Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Anxiety Disorder And Panic Attacks
Question: Hello Doctor,
I am suffering from anxiety disorder and recently I got panic attack after that I have checked all of the heart test such as blood test, echo cardiogram, stress test and all they are come normal but recently I have checked my pulse rate and my resting heart rat comes down to around 62-64 per minute. However my resting pulse rate was 72-76 earlier. Is there any cause of concern, should I need to go check with cardiologist, pleases suggest. My main concern is before the stress test my resting heart was around 72-76 but after test it's down to 64-65, although my stress test is normal.
Another concern is, my age is 37 and my maximum heart rate is 183, I walked around 11.4 minutes on treadmill stress test and reached 188, is there any problem if I reached my maximum heart rate.
I am suffering from anxiety disorder and recently I got panic attack after that I have checked all of the heart test such as blood test, echo cardiogram, stress test and all they are come normal but recently I have checked my pulse rate and my resting heart rat comes down to around 62-64 per minute. However my resting pulse rate was 72-76 earlier. Is there any cause of concern, should I need to go check with cardiologist, pleases suggest. My main concern is before the stress test my resting heart was around 72-76 but after test it's down to 64-65, although my stress test is normal.
Another concern is, my age is 37 and my maximum heart rate is 183, I walked around 11.4 minutes on treadmill stress test and reached 188, is there any problem if I reached my maximum heart rate.
Brief Answer:
This is absolutely normal. No need to worry.
Detailed Answer:
Hi, Welcome to health care magic. Thanks for asking your query here in this forum.
I can understand your suffering in the background of having such a devastating experience of panic attack. Your concern is genuine as it was a perceived life threatening situation for you.
It is well appreciated that you got all the tests done to rule out any possible cardiac illness. Since all the tests are normal, it makes no logic to visit a cardiologist.
Further I must tell you that the normal range of resting heart rate in human is 60 to 100 beats per minute. Rate is highly variable and it varies according to age, physical condition, mental status, body oxygen demand, hydration and external environment. With advancement of age, resting heart rate decreases. In your case heart rate of 62-64/min is absolutely OK as its fall within normal range, although it has decreased from earlier recordings (which is quite possible due to various factors affecting as mentioned above).
During exercise due to increased demand of body and sympathetic activation heart rate rises many folds. It may raise up to 180-200 beats/min. Again it is within normal range in your case. It does not matter that you crossed your earlier recorded maximum heart rate.
Apparently due to recent experience of panic disorder and due to co-morbid anxiety state you are so much concerned for your health. It is genuine and I can understand your concern. But no need to worry as all things are normal.
I wish you a better health. If there is any further query I will be pleased to answer it.
This is absolutely normal. No need to worry.
Detailed Answer:
Hi, Welcome to health care magic. Thanks for asking your query here in this forum.
I can understand your suffering in the background of having such a devastating experience of panic attack. Your concern is genuine as it was a perceived life threatening situation for you.
It is well appreciated that you got all the tests done to rule out any possible cardiac illness. Since all the tests are normal, it makes no logic to visit a cardiologist.
Further I must tell you that the normal range of resting heart rate in human is 60 to 100 beats per minute. Rate is highly variable and it varies according to age, physical condition, mental status, body oxygen demand, hydration and external environment. With advancement of age, resting heart rate decreases. In your case heart rate of 62-64/min is absolutely OK as its fall within normal range, although it has decreased from earlier recordings (which is quite possible due to various factors affecting as mentioned above).
During exercise due to increased demand of body and sympathetic activation heart rate rises many folds. It may raise up to 180-200 beats/min. Again it is within normal range in your case. It does not matter that you crossed your earlier recorded maximum heart rate.
Apparently due to recent experience of panic disorder and due to co-morbid anxiety state you are so much concerned for your health. It is genuine and I can understand your concern. But no need to worry as all things are normal.
I wish you a better health. If there is any further query I will be pleased to answer it.
Above answer was peer-reviewed by :
Dr. Shanthi.E
Hello Doctor,
Thanks for your reply on this query. I have another concern regarding anxiety, what it is best treatment for Anxiety disease as I have taken allopathic as well as homeopathy medicine but didn't got any relief. There is more side effects from allopathic such as nausea, dizziness, vertigo and fatigue.
Can you please suggest on this ?
Thanks for your reply on this query. I have another concern regarding anxiety, what it is best treatment for Anxiety disease as I have taken allopathic as well as homeopathy medicine but didn't got any relief. There is more side effects from allopathic such as nausea, dizziness, vertigo and fatigue.
Can you please suggest on this ?
Brief Answer:
Medicines of SSRI group are first choice
Detailed Answer:
Hi, thanks for follow up query.
Currently various psychotropic medicines are available. SSRI group of medicines like citalopram, Escitalopram, Sertraline etc that are used as first line therapeutic drugs. You may need short term anxiolytic like clonazepam, etizolam etc for few initial days for control of anxiety symptoms promptly. it takes few days to adjust our body to these medicines, after few days you may not experience any discomfort.
These medicines are used worldwide and proven effective in various researches. Homeopathic medicines have not been subjected to such research, hence efficacy may not be commented.
Medicines of SSRI group are first choice
Detailed Answer:
Hi, thanks for follow up query.
Currently various psychotropic medicines are available. SSRI group of medicines like citalopram, Escitalopram, Sertraline etc that are used as first line therapeutic drugs. You may need short term anxiolytic like clonazepam, etizolam etc for few initial days for control of anxiety symptoms promptly. it takes few days to adjust our body to these medicines, after few days you may not experience any discomfort.
These medicines are used worldwide and proven effective in various researches. Homeopathic medicines have not been subjected to such research, hence efficacy may not be commented.
Note: For further guidance on mental health, Click here.
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
