please check my x-ray report, sir.

Thank you.

Answered by Dr. Gulati Ranjitsingh Awtarsingh

Education:

MBBS

Professional Bio:

Dr. Gulati Ranjitsingh Awtarsingh is a skilled physician specializing in Internal and Preventive Medicine, dedicated to promoting overall health and preventing disease. He has expertise in managing chronic illnesses, lifestyle-related disorders, routine health assessments, and preventive healthcare strategies. With a patient-focused approach and strong clinical knowledge, Dr. Gulati emphasizes early detection, personalized care, and holistic wellness to ensure long-term health and improved quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Hi,

Welcome to icliniq.com.

Where is the X-ray report by Radiologist, I have already reported this X-ray as normal (attachments removed to protect the patient's identity). To confirm further, please send me the Radiologist's report.

I hope this helps.

Please revert so I can assist you further.

Thank you.

Medically reviewed by Dr. K. Shobana
Published At June 19, 2022
Reviewed At October 2, 2024

Education:

MBBS

Professional Bio:

Dr. Gulati Ranjitsingh Awtarsingh is a skilled physician specializing in Internal and Preventive Medicine, dedicated to promoting overall health and preventing disease. He has expertise in managing chronic illnesses, lifestyle-related disorders, routine health assessments, and preventive healthcare strategies. With a patient-focused approach and strong clinical knowledge, Dr. Gulati emphasizes early detection, personalized care, and holistic wellness to ensure long-term health and improved quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

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

Education:

MBBS

Professional Bio:

Dr. Gulati Ranjitsingh Awtarsingh is a skilled physician specializing in Internal and Preventive Medicine, dedicated to promoting overall health and preventing disease. He has expertise in managing chronic illnesses, lifestyle-related disorders, routine health assessments, and preventive healthcare strategies. With a patient-focused approach and strong clinical knowledge, Dr. Gulati emphasizes early detection, personalized care, and holistic wellness to ensure long-term health and improved quality of life for his patients.

This doctor is not available for online consultations on the platform anymore.

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