Brief Answer:
Your symptoms are just pure anxiety. There is nothing to worry about!

Detailed Answer:
Hello!

Welcome back on HCM!

I carefully reviewed your uploaded ECG (there are no blood lab tests, just 3 uploaded ECG, which seem to be the same) and would explain that they are perfectly normal. They just indicate sinus tachycardia, which means a higher heart rate in a healthy individual.

There are no signs of possible myocardiac ischemia or conductance disorder.

Besides, there are no evidence of any structural abnormalities in your cardiac ultrasound, which is another argument that shows that your heart is perfectly normal.

All this clinical situation seems to be caused by a panic attack or anxiety. The fact that ativan helped you recover from this situation is another strong argument that all this situation was caused by pure anxiety.

So relax and do not worry about it any more! You should try not to think about it!

Regarding the loop monitor it is quite normal. You should not worry about it.

Coming to this point, considering all your symptoms and performed tests, I would conclude that there is not counter-indication for you to go on vacation next week.

So just try to relax! Everything is going to be OK. I can assure you about that!

The only thing I would recommend is consulting with a psychiatrist in order to optimize your anxiety therapy (ativan is just a short term therapy, and an antidepressant could be more helpful in preventing and managing possible similar episodes in the future).

Hope you will find this answer helpful!

Best wishes,

Dr. Iliri

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Brief Answer:
Opinion as follows:

Detailed Answer:
Dear XXXXXXX

You don’t have to worry about Holter monitoring device.

It keeps registering every rhythm events without any warnings. The button you may push just helps the analyzer to know the moments you have experienced any unpleasant symptomatology, but it does not interfere with continuous ECG registering.

So, relax and don’t worry about intermittent beeping as it depends on the device settings and specific programming.

Tachycardia is just one of the heart rate variations; and there is no reason why Holter monitoring would work out of its programmed regimen.

There are devices that may beep while tachycardia is present, others no. it depends on programming.

I think everything is OK and the most important is the rhythm conclusion, not just the process of warning while registering.

Wishing you pleasant vacations!

Kind regards,

Dr. Iliri

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Brief Answer:
You are welcome!

Detailed Answer:
Hello again!

I am glad to have been helpful!

I am sure that everything will be OK an you will be fine!

Anyway you can ask me directly at any time if you will have any other uncertainties in the following link:

http://doctor.healthcaremagic.com/Funnel?page=askDoctorDirectly&docId=69765

Wishing a nice holiday,

Dr. Iliri

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Brief Answer:
You are welcome!

Detailed Answer:
You are welcome!

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Brief Answer:
I would explain as follows:

Detailed Answer:
Hello again!

I am sorry that you found problems with the link. Other patients usually have tried it successfully.

Anyway, I would explain that an event monitor records your heart's electrical activity only at certain times while you're wearing it. This means that it is not like Holter monitoring which records during all the time. That is why it goes off time after time. It gets on again when your heart rhythm begins to have any abnormalities (cardiac tachycardia, ectopic heart beats, etc.).

Based on your symptoms and your other performed cardiac tests which hace resulted normal, I would conclude that your symptoms are not related to any cardiac disorder.

Besides anxiety, low potassium levels are another contributor to your symptomatology. You should know that potassium plays a very important role in your heart rhythm. Low potassium levels can induce cardiac arrhythmia.

That is why I recommend taking a diet rich in potassium, in order to correct your potassium levels and prevent possible cardiac arrhythmia related to low potassium levels.

I would explain that ectopic heart beats caused by low potassium levels can trigger a panic attack and the situation can worsen itself (like a circulus vitious).

So, it is important avoiding this triggering factor.

I am sure you will be OK for your vacation! There is nothing wrong with you!

Just relax and try to follow my advises!

Best wishes,

Dr. Iliri

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Brief Answer:
It seems to be just anxiety.

Detailed Answer:
Hello again!

I would like to explain that it has been activated probably by tachycardia caused by a physical activity or anxiety.

You should know that your anxiety is activating it more and more, because as I explained before, emotional stress and panic attacks can lead to tachycardia and even ectopic heart beats.

The only thing you should do is to close your eyes, take deep breaths, think about nothing and try to relax.

You should focus on your breathing with eyes closed. This will help you calm down.

If this does not work, I would recommend taking 1 tab Ativan. I recommend you to write down the time of ativan intake and show it to your attending physician, when your monitor results will be interpreted, in order to come into correct conclusions.

Hope to have been helpful!

Greetings!

Dr. Iliri

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