I am Dr Sourav Chakraborty and i will be helping you with your query.
I would have liked a more elaborate history of your symtoms as this is not adequate to come to a significant conclusion how ever i do believe from the restricted history and ECG and Echocardiography
report that you are suffering from anxiety
disodrer , the exact cause of it is not clear from your history.
Also you have not revealed your age as this is important hint in diagnosis for you. However i do request you to get a holter study done for you just to rule out any paraoxysmal cardiac arrythmia
I need to know your working habits , whether you are under a stressful period having any emotional liability because they can contribute to your symptoms
Treatment for anxiety disorder is both combination of medicine and cognitive-behavioral therapy
Medications are an integral part of treatment and should stop taking them without talking with your physician's advice . Following medications are used frequently
Selective serotonin reuptake inhibitors , Serotonin-norepinephrine reuptake inhibitors
Antidepressants , antiseizure is also used for extreme cases.
Benzodiazepines such as alprazolam , clonazepam
are used on short-term basis as an adjuvant. How ever please do keep in mind long-term use can lead to dependence on these drugs.
Cognitive-behavioral therapy helps you understand your behaviors and how to gain control of them. You will have multiple visits over a number of weeks as per your attending doctor . During therapy you will learn how to:
Understand and gain control of your stressful life or your emotional liabilities
Recognize and replace panic-causing thoughts
Manage stress and relax when symptoms occur.
Avoid thinking that minor worries will develop into very bad problems
Avoiding caffeine, smoking and other addictions may help reduce symptoms.
A healthy lifestyle that includes exercise, enough rest, and good nutrition can help reduce the impact of anxiety so please start practising if you have not started yet.
Please do visit your physician for further information regarding your symptoms.
Hope i have been able to help you . Take care