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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Rapid Heart Rate, Pain Attack. On Benzodiazepin. Have Rapid Weight Gain. Cure For Symptoms

For month and month I was confronted with few medical problems:
1. Only in the morning, when waking ( with more serious symptoms if I was waking EARLY, much less if I was waking after 8 am) anxiety, rapid heart rate which sometimes could turn into panic attack and than to atrial fibrillation. I could eventually stop this evolution with some benzodiazepin in the very forst moment I wake up. This morbid state was also was combined with a rapid weight gain, partially, only partially explained by the beta blockers doctor prescribed to avoid those. I am a normally thin person, but last time I really put on, at least 20lb with no exogenous cause. ( I don't eat more)

My general state ( panic attacks, hart rate, fibrillation, even weight) improved by some thyroid intake, which is quite strange: thyroid should increase the heart rate, not to settle it down. I think that my morbid state was due to cortisol excess, but it's hard to say, from only the symptoms. In my country they are so idiots that they have cortisol tests only from blood, not from saliva. It is difficult to measure your level of cortisol in the morning when you wake up, going quickly to a hospital, for a blood test etc...
Now, with thyroid intake, no panic attacks, no fancies about my heart rate, no arrhythmia, no rapid rate.Should I go on?
Thu, 9 May 2013
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Cardiologist 's  Response
Dear patient,

Thanks for your health concerns. I believe that the most prudent course of action would be to get a thyroid panel test (TSH mainly and peripheral hormones) to see how your endocrine axis is working now that you are taking thyroid replacement, which hopefull, has been prescribed formally by a health care provider. Excess cortisol would be less likely to give you atrial fibrillation. Initial low thyroid at the beginning could be associated with unexplained weight gain and mood changes.

Hope this is useful wish you the best health,

Dr Brenes Salazar MD
Department of Medicine
Division of Cardiovascular Diseases
Mayo Clinic MN
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Have Rapid Heart Rate, Pain Attack. On Benzodiazepin. Have Rapid Weight Gain. Cure For Symptoms

Dear patient, Thanks for your health concerns. I believe that the most prudent course of action would be to get a thyroid panel test (TSH mainly and peripheral hormones) to see how your endocrine axis is working now that you are taking thyroid replacement, which hopefull, has been prescribed formally by a health care provider. Excess cortisol would be less likely to give you atrial fibrillation. Initial low thyroid at the beginning could be associated with unexplained weight gain and mood changes. Hope this is useful wish you the best health, Dr Brenes Salazar MD Department of Medicine Division of Cardiovascular Diseases Mayo Clinic MN