Suggest treatment for tachycardia, anxiety, acid reflux and digestion issues

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Posted on Wed, 10 Jun 2015 in Hypertension and Heart Disease
Question: Additional Details+ Update Reports

Hi doctor I have a few questions about my heart. I have had all cardiac tests done a few months ago. This included holter 2 48 hour, 2 stress tests, 2 Echocardiogram and blood work. Everything showed a structurally normal heart and I passed both stress tests achieving 90 percent of my maximum heart rate. The holter showed 400 pacs over 48 hours and 15 pvcs. I had some bradycardia approximately 26 % of the time and 12 % of the time tachycardia. The lowest heart rate was 41 during sleep and 164 while climbing stairs and during anxiety. Average heart rate was 71. Occasionally I get episodes where my heart will start racing approximately 165-170 bpm. It will start off withe climbing the stairs and then I get nervous anticipating a fast heart rate and it happens fpr approximately 3-5 minutes. I do suffer from anxiety and I have some acid reflux and digestion issues. I'm worried because this fast heart rate has happened approximately 3 times over the past 5 days and twice tonight. I do think anxiety has something to do with it. I was just wondering if you believe anxiety is triggering this or if this is triggering anxiety. My Holter both showed sinus rhythm and no significant arythmia. I'm so confused I don't know what's going on I need some help. 

I have been doing cbt and psycho therapy for 2 months now
doctor
Answered by Dr. Benard Shehu 3 hours later
Brief Answer:
Following advice.

Detailed Answer:
Hi and thank you for asking!
I read your query and understood your concerns.

My opinion is that anxiety is triggering tachycardia. Once you feel the tachycardia it will increase your anxiety levels.

I suggest to stay kalm and relaxed as long as your cardiac examinations were fine nothing wrong is going to happen. Moreover I encourage you to continue with CBT therapy and to discuss with your psychologist about adding anxiolytic drugs to your therapy.

Hope this was of help!
Wish you health!
Dr. Shehu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Benard Shehu 6 hours later
Hi doctor thank you for getting back to me. I don't understand why I keep getting these episodes. Can it be that when I have to climb the stairs now I think that my heart is going to race so my anxiety starts? Is it dangerous for my heart rate to be up this high?
doctor
Answered by Dr. Benard Shehu 1 hour later
Brief Answer:
You shouldn't worry it's not dangerous for your heart.

Detailed Answer:
Hi back,

My opinion is that you are over thinking about climbing the stairs and tachycardia. These increase your anxiety levels and cause you a panic attack and tachycardia.

You shouldn't worry it's not dangerous for your heart. It only cause you anxiety and tachycardia that are harmless to you.

Wish your health!
Dr. Shehu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Benard Shehu 8 minutes later
Doctor 1 last question. Can the heart sustain heart rate of 170-180 for long periods of time? Such as 1 hour or more? I heard some unhealthy people have resting heart rate of 150-160 is this possible?

Thank you
doctor
Answered by Dr. Benard Shehu 22 minutes later
Brief Answer:
Following advice...

Detailed Answer:
Hi back,

Yes the heart may sustain a heart rate of 170-180 for a couple of hours. Apart from discomfort and dyspnea that it may cause nothing is to worry about that.

In these case the use of a betablocker is recommended to stabilise the HR and to relieve the symptoms (tachycardia, dyspnea etc.).

Wish your health!
Dr. Shhehu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Benard Shehu 42 minutes later
Doctor 1 last thing I promise. Are the tests I did enough to rule out a heart condition. For example do I need any further testing to check my arteries or any invasive testing.

Am I too young to worry about this stuff?
doctor
Answered by Dr. Benard Shehu 3 minutes later
Brief Answer:
Following advice.

Detailed Answer:
Hi back,

The test you have done are enough to exclude any cardiac problems. You don't need to run any invasive test.

You shouldn't think about this problems. I suggest to stay kalm and relaxed.

Wish you health!
Dr. Shehu
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Benard Shehu 32 minutes later
Thank you doctor! All the best to you. I appreciate all you have done for me over this past year.
doctor
Answered by Dr. Benard Shehu 1 hour later
Brief Answer:
You are most welcome!

Detailed Answer:
Hi back,
You are most welcome!
Wish you health!
Dr. Shehu
p.s: If you are satisfied with my answer please close this query and rate it to maximum.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
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Dr. Benard Shehu

Cardiologist

Practicing since :2004

Answered : 2257 Questions

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