Hi, Thanks for your question. I do understand your pain and discomfort. I have seen many patients with similar complaints. Please find my advice below- 1)Take BP medicines if you have diastolic pressure 90 mmhg only and restrict salt in diet if possible keep one BP instrument on hand. 2)let me tell you something about panic attack and what is the symptom of it.A panic attack is a sudden episode of intense fear that triggers severe physical reactions when there is no real danger or apparent cause .panic attacks can be very friending.symptoms which follow in panic attack is as below- sense of impending doom or danger fear of loss of control or death rapid pounding heart rate sweating trembling or shaking shortness of breath or tightness in your throat chills hot flashes nausea abdominal cramping chest pain headache dizziness numbness or tingling sensation feeling of unreality or detachment certain tests is required to proceed on this matter,so as you have already done ecg so do an ECHO and THYROID FUNCTION TESTS and a through psychological evaluation. Treatment is tried a)psychotherapy-it is called first line of treatment,if it is successful then no medicine will be required. b)medications which you can try -SSRI, which are as follows fluoxetine,paroxetine,sertraline .etc 3)for acid reflux do one GI endoscopy to ruled out any pathological growth present.Take vitamin B-12 injections 3 times weekly for up to one month then once a month.Add vitamin D in diets. I hope I was able to address your query. If you have any further questions, please do not hesitate to write to me. Wishing you all the best. Thanks,