Member Comments are provided by individuals and reflect their personal opinions only. Under NO circumstances should you act on any advice or opinion posted in this forum. ALWAYS check with your personal physician before taking any action regarding your health! MedHelp International and our partners, sponsors and affiliates have no obligation to monitor any comments posted on this site, or the content and/or accuracy of such exchanges. MedHelp International does not endorse the views of any user.
Heart Disease (Expert Forum)
tachycardia and panic?
This forum is for questions and support regarding heart issues such as: Angina, Angioplasty, Arrhythmia, Bypass Surgery, Cardiomyopathy, Coronary Artery Disease, Defibrillator, Heart Attack, Heart Disease, High Blood Pressure, Mitral Valve, Pacemaker, PAD, Stenosis, Stress Tests
tachycardia and panic?
by jade120674, Mar 23, 2005 12:00AM
I am 30 yr old female. 5 ft. 6in tall. 128lbs. For past 3 yrs have been experienceing lightheadness, dizzy (things shifting) and feeling faint but never actually fainting. Dr. said anxiety, however it happens all the time even in privacy at home. New Dr done Mri, cat scan, thyroid test, cbc, adrenal function tests all norm. Seen ENT all norm. Wore 24 hr holter monitor it showed tachycardia when standing or walking..not when sitting. Dr said that was what was causing my symptoms, however, I still have the symptoms when sitting...I will feel "out of sorts" dizzy or swimmy headed". I don't know what kind of tests I should ask for. When this 1st started I was at work cutting hair and my hand began to shake and everyting shifted and for 2 seconds I thought I would fall, then I broke out in sweat and was nauseas. I have had to stop working due to my extreme symptoms all the time. Lightheaded, feeling faint, dizzy. I am on No meds. Blood pressure is around 90/66 sometimes up to 112/75. Any ideas? Any help would be appreciated
Doctor's Answer
by CCF-M.D.-MJM, Mar 23, 2005 12:00AM
Hi Jade,
Have you had a tilt table test? the utility of this test is sometimes debated, but it can be useful for people with postural tachycardia symptoms. As an example, I saw a 20 year old college student that passed out in class. She had a normal EKG, Holter, event monitor, and echo. We put her on an upright tilt table test and very early in the test her blood pressure dropped and she had a 10 second sinus pause leading to syncope (passing out). This is what I would do next.
If this is normal, anxiety is certainly a possibility and I would consider an SSRI like effexor, paxil, prozac, zoloft, etc. to see if it helps. I would even consider this if your tilt table is positive as anxiety goes hand in hand with postural tachycardia syndromes.
I hope this helps answer your question. Good luck.
Have you had a tilt table test? the utility of this test is sometimes debated, but it can be useful for people with postural tachycardia symptoms. As an example, I saw a 20 year old college student that passed out in class. She had a normal EKG, Holter, event monitor, and echo. We put her on an upright tilt table test and very early in the test her blood pressure dropped and she had a 10 second sinus pause leading to syncope (passing out). This is what I would do next.
If this is normal, anxiety is certainly a possibility and I would consider an SSRI like effexor, paxil, prozac, zoloft, etc. to see if it helps. I would even consider this if your tilt table is positive as anxiety goes hand in hand with postural tachycardia syndromes.
I hope this helps answer your question. Good luck.
somehow I have same symptoms, sometimes i feel dizzy but when i check my pulse it is normal as always for example it is 60 or little more or less.but sometimes it beats faster till 90-100 without any activity, at this period of beats i feel something happens in my chest, it is not pain or ? and after a short time (1 or 2 secs)i feel a heavy pulse and after that every thing goes ok but some anxiety.If casually through this event I check my pulse I feel an interrupt or skipping pulse.It makes me crazy.Also sometimes i feel pain in my chest bones dr.s siad they are due to ur anxiety.
I did echo which was ok and 24 hrs holter i had a period of 43 bpm during sleep at night and a 2.14 secs rest in hearts beat plus 2 rests less than 2 secs.
whats going on me? what are skips in my heart with odd feeling?
I am 27 yr/male ,173 cm and 73 kgs casually sport(soccer)