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Increased heart beat rate, panic disorder management - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Hypertension and Heart Disease
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2407 Questions
User :   hi i need a cardiologist
Doctor :   hi
Doctor :
User :   hello..are you a cardiologist?
Doctor :   I am a General practitioner.
User :   ok, is it possible to talk to a cardiologist?
Doctor :   you can discuss your health query with me. I will try to help with my expertise. if needed I will refer you to cardiologist
User :   I see
Doctor :   if you directly want to discuss your probelm with cardiologist
Doctor :   I will give you a link to consult them
User :   well i have been having a problem with high heart rate
Doctor :   as their services come under a different service
Doctor :   ok
User :   i understand..
Doctor :   WWW.WWWW.WW
User :   an yhow...i have been having high heart rate, and am currently taking metoporol for it
Doctor :   this is the link to consult with them
Doctor :   WWW.WWWW.WW [push]
Doctor :   since when are you having this problem?
Doctor :   what investigations have been already done for this ?
User :   for a couple of years but tonight is especially bad
Doctor :   could you describe your symptoms in detail?
User :   I have had a thallium stress test done it came normal
Doctor :   please provide your age, gender, location, occupation, height, weight, details of past medical illness if any.
User :   well tonight, i have had a high heart rate since 2 this afternoon.. i have tried to calm down, and relax, it doesnt help
Doctor :   ok
Doctor :   did you check your blood pressure?
Doctor :   is there any chest discomfort, pain, breathing trouble associated?
User :   i am 31 5 11 about 250 lbs, i am used to being about 199, i have a history of hypertension
Doctor :   are you sweating when the heart rate is more? have you tried to count your heart rate?if yes how much was it?
User :   i am sure my bp is high., i am on metropolol for the hi bp
Doctor :   ok.
User :   no chest pain right now, other than the pounding heart
Doctor :   when was the last blood pressure checked?
User :   i am at 115
User :   it was checked today, 168 over 99
Doctor :   it is high reading for BP
User :   i do feel like it's hard to breath, feel like i am choking sorta, but i have felt this way a lot
User :   i have panic disorder
Doctor :   do you have any other problems like high cholesterol or kidney related problems?
User :   i know it's high
Doctor :   are you on any medication for the panic disorder?
User :   not that i know of, cholestorol is low
User :   no, medication so far has made it worse so only on metoporol and dycyclomine
Doctor :   ok
User :   i have not eaten much today, and that usually makes it worse, so I didnt eat
User :   i just need to know what i can do to help this, i am very stressed out and am scared
Doctor :   since your BP also is on the higher side, and you are having symptoms (hard to breath, feel like choking,) I would recommend you to get to an ER (emergency room) and get an ECG done
Doctor :   along with repeat BP reading
Doctor :   and see if if it is still high, then alternative medication will be needed to bring it down
User :   i understand your answer.. i do... but this is not the first time I have been through this...
Doctor :   to accepted level for your age
User :   an er would be a waste of time, they will tell me i am having a panic attack, which is why i seek out the internet...
User :   i have no insurance...
Doctor :   if these episodes are happening very often then it is better to get a complete check done for your heart to rule out any underlying problems
User :   i recently had a heart test, it came back normal
Doctor :   if you do not have insurance, then I would recommend you to take help of the 'free clinics'
Doctor :   they take care of medical needs of people without insurance
User :   there are no free clinics here, i have tried
Doctor :   WWW.WWWW.WW User :   yes, i know that site
Doctor :   visit this link to locate one in your area
Doctor :   ok
User :   i have applied, i dont qualify
Doctor :   have you discussed your symptoms with cardiologist?
User :   i have someone who lets me stay at her house, and that counts as my income
Doctor :   when was the last appointment for the panic disorder?
User :   i dont have a cardiologist right now
User :   huh? appointment for panic attacks?
Doctor :   yes, if you have panic disorder, you should be in regular folow up to see that it is under control
Doctor :   and not get worse
Doctor :   WWW.WWWW.WW
Doctor :   visit this link to consult for both your heart problem and for your panic disorder management
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