Brief Answer:
No known etiology

Detailed Answer:
Hello and welcome to HCM. Thank you for your question. I am Dr. Meriton. I understand your concern.

A panic attack often is a part of a situation that is called general anxiety disorder. As other forms of anxieties, it is characterized by a spike of cathecolamine levels in the blood stream (e.g. adrenaline and noradrenaline), and the symptoms are attributed to this spike, such as shortness of breath, dizziness, rapid heart rate, rising in blood pressure etc. A panic attack has no known etiology or cause. It can happen even while the person is resting or sleeping. Although, it has certain triggers. If you talk to people with repetitive episodes of panic attack they can link their exacerbation with a certain event, such as even fearing to repeat that event from the possibility of an another episode. These triggering events may be various, like crowded places, small and confined places, public speaking and a lot of others. The main clue you should receive from yourself is that even you experience the feeling that you are going to die, you eventually do not. Primarily, this is your battle against yourself. However, there are certain medication that cooperate and have an affect on preventing these episodes and regulating your mood swings. I would recommend you to consult your psychiatrist and discuss about a combination between a benzodiazepine drug and an anti-psychotic drug. From my personal experience, my opinion is that people that have panic attacks are mostly people who are very ambitious and every "failing" accumulates a lot of negative energy in them. There is no better way than physical activity, to overcome this tiring accumulation within you. So, I would recommend you to go to the gym, or jogging, or biking, whichever suits you better, and I am confident that you will feel better.

As about the cholesterol levels, I can see you already are on a statin drug to lower your cholesterol. Anyway, some changes in diet would suffice to help the statin, and in cooperation lower the total cholesterol levels and raise the HDL fraction (the good cholesterol):
- green leafy vegetables and fruit up to 300 g a day (diet rich in fibres)
- reduce your alcohol intake up to 30 g of ethanol a day - a shot of heavy drinks or two beers or a glass of wine
- fish and chicken, instead of red meat
- the white of the egg, not the red (egg yolk)
- no fast food at all
Three months after you have been on this diet, you should check your cholesterol levels again.

Blurry vision can have various causes. Starting from primary organic disorder in the eye, to side effects of the medication, to the fluctuations of blood pressure and dizziness caused in the moment of your panic attack, or other stressful events. At this moment, I would only recommend in seeking and confirming or excluding a primary disorder of the eye, as the culprit for this symptom. So, I suggest you to see an ophthalmologist, and a fundus oculi examination should be performed.

I hope I was helpful with my answer. If you have further questions, I would be happy to help. If you do not, please close the discussion and rate the answer. Wish you a good health.

Best regards,
Dr. Meriton

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Brief Answer:
Welcome back

Detailed Answer:
Hello again. I understand your concern.

You did not mention the blood pressure fluctuations in you first query. However, the figures you provided are not worrisome. Blood pressure is a very variable component throughout one day. It is strongly affected by physical activity, psychological stress and anxious events, and by peak and XXXXXXX levels of various hormones in the human organism. Blood pressure should be measured after you have been 15 minutes in resting state physically and psychologically, also some time from consuming especially caffeine-containing beverages. To get precise figures, I recommend you to wear a 24-hour blood pressure monitor, to eventually confirm hypertension, or exclude it.

I hope I was of help. If you do not have further clarifications, close the discussion and rate the answer.

Regards,
Dr. Meriton

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Brief Answer:
Clinics in your area

Detailed Answer:
Hello again!

A 24-hour blood pressure monitor is inserted at a cardiologist's office. Please visit a cardiologist or ask your GP for a cardiologist referral.

I am glad I helped. If you do not have further questions, please close the discussion and rate the answer. Take care

Dr. Meriton

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