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Suggest Treatment For Panic Attacks And Anxiety Disorder
Question: Hello, I am woundering what these test results mean and if they are normal. ive been shaking when trying to exersicise and have been diganoised with panic disorder. this holter moniotor test was done to rule out other possiable conditions. my highest heart rate was 145 bmp that's when I went for a walk outside at 12:03 pm it was hot and I was anxious about the test as I was trying to do some exerscise to see how my heart worked under pressure. I did not run, just walked light to kinda briskly but it was fairly hot and I was nervous I did about half a mile maybe a mile
CARDIOLOGY RESULTS
DESCRIPTION OF TEST: HOLTERMONITORING
NARRATIVE: A Holter monitor was applied for 24 hours. During this
time, the patient did not keep a diary. His rhythm was sinus with rare
PVCs and very rare PACs.
His average heart rate was 79. The minimum heart rate was 55 at 4:30
a.m. The maximum heart rate was 145 at 12:03 p.m., activity unknown.
There were 27 PVCs, all single, unifocal and occurring between the
hours of 1:00 a.m. and 11:00 a.m. Outside of these hours, there were
no PVCs. There were 6 PACs. There were no triplets or runs of
supraventricular or ventricular ectopy. There was no AV block. The
longest R-R interval was 1.3 second.
CONCLUSION: Essentially unremarkableHolter monitor with the exception
of rare single unifocal premature ventricular contractions seen between
the hours of 1:00 a.m. and 11:00 a.m. As there was no diary returned,
his rate and rhythm cannot be correlated with activities.
I also feel shakey when I try to masterbate or exerscise
CARDIOLOGY RESULTS
DESCRIPTION OF TEST: HOLTERMONITORING
NARRATIVE: A Holter monitor was applied for 24 hours. During this
time, the patient did not keep a diary. His rhythm was sinus with rare
PVCs and very rare PACs.
His average heart rate was 79. The minimum heart rate was 55 at 4:30
a.m. The maximum heart rate was 145 at 12:03 p.m., activity unknown.
There were 27 PVCs, all single, unifocal and occurring between the
hours of 1:00 a.m. and 11:00 a.m. Outside of these hours, there were
no PVCs. There were 6 PACs. There were no triplets or runs of
supraventricular or ventricular ectopy. There was no AV block. The
longest R-R interval was 1.3 second.
CONCLUSION: Essentially unremarkableHolter monitor with the exception
of rare single unifocal premature ventricular contractions seen between
the hours of 1:00 a.m. and 11:00 a.m. As there was no diary returned,
his rate and rhythm cannot be correlated with activities.
I also feel shakey when I try to masterbate or exerscise
Brief Answer:
Panic attacks and anxiety disorders
Detailed Answer:
Hello and thank you for your question. Welcome to HCM
I understand your concern.
I am assuming that you have felt discomfort and/or forceful beats in your chest, and therefore a Holter monitor was applied. Well, it is trully unremarkable and a totally normal registration. Very rare premature ventricular or atrial contractions are present in every single living person. They are mostly expected to happen when one is experiencing stress, physical or paychological. What happens during stress (which is the main mechanism during panic attacks)? There is a spike of blood adrenalin levels, which, among others, elevates the heart rate and, sometimes, the bloos pressure. I would recommend you that there is nothing to worry about, even though I understand that you perceive the "moments" of anxiety as very worrisome to you. You should keep in mind that, even if there is a "train" of thoughts that something terrible is going to happen to you while the attacks are present, the organic facts is that nothing really happens and you relax after a certain amount of time. I can also see that you already are on medication that are perscribed by a psychiatrist. I would recommend you to consult him/her again, and discuss about a combination of an anti-psychotic drug with a benzodiazepine for a course of time, because my opinion is that this combination may offer a better mood swing control and prevention of panic attacks.
I hope my answer is helpful. I am happy to help, if you have follow-up questions.
Kind regards,
Dr. Meriton
Panic attacks and anxiety disorders
Detailed Answer:
Hello and thank you for your question. Welcome to HCM
I understand your concern.
I am assuming that you have felt discomfort and/or forceful beats in your chest, and therefore a Holter monitor was applied. Well, it is trully unremarkable and a totally normal registration. Very rare premature ventricular or atrial contractions are present in every single living person. They are mostly expected to happen when one is experiencing stress, physical or paychological. What happens during stress (which is the main mechanism during panic attacks)? There is a spike of blood adrenalin levels, which, among others, elevates the heart rate and, sometimes, the bloos pressure. I would recommend you that there is nothing to worry about, even though I understand that you perceive the "moments" of anxiety as very worrisome to you. You should keep in mind that, even if there is a "train" of thoughts that something terrible is going to happen to you while the attacks are present, the organic facts is that nothing really happens and you relax after a certain amount of time. I can also see that you already are on medication that are perscribed by a psychiatrist. I would recommend you to consult him/her again, and discuss about a combination of an anti-psychotic drug with a benzodiazepine for a course of time, because my opinion is that this combination may offer a better mood swing control and prevention of panic attacks.
I hope my answer is helpful. I am happy to help, if you have follow-up questions.
Kind regards,
Dr. Meriton
Above answer was peer-reviewed by :
Dr. Raju A.T
thank you for your response. I am concerned about my heart rate being 145 when walking. I wasent moving very fast. it was a little faster than normal. it was hot outside and I was somewhat anxious. is this heart rate of 145 normal or is this a little high? im 6ft 170 pounds and for what I know am in good health. im just concerned about that 145 heart rate as I was not walking very fast or exercising very intensely. A LOT of my alleged panic attacks happen when I try to exert force like have sex,,masterbate, or hitting a punching bag. or running. but they also happen in social situations and at rest. Im just really concern about that 145 bpm when walking.
Brief Answer:
It is normal under stress
Detailed Answer:
Hi again and welcome back.
I would confidently state that it is normal. You see, as I mentioned in my original answer, heart beat may increase substantially when the human body is under stress, physical or psychological. In fact there is a formula for this (220-age), which means, in your age, it can go up to approximately 200 beats per minute and considered normal.
I hope this is clarifying. Kindly, if you do not have further questions, close the discussion and rate the answer.
Regards,
Dr. Meriton
It is normal under stress
Detailed Answer:
Hi again and welcome back.
I would confidently state that it is normal. You see, as I mentioned in my original answer, heart beat may increase substantially when the human body is under stress, physical or psychological. In fact there is a formula for this (220-age), which means, in your age, it can go up to approximately 200 beats per minute and considered normal.
I hope this is clarifying. Kindly, if you do not have further questions, close the discussion and rate the answer.
Regards,
Dr. Meriton
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Above answer was peer-reviewed by :
Dr. Naveen Kumar
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