Brief Answer:
I wish you will find the willingness to follow medical advises.

Detailed Answer:

Hello XXXX!

Thank you for asking on HCM!

First of all, I would like to confirm you that your heart is not going to stop. Just relax! It looks that anxiety is going to have a great impact on your way of thinking, and even on how you are feeling recently.

I have reviewed your clinical scenario several times, and each time that I have looked for some specific details to define the reasons of that strange feeling of palpitations, fast and slow heart beats, anxiety has been always there, present and alive, indifferently staying on a corner, idle, fooling around your daily hours and your thoughts.

Seems that anxiety has settled down comfortable on your mind, and doesn't even thing to get out of your hospitable thoughts.

I passed carefully through your complains, and I am glad to confirm you that nothing abnormal could be revealed by an expert judgement, regarding pathological cardiac issues.

So, as the anxiety is the only responsible for what you have written about, I would suggest an effective way to get completely rid of that unpleasant guest.

Just leave your health issues thoughts out of your mind, of your attention, at least for a while. You have to teach some education lessons to your anxiety. He has to be more polite hereinafter, and should knock on your mind's window asking permission for probably a fast and a natural visit. but never more that that.

You have to repeatedly remember that you are the only eligible owner of your mind, no one else.

To achieve these targets, you need to be more active, more combative. You have to engage yourself on healthy physical activity, in order to make your body "run" and even your old thoughts flow away and be substituted by new and pleasant ones.

You need some yoga, aerobics, and recreation activities, instead of passing the active years of your life thinking on fast, slow and again fast beats.

I wish you will find the willingness to follow these medical advises.

Hope to have been helpful to you.

Greetings! Dr. Iliri

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Brief Answer:
No evidence of arrhythmia seems to be present.

Detailed Answer:

Hello again dear XXXX!

Facing all you have prescribed, it doesn't seem to be any arrhythmia presence (like afib, or ectopic beats). You don't have any worsening arrhythmias, It is just palpitations appearance. You need to relax!

I don't believe your cardiologist has missed any additional tests. You just need to perform a new check up by your cardiologist after a period of time.

Be careful with your meals! Try to have them on the right time!

Wish you a good health! Dr. Iliri

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Brief Answer:
No any dangerous implications, just keep your anxiety under control!

Detailed Answer:

Hello XXXX!

I would like to explain that palpitations, when they don't reflect a serious cardiac arrhythmia, are not associated with any heart damages. The same is true for your very rare ectopic beats. So nothing to worry about! Just relax!

Regarding anxiety, I could tell you that it may exacerbate recurrent palpitations, sometimes ectopic beats, sometimes bouts of high blood pressure, etc.

But, as you are having continuous efforts to face your anxiety, I would assure you that it couldn't damage your heart.

It may trigger some heart rate fastening, or high blood pressure time after time, but can't interfere with your normal cardiac structure.

Best regards! Dr. Iliri

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Brief Answer:
You are in perfect cardiac conditions.

Detailed Answer:

Hello dear XXXX!

Your good coping with climbing stairs and exercising is another fact that your ectopic heart beats and general unpleasant feeling have nothing to do with your heart. Your slow heart rate around 60 bpm is a normal variation, and you shouldn't worry at all!

I confirm that your cardiac, and overall status looks fine. I would also like to congratulate for the way you are facing with your health concerns and your anxiety.

Best regards! Dr. Iliri

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