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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes High BP With Palpitations Of The Heart?

Hi, may I answer your health queries right now ? Please type your query here... My son has told me the following story and I am thinking it extremely exaggerated and not right.... "i had a panic attack that lead to a mild heart attack. the paramedics gave me nitro 3 separate times. my BP was 197/111. they told me that the nitro brought me out of the palpitations and opened up my heart to relieve the pain. i have to see a specialist but im ok." Should I be concerned?
Wed, 28 Jun 2017
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Cardiologist 's  Response
Hello!

Welcome on HCM!

Your symptoms could be related to a panic attack, but the fact that nitro helped improve your situation, raise suspicions on a possible coronary artery disease and myocardial ischemia.

For this reason, I would recommend performing a cardiac stress test.

A coronary angio CT scan or nuclear perfusional cardiac stress test may be needed.

Hope to have been helpful!

Kind regards,

Dr. Iliri
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What Causes High BP With Palpitations Of The Heart?

Hello! Welcome on HCM! Your symptoms could be related to a panic attack, but the fact that nitro helped improve your situation, raise suspicions on a possible coronary artery disease and myocardial ischemia. For this reason, I would recommend performing a cardiac stress test. A coronary angio CT scan or nuclear perfusional cardiac stress test may be needed. Hope to have been helpful! Kind regards, Dr. Iliri