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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Racing Heart And Anxiety While Constipated

Why does my heart race when I eat or digestion process or if I m constipated. I m 27 years old I have a cardiologist I ve had all test done. Holter monitor event monitor a million ekg a million chest x Rays 6 or 7 echocardiongrams and 1 heart cathe to look for svt or rrthyum problems they found nothing but a couple of pac and pvc. So they said oh you have anxiety. I m fustrated and every time I go to the er or dr. They look at me like hey your fine. I m just kinda scared because I just want to feel normal I don t want to feel my heart, but I m kinda getting used to feeling it now. i just wish this could stop.yea I do have anxiety now after feeling like I m going to have.a heart attack but who wouldn t. How do I live like this? I m on atenlol 25mg once a day it helps a little and I m on 0.5mg Xanax as needed when I freak out cause I get these palpitations and sometimes I get shortness of breath. But I m always in normal sinus rrthyum this is so crazy to me. I m scared to run or do anything that will make my heart go fast. So I limit my self to safer feeling things. The highest my heart rate has been is 178 it woke me out of my sleep.
Wed, 14 Apr 2021
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General & Family Physician 's  Response
Hi,

If all the cardiac work up for you is normal, then anxiety as a causative factor is most likely. Frequent PAC and PVC may also be a feature of anxiety. Most of the time PAC is generally benign and not a cause for concern. PVC also most of times are normal. However, if it is more than 10-15 % of total heart beats, then it may result into weak heart (cardiac myopathy). Treatment of PAC or PVC is the treatment of any cause like hyperthyroidism, any heart disease or hypertension. Avoiding stress, caffeine, smoking may be of importance. Adequate nutritious diet and proper sleep are required things.

Beta blocker or anti arrhythmic drugs may be required for controlling frequent PAC or PVC. If the things are really problematic and are not controlled by above measures, then ablation of abnormal beat generating area by high frequency radio waves is the treatment of choice. In your case, as whole cardiac investigations are normal, you are advised to go for beta blocker (you are already taking) and anxiolytics under guidance of your doctor.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Satnarain Bansal, General & Family Physician
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Suggest Remedy For Racing Heart And Anxiety While Constipated

Hi, If all the cardiac work up for you is normal, then anxiety as a causative factor is most likely. Frequent PAC and PVC may also be a feature of anxiety. Most of the time PAC is generally benign and not a cause for concern. PVC also most of times are normal. However, if it is more than 10-15 % of total heart beats, then it may result into weak heart (cardiac myopathy). Treatment of PAC or PVC is the treatment of any cause like hyperthyroidism, any heart disease or hypertension. Avoiding stress, caffeine, smoking may be of importance. Adequate nutritious diet and proper sleep are required things. Beta blocker or anti arrhythmic drugs may be required for controlling frequent PAC or PVC. If the things are really problematic and are not controlled by above measures, then ablation of abnormal beat generating area by high frequency radio waves is the treatment of choice. In your case, as whole cardiac investigations are normal, you are advised to go for beta blocker (you are already taking) and anxiolytics under guidance of your doctor. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Satnarain Bansal, General & Family Physician