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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Smoker, Problem Of Heart Pounding, Missing Beats. What Can I Do?

i havn t smoked weed for about 3 years, when i was 14-16 i smoked everyday multiple times and one day i smoked and my heart felt really weird, like pounding, missing beats, and such like that i thought i was having a heart attack . i went to the doctor nothing was wrong with me. i tried to smoke again several weeks later and found myself in the same situation, this time i knew it was all in my head. however i started to not be able to move, i could t move my arms or even feel them and all i could do was focus on my breathing and heart rate . i know this is all in my head since i went to the hospital again and i was fine, even though when its happening i m convinced i am going to die and having a heart attack. i don t really know what i can do, any advice?
Mon, 18 Mar 2013
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Psychiatrist 's  Response
Hello
Welcome to Health Care Magic

You have mentioned that you smoked weed. And since last few times when ever you smoke weed, you feel pounding heart and fear that heart attack may occur. You feel weird, pound heart, missed beats etc. Every investigation came normal.
Most likely these are features of anxiety. Anxiety disorder presents with symptomatology of pounding heart, breathlessness, chocking in throat, sweating etc. I advise you to visit a good psychiatrist for expert opinion. Management include medicines like SSRI as fluoxetine, fluvoxamine, paroxetine etc. and SNRI as venlafexine, desvenlafexine etc. Non medicinal treatment as yoga, relaxation exercises, meditation etc will also help.
Visit a psychiatrist for expert opinion.

Thanks
Dr. Seikhoo Bishnoi
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General & Family Physician Dr. Gustav Gous's  Response
Thank you for your query.
The first thing you must do is not to smoke any more weed, this is very detrimental to your health, physical and mental. You are probably suffering Panick - attacks triggered by the drug, this will cause rapid heart rate, you are not imagining this, it is real. Panick-attacks are often described by the patients as a feeling that they are dying from a heart attack. There are various treatments for Panick-attacks, but as I have mentioned , if the trigger is known, as in your case. The best treatment then is to avoid the trigger, namely smoking weed. I trust you find this helpful.
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Smoker, Problem Of Heart Pounding, Missing Beats. What Can I Do?

Hello Welcome to Health Care Magic You have mentioned that you smoked weed. And since last few times when ever you smoke weed, you feel pounding heart and fear that heart attack may occur. You feel weird, pound heart, missed beats etc. Every investigation came normal. Most likely these are features of anxiety. Anxiety disorder presents with symptomatology of pounding heart, breathlessness, chocking in throat, sweating etc. I advise you to visit a good psychiatrist for expert opinion. Management include medicines like SSRI as fluoxetine, fluvoxamine, paroxetine etc. and SNRI as venlafexine, desvenlafexine etc. Non medicinal treatment as yoga, relaxation exercises, meditation etc will also help. Visit a psychiatrist for expert opinion. Thanks Dr. Seikhoo Bishnoi