Suffering from Heart palpitations, Hypertension, Depression and Anxiety. Need advice
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
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Patient's Query
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.
Hi,
Welcome to icliniq.com.
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 --> https://www.icliniq.com/ask-a-doctor-online/cardiologist
Patient's Query
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.
Hi,
Welcome back to icliniq.com.
Do not worry. There is no major abnormality seen in your reports. Do not get so many tests done.
Please do not worry about things so much; you are just fine.
For further information consult a cardiologist online --> https://www.icliniq.com/ask-a-doctor-online/cardiologist
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Internal Medicine
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