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I Have Sever Anxiety Issue Is It Possible That I Get Heart Attack Or I Might Need A Pacemaker?

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Posted on Tue, 11 Apr 2023
Question: Hello.
I am 27 years old 5'9 tall and 111kg weight.
I have SEVER Anxiety for years.
In 2011 i did EKG in ER here in United State it comes back POSSIBLE interior infaract but when the doctor came to my room he said ur good goo home!
In 2017 july i did an other ekg it came back possible left enlarge and non specific t wave.
And doctor came in the room said ur good to goo home!!
Again september 2017 i did an ekg in ER it came back possible infaract cannot detect age
And again dhe doctor said u goo home ur good.
How is possible if i had a heart attack as ekg said doctors would let me goo home 3 times!?
Also one more question..when i laydown to sleep when i wake up in morning on bed my heart rate is around 50s and i have skipping heart beats! I am very scared i had heart attack or i might need a pacemaker...please tell me in ur exprience what can this be.
doctor
Answered by Dr. Varinder (1 hour later)
Brief Answer:
donot worry

Detailed Answer:
Hi,
I have reviewed your query and here is my answer .
Please note that ecg machine is computerised machine .
Some parameters are fed into its software and it interprets all ecg according to it .
But there are wide variations and sometimes ecg pick normal variants and give result of infarct .
But the diagnosis of infarct is made by treating doctor according to overall picture of patient .
Usually serial ecg or cardiac enzymes as cpk mb or troponins are checked to be doubly sure about infarct .
Now old infarcts are shown by pathological Q waves on ecg or demonstrated on echocardiography .
In morning , pulse rate of 50 is not a big issue .
If you have any doubt about missed beats in sleep or at day time , you may request your physician for holter monitoring for 24 hours .
Please take proper treatment for anxiety .
Avoid coffee , alcohal , herbal supplements .
Start relaxation techniques as deep breathing exercises , meditation and some social work .
I hope I have solved your query .
If you have any further query then you can come back to ' Ask a doctor ' i will definitely help you .
Thanks.
Above answer was peer-reviewed by : Dr. Remy Koshy
doctor
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Follow up: Dr. Varinder (15 hours later)
Honestly this is the best answer i have it!
Im just scared becouse i am to young what if they say u need pacemaker in ur heart...thank u doctor
doctor
Answered by Dr. Varinder (5 hours later)
Brief Answer:
Glad to know that I was of help to you.

Detailed Answer:
Hello sir.
It is good that you found my answer helpful .
Our prime motto is to help patients.
Anyway just take care of anxiety.
And follow the advise given to you as previously.
Try deep breathing, start meditation or engage in some social work.
Develop a positive outlook in life.
These tips have helped many patients who have come to me with such psychiatric symptoms.
If you are satisfied, close the thread if you have no further queries.

Regards.

Dr Varinder Joshi.
Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Varinder

General & Family Physician

Practicing since :1999

Answered : 2790 Questions

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I Have Sever Anxiety Issue Is It Possible That I Get Heart Attack Or I Might Need A Pacemaker?

Brief Answer: donot worry Detailed Answer: Hi, I have reviewed your query and here is my answer . Please note that ecg machine is computerised machine . Some parameters are fed into its software and it interprets all ecg according to it . But there are wide variations and sometimes ecg pick normal variants and give result of infarct . But the diagnosis of infarct is made by treating doctor according to overall picture of patient . Usually serial ecg or cardiac enzymes as cpk mb or troponins are checked to be doubly sure about infarct . Now old infarcts are shown by pathological Q waves on ecg or demonstrated on echocardiography . In morning , pulse rate of 50 is not a big issue . If you have any doubt about missed beats in sleep or at day time , you may request your physician for holter monitoring for 24 hours . Please take proper treatment for anxiety . Avoid coffee , alcohal , herbal supplements . Start relaxation techniques as deep breathing exercises , meditation and some social work . I hope I have solved your query . If you have any further query then you can come back to ' Ask a doctor ' i will definitely help you . Thanks.