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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Heart Palpitations While Having Anxiety?

I have been experiencing severe anxiety and fear for the last 4-5 months. It manifests in terms of racy heartbeat and jitteriness through out the body very frequently through outvthe day. This is mainly to do with work . This has affected my functioning in terms of decion making , judgement, confidence level, communication etc. I have been a high performer however owing to work demands of late I have been unable to cope up and this led me to a viscious cycle of anxiety fear etc hence not being able to perform routine jobs as well . All of the above used to be my high strength and now I struggle to maintain basic levels. I didn t want to get any medication due to fear of lifelong dependency , sideeffects and addiction. but hesitatingly went to a psychologist. She prescribed pexip cr 12.5 .....1 tab for 7 days after dinner. ..followed by increased dosage after 7 days 2 tabs morning and evening. I have not increased after 7 days yet. Been 10th day today. Skeptical about dependency, sideeffects and addiction. 1 tab has not made any difference except for better sleep and reduced frequency of panickiness. Please advice if it is necessary to increase the dose.
posted on Sun, 11 Sep 2016
Twitter Tue, 28 May 2019 Answered on
Twitter Wed, 29 May 2019 Last reviewed on
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General Surgeon 's  Response
Hi,

Heart palpitations can be bothersome or frightening. They usually aren't serious or harmful, though, and often go away on their own. Most of the time, they're related to stress and anxiety or to the consumption of stimulants such as caffeine, nicotine, or alcohol. Anxiety is a feeling of apprehension, fear, or worry. In rare cases, palpitations can be a sign of a more serious heart condition. immediate medical attention is required if along with palpitations, there is experience shortness of breath, dizziness, chest pain, or fainting.

Lifestyle changes, including stress management and the avoidance of common triggers, can help prevent them.
It would be good to do some tests; stress test like treadmill test or stress echo which would make picture Crystal clear. Echo is also beneficial to see if heart contractility is fine.

So you continue medicine which you are receiving and get one stress test done. You should also have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If bp is persistently more than 140/90 mmHg, then you should be on medicines for it.

Regular exercises like brisk walking, jogging according to your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn't abdominal fat deposition or obesity. You need to take care of anxiety, use relaxation techniques like deep breathing, yoga, meditation etc. Get your sugars tested once if not tested earlier.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Ivan R. Rommstein, General Surgeon
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What Causes Heart Palpitations While Having Anxiety?

Hi, Heart palpitations can be bothersome or frightening. They usually aren t serious or harmful, though, and often go away on their own. Most of the time, they re related to stress and anxiety or to the consumption of stimulants such as caffeine, nicotine, or alcohol. Anxiety is a feeling of apprehension, fear, or worry. In rare cases, palpitations can be a sign of a more serious heart condition. immediate medical attention is required if along with palpitations, there is experience shortness of breath, dizziness, chest pain, or fainting. Lifestyle changes, including stress management and the avoidance of common triggers, can help prevent them. It would be good to do some tests; stress test like treadmill test or stress echo which would make picture Crystal clear. Echo is also beneficial to see if heart contractility is fine. So you continue medicine which you are receiving and get one stress test done. You should also have a healthy lifestyle like avoiding fatty, oily and high-calorie diet. Have low salt diet and monitor blood pressure regularly thrice a day for one week then once or twice a week. If bp is persistently more than 140/90 mmHg, then you should be on medicines for it. Regular exercises like brisk walking, jogging according to your capacity at least 30 min a day and 5 days a week. Lots of green leafy vegetables, fruits, fish once or twice a week, avoid meat. Avoid smoking and alcohol if any. There shouldn t abdominal fat deposition or obesity. You need to take care of anxiety, use relaxation techniques like deep breathing, yoga, meditation etc. Get your sugars tested once if not tested earlier. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Ivan R. Rommstein, General Surgeon