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Hello Doctor I Have Some Questions. Before 3 Months Panic

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Posted on Tue, 30 Jun 2020
Question: Hello Doctor i have some questions. Before 3 months panic attacks started and i had some episodes i went to cardiolog we run all the tests. We also used holter my heart he said is athlete heart perfect. After three months my anxiety is better but still exist. I have i think they call it heart palpitations. I can hear my heart beating pounding when i am laying down always sometimes my chest pounding also from my heart. At nights especially when i am going to sleep and all day come leave come leave but mostly i can feel my heart beating. Its something wrong? Should i do again examination? I did full examinations for my heart in March. And nothing wrong i did everything also ct scan nothing heart lungs perfect. It could be something serious? Thank you in advance
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Follow up: Dr. Ilir Sharka (0 minute later)
Hello Doctor i have some questions. Before 3 months panic attacks started and i had some episodes i went to cardiolog we run all the tests. We also used holter my heart he said is athlete heart perfect. After three months my anxiety is better but still exist. I have i think they call it heart palpitations. I can hear my heart beating pounding when i am laying down always sometimes my chest pounding also from my heart. At nights especially when i am going to sleep and all day come leave come leave but mostly i can feel my heart beating. Its something wrong? Should i do again examination? I did full examinations for my heart in March. And nothing wrong i did everything also ct scan nothing heart lungs perfect. It could be something serious? Thank you in advance
doctor
Answered by Dr. Ilir Sharka (1 hour later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome to 'Ask A Doctor' service!

I passed carefully through your question and would explain that your symptoms are not suggestive of any serious cardiac issues.

You should know that the feeling of heartbeat is quite normal in tall and slim persons, or in sportspersons.

On the other hand, some palpitations ( also called ectopic heartbeats) are quite normal in every healthy person during physical exercise or anxiety ( emotional stress).

Considering your performed cardiac tests, I would like to reassure you that your symptoms are not indicative of any serious cardiac issues.

Anyway, if these complaints are persistent, I would recommend performing a cardiac MRI, which is the best tool to examine the athletic heart and thus completely exclude any cardiac issues.

I hope you will find this answer helpful!

I remain at your disposal for any further questions whenever you need it!

Kind regards,

Dr.Ilir Sharka,
Cardiologist


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello!

Welcome to 'Ask A Doctor' service!

I passed carefully through your question and would explain that your symptoms are not suggestive of any serious cardiac issues.

You should know that the feeling of heartbeat is quite normal in tall and slim persons, or in sportspersons.

On the other hand, some palpitations ( also called ectopic heartbeats) are quite normal in every healthy person during physical exercise or anxiety ( emotional stress).

Considering your performed cardiac tests, I would like to reassure you that your symptoms are not indicative of any serious cardiac issues.

Anyway, if these complaints are persistent, I would recommend performing a cardiac MRI, which is the best tool to examine the athletic heart and thus completely exclude any cardiac issues.

I hope you will find this answer helpful!

I remain at your disposal for any further questions whenever you need it!

Kind regards,

Dr.Ilir Sharka,
Cardiologist


Above answer was peer-reviewed by : Dr. Arnab Banerjee
doctor
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Follow up: Dr. Ilir Sharka (2 hours later)
Forgot to mention i don't have any skip beat but only hear the heart beating strong
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Follow up: Dr. Ilir Sharka (0 minute later)
Forgot to mention i don't have any skip beat but only hear the heart beating strong
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Follow up: Dr. Ilir Sharka (1 minute later)
Last question its normal when i am laying down in bed for example to have 50 heartbeats per minute? Thank you in advance
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Follow up: Dr. Ilir Sharka (0 minute later)
Last question its normal when i am laying down in bed for example to have 50 heartbeats per minute? Thank you in advance
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Follow up: Dr. Ilir Sharka (8 hours later)
Maybe my heart pounding feeling on chest throat etc could be hypertension? I never had in my life and my pulses always in 50 when laying down can I have blood pressure high and heartbeats 50 always? Is it possible?
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Follow up: Dr. Ilir Sharka (0 minute later)
Maybe my heart pounding feeling on chest throat etc could be hypertension? I never had in my life and my pulses always in 50 when laying down can I have blood pressure high and heartbeats 50 always? Is it possible?
doctor
Answered by Dr. Ilir Sharka (29 minutes later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

As you don't have any palpitations, this is very reassuring that nothing serious is going on!

