Suggest treatment for health anxiety and extreme panic attacks about heart attack

default
Posted on Thu, 11 Jun 2015 in Hypertension and Heart Disease
Question: age 39 , sufferer with health anxiety and extreme panic attacks.. misinterpret panic attack for heart attack due to father passing at a young age of MI ... it would be no lie if i was to say that ie had 100 ecg prints this year ! and now at times and more times not . im told its showing a inverted p wave ... should i be worried ? bloods at hospital was clear of no mi the last time it showed as a "small change" on the ecg printout.. my gp said that he had seen it before... could actually the tightness etc be heart related after all ?
doctor
Answered by Dr. Ilir Sharka 1 hour later
Brief Answer:
MI is excluded with a great certainty.

Detailed Answer:
Hello!

Thank you for asking on HCM!

Regarding your concern, I would explain that facing your actually performed resting ECGs and lab tests, a MI is excluded with a great certainty.

So you have to relax after all!

P wave invertion on ECG is generally explained by several reasons, other than MI.

I would like to review your prior ECGs, if it is possible. So, please, could you upload them!

Regarding your chest discomfort, I would recommend you to perform a cardiac ultrasound and an ecercise cardiac stress resting.

Regarding your possible P wave invertion alternation, I would recommend to perform an ambulatory ECG monitoring test (Holter).

I also recommend you to be aware of possible coronary risk factors (like dyslipidemia, possible smoking contact, glucose intolerance, hypertension, etc), for a better prevention of future coronary events.

Hope to have been helpful to you!

Feel free to ask me whenever you need! Greetings! Dr. Iliri


Above answer was peer-reviewed by : Dr. Shanthi.E
doctor
Answered by
Dr.
Dr. Ilir Sharka

Cardiologist

Practicing since :2001

Answered : 7223 Questions

premium_optimized

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,   ,  
Drug/Medication

Recent questions on  Chest discomfort

doctor1 MD

I have a knott in the Y of my rib cage, just below rib cage! It gives me discomfort when pressing on it or bending over. I am having indigestion...

doctor1 MD

Hi, I am 19 weeks pregnant and I am having a feeling of trapped air bubbles in my chest. I have a gluten intolerance and I often experience...

doctor1 MD

I have a bit of a problem: when I burp my heart rate goes up and it's not just one burp then it's over its about five with-in a span of 30 minutes...

doctor1 MD

i had chest tightness when playing tennis. went to E.R.

doctor1 MD

i have been feeling discomfort in my whole left side for a few weeks now. left arm, left chest area, left part of the neck. any ideas for at-home...

doctor1 MD

Hi My Age is 26 and height of 5 10 and weight 53kgs, i was suffering with gastric problems from the past 4years i consulted a internal medicine...

doctor1 MD

Cant breath, cant sleep, feel legs and ar s burn , sweat, feel hot but one day my body temperature was 35 degrees C. Feel chest discomfort, like a...

Get personalised answers from verified doctor in minutes across 80+ specialties

136 Doctors Online

By proceeding, I accept the Terms and Conditions

HCM Blog Instant Access to Doctors
HCM Blog Questions Answered
HCM Blog Satisfaction
backtotop2