In your questions you have very cleverly has written the three top diagnosis which need to be excluded. Before that let me assure you, by all accounts you do not seem to suffer from any structural disease of heart (like coronary artery disease leading to angina like chest pain
) but you do need some investigations so that your doctor can prescribe the correct medication or change in life style. The three diagnosis to be excluded are: a) Thyrotoxicosis
b) Panic Attacks c) Anxiety
. I am sure your doctor will agree with me that you need a. Thyroid Function Tests
b. Holter Monitoring c. echocardiography
& Doppler examination. If all three are normal treatment for panic attacks which will alleviate anxiety also. All the best.
Dr Anil Grover