This heart rate, is within normal ranges, and there is no reason to panic about it!

From the other hand, sport persons have a lower mean heart rate, compared to other persons.

Low heart rate and high blood pressure can coexist. For this reason, I would recommend you to check your blood pressure values. It is very simple with an automatic machine.

Anyway, I think that the feeling of heartbeat is just related to your physical constitution and there is no reason for additional tests.

Hope you will find this answer helpful!

Let me know about anything!

Wishing all the best,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

As you don't have any palpitations, this is very reassuring that nothing serious is going on!

This heart rate, is within normal ranges, and there is no reason to panic about it!

From the other hand, sport persons have a lower mean heart rate, compared to other persons.

Low heart rate and high blood pressure can coexist. For this reason, I would recommend you to check your blood pressure values. It is very simple with an automatic machine.

Anyway, I think that the feeling of heartbeat is just related to your physical constitution and there is no reason for additional tests.

Hope you will find this answer helpful!

Let me know about anything!

Wishing all the best,

Dr.Iliri

Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ilir Sharka (55 minutes later)
Thank you dr Ilir i ll check up thank you for your answers. I always had lower blood pressure i hope won't be now high blood pressure thank you again
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Follow up: Dr. Ilir Sharka (0 minute later)
Thank you dr Ilir i ll check up thank you for your answers. I always had lower blood pressure i hope won't be now high blood pressure thank you again
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Follow up: Dr. Ilir Sharka (16 minutes later)
As i saw my blood pressure around 11.5-7.5 thank you doctor i think its more stress or anxiety. The problem is i can't sleep insomnia from this sound of heart pounding hard at night i am 3 nights with 2-3 hours sleeping XXXXXXX don't feel tired this is the strange. Thank you again
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Follow up: Dr. Ilir Sharka (0 minute later)
As i saw my blood pressure around 11.5-7.5 thank you doctor i think its more stress or anxiety. The problem is i can't sleep insomnia from this sound of heart pounding hard at night i am 3 nights with 2-3 hours sleeping XXXXXXX don't feel tired this is the strange. Thank you again
doctor
Answered by Dr. Ilir Sharka (15 minutes later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

Your blood pressure values are excellent!

Yes, anxiety can trigger this situation.
I recommend taking 5mg of Melatonin at bedtime to help with sleep. You can increase the dose up to 10mg if the effects are not the best.

This is a natural hormone, produced by our body to help with a normal sleep wake cycle.

A regular sleep will help against anxiety too!

Hope you will find this answer helpful!

Wishing all the best,

Dr.Iliri
Above answer was peer-reviewed by : Dr. Kampana
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

Thank you for the additional information!

Your blood pressure values are excellent!

Yes, anxiety can trigger this situation.
I recommend taking 5mg of Melatonin at bedtime to help with sleep. You can increase the dose up to 10mg if the effects are not the best.

This is a natural hormone, produced by our body to help with a normal sleep wake cycle.

A regular sleep will help against anxiety too!

Hope you will find this answer helpful!

Wishing all the best,

Dr.Iliri
Above answer was peer-reviewed by : Dr. Kampana
doctor
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Follow up: Dr. Ilir Sharka (1 hour later)
Yeap can't sleep i tried a supplement include 1mg melatonin and 100mg valerian but did nothing couldn't sleep 3rd night in row
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Follow up: Dr. Ilir Sharka (0 minute later)
Yeap can't sleep i tried a supplement include 1mg melatonin and 100mg valerian but did nothing couldn't sleep 3rd night in row
doctor
Answered by Dr. Ilir Sharka (47 minutes later)
Brief Answer:
I would recommend taking 5mg or 10mg Melatonin.

Detailed Answer:
1mg of Melatonin is a very small dose.

I recommend taking 5mg or 10mg at bedtime.

You can find such supplements in the drug store.

I am sure that such dose will help!

Hope you will find this information helpful!

If you have any other questions, please don't hesitate to ask me again!

Regards,

Dr.Iliri
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
I would recommend taking 5mg or 10mg Melatonin.

Detailed Answer:
1mg of Melatonin is a very small dose.

I recommend taking 5mg or 10mg at bedtime.

You can find such supplements in the drug store.

I am sure that such dose will help!

Hope you will find this information helpful!

If you have any other questions, please don't hesitate to ask me again!

