Q. Suffering from Heart palpitations, Hypertension, Depression and Anxiety. Need advice

Answered by
Dr. Rohit Jain
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Jul 23, 2018 and last reviewed on: Jan 20, 2022

Hi doctor,

I am a 26 year old male. I am having hypertension, palpitation, depression and anxiety. ECG, 2D echo, renal Doppler, VMA culture, cortisol and lipid profile are normal. I need advice.



Welcome to

The tests you have mentioned are used to find a cause for significant hypertension.

You have not mentioned anything about your BP levels and whether they are really significantly high. We have no details of your weight, your lifestyle and your family history.

There can be a possibility of hyperthyroidism which would cause all these features in a normal looking adult.

Also, you should get a psychological evaluation done. Alternating depression and anxiety shows that you are under severe stress and tension due to some cause.

The BP being high might just be a sign of that stress.

Please get a thyroid function test done and look for a more common cause. Medications will help a lot.

Consult a cardiologist online for further help -->

Hi doctor,

My current BP level is normal usually between 120/80 to 130/80. My main problem is palpitation. I can feel heart rate even when I am resting. If I do exercise, it becomes annoyingly noticeable. Whenever there is some stress my BP shoots up to 150/90 on regular basis. I am not on any type of medication. Yes, my thyroid tests were normal along with other tests that my doctor performed to diagnose young age hypertension. I always complain to my doctor that I have abnormally fast pulse but he always blamed my anxiety which is partly true. But even in utmost comfortable position my pulse is above 100 which certainly was in direction of some cardiac arrhythmia. I did standard stress test today. The report says TMT negative but resting ECG shows sinus tachycardia. I am attaching reports here. Please advise further tests. I have had my psychological evaluation done. Based on the history and test findings, the impression is currently suggestive of mixed anxiety and depressive disorder with predominant Cluster C personality traits on Axis II. Please let me know if you need more details.



Welcome back to

Do not worry. There is no major abnormality seen in your reports. Do not get so many tests done.

  • In any case, TMT would have come negative. You are too young to have a blockage.
  • My suggestions are, to start on tablet Metolar (Metoprolol) 25 mg once a day. This will reduce your heart rate to normal levels, decrease anxiety, improve on any arrhythmias, and you will feel relaxed.
  • Also start on any anxiety reducing drugs; tablet Alprax (Alprazolam) is the safest to start 0.25 mg at bedtime.

Please do not worry about things so much; you are just fine.

For further information consult a cardiologist online -->

Was this answer helpful?


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

Related Questions:
Does thyroid problem delay pregnancy?

.. you follow the same dose as you are not a hyperthyroid yet. Also, if you are planning for your marriage and pregnancy, then this TSH value is normal.  If the TSH (thyroid stimulating hormone) value is less than 0.3 U/mL, then the dosage of table...   Read full

Can thyroid problem cause excessive hair fall?

They are tachycardia, palpitations, nervousness, tiredness, headache, excitability, sleeplessness, tremors, anxiety and heat intolerance ...   Read full

Suffering from subclinical hyperthyroidism with anxiety and palpitations.

Hi doctor, I have very small red blisters on the glans and corona with lot of itching. For that I have used Acivir ointment. There is temporary relief but it reoccurs. Please help.   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Monkeypox Virus - Symptoms, Diagnosis, Treatment, Complications, and Prevention
Monkeypox is a zoonotic viral disease. This virus got its name as it was first noticed in laboratory monkeys in the late...  Read more»
Tomato Fever - Causes, Symptoms, Diagnosis, Treatment, and Prevention
Tomato fever is an unidentified and fast-spreading type of viral infection seen in young children. Scroll down to know m...  Read more»
Histrionic Personality Disorder - Causes, Signs, Symptoms, Diagnosis and Treatment
Histrionic personality disorder causes variations in the thinking ability of a person. Read this article to know more.  Read more»

Ask your health query to a doctor online?

Ask a Cardiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.