Regards,

Dr.Iliri
Above answer was peer-reviewed by : Dr. Yogesh D
doctor
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Follow up: Dr. Ilir Sharka (19 hours later)
Doctor i ll order more melatonin from Monday but i got a box that every pill has 1mg melatonin + 100mg valerian (till the new melatonin come) can i use 3-4 pills from that like 4mg melatonin +400mg valerian or dangerous? Thank you in advance. In the box all supplements says don't exceed one pill but one mg melatonin doing me nothing thank you in advance
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Follow up: Dr. Ilir Sharka (0 minute later)
Doctor i ll order more melatonin from Monday but i got a box that every pill has 1mg melatonin + 100mg valerian (till the new melatonin come) can i use 3-4 pills from that like 4mg melatonin +400mg valerian or dangerous? Thank you in advance. In the box all supplements says don't exceed one pill but one mg melatonin doing me nothing thank you in advance
doctor
Answered by Dr. Ilir Sharka (2 hours later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

You can take up to 600mg of valerian at bedtime.

So, it is OK to take four tablets of such supplement before sleep.

Anyway, I would recommend increasing the dose gradually, in order to try to adjust the right dose based on your body tolerance.

So, you can try taking two tablets tonight, and then increase the dose to three tablets if this is not enough the next evening and so on by one tablet every evening up to four tablets and see if it helps.

Hope you will find this answer helpful!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
I would recommend as follows:

Detailed Answer:
Hello again!

You can take up to 600mg of valerian at bedtime.

So, it is OK to take four tablets of such supplement before sleep.

Anyway, I would recommend increasing the dose gradually, in order to try to adjust the right dose based on your body tolerance.

So, you can try taking two tablets tonight, and then increase the dose to three tablets if this is not enough the next evening and so on by one tablet every evening up to four tablets and see if it helps.

Hope you will find this answer helpful!

Wishing all the best,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (1 hour later)
The combination 400mg valerian for example and 4mg melatonin is not an overdose right. So for tonight 200mg valerian and 2mg melatonin thank you doctor
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Follow up: Dr. Ilir Sharka (0 minute later)
The combination 400mg valerian for example and 4mg melatonin is not an overdose right. So for tonight 200mg valerian and 2mg melatonin thank you doctor
doctor
Answered by Dr. Ilir Sharka (4 hours later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

Both these drugs increase sedation. For this reason, it is necessary avoiding using maximal doses when taking them concomitantly.

Yes, tonight 200mg of valerian and 2mg of melatonin and see how it goes!

I hope you will need a low dose to help with sleep.

Hope you will find this answer helpful!

Let me know in case of any other uncertainties!

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

Both these drugs increase sedation. For this reason, it is necessary avoiding using maximal doses when taking them concomitantly.

Yes, tonight 200mg of valerian and 2mg of melatonin and see how it goes!

I hope you will need a low dose to help with sleep.

Hope you will find this answer helpful!

Let me know in case of any other uncertainties!

Regards,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Ilir Sharka (0 minute later)
Thank you doctor
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Follow up: Dr. Ilir Sharka (0 minute later)
Thank you doctor
doctor
Answered by Dr. Ilir Sharka (5 minutes later)
Brief Answer:
You are welcome!

Detailed Answer:
I am glad to have been helpful to you!

If you have any other questions in the future, please don't hesitate to ask me directly.

Please stay safe,

Dr. Iliri
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
doctor
Answered by Dr. Ilir Sharka (0 minute later)
Brief Answer:
You are welcome!

Detailed Answer:
I am glad to have been helpful to you!

If you have any other questions in the future, please don't hesitate to ask me directly.

Please stay safe,

Dr. Iliri
Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 9542 Questions

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Hello Doctor I Have Some Questions. Before 3 Months Panic

Hello Doctor i have some questions. Before 3 months panic attacks started and i had some episodes i went to cardiolog we run all the tests. We also used holter my heart he said is athlete heart perfect. After three months my anxiety is better but still exist. I have i think they call it heart palpitations. I can hear my heart beating pounding when i am laying down always sometimes my chest pounding also from my heart. At nights especially when i am going to sleep and all day come leave come leave but mostly i can feel my heart beating. Its something wrong? Should i do again examination? I did full examinations for my heart in March. And nothing wrong i did everything also ct scan nothing heart lungs perfect. It could be something serious? Thank you in advance