I really need help

[villaroyale]

Doctor i need help im 33yrs old and have a slew of symptoms first here are symptoms

1. Heart skips around all day (stops then starts)

2. very lighheaded when palps are bad also very lightheaded all day long

3. constant sick feeling in chest 24/7

4. when i feel very bad and im going to sleep i get numbness in chest up to chin when get up it goes away

5.slight left arm pain when symptoms are bad

6. get surges of sweating and almost passing out but yet i never pass out

7. when i wake up i feel beter toward end of day i feel a lot worse go to sleep feel better in am

8 very very tired all day always yawning

9. when really bad also slight headache comes on

there are others to much to mention


ok here are tests and results

Denver 5yrs ago --Ekg normal except for right bundle branch block

home hospital 3 yrs ago --echo normal 70% ef structually normal heart Stress test normal reach target
home hospital 2 yrs ago-- stress test normal 30 day holter normal echo 70%ef  normal heart

Cardiologist 1 year ago --- Angiogram-perfect doc said no blocjages no disease 70%ef

Cardiologist 6 months ago echo-- Normal 70%ef  holter 200 pvc's otherwise normal ekg rbb but normal otherwise


Im 33 yrs old male at end of rope on 50 mg atelnlol and 120 cartia xt fell horrible daily terrible symtopms youve seen results eondering what your input is

What im afraid of most is my heart just stopping from this please help me

thanks for help

[ireneo]

I think it's called "hijacking a thread." Tsk, tsk. PVC's cause that strange pause sensation in the heart beat but the heart keeps ticking along. I have PVCs and PACs all day long. On the really bad days I feel a bit tired. I do hope you find someone to help you. Don't forget that stress and worry will just aggravate the situation. Take care.

[villaroyale]

not on my dime go pay your own 20 dollars

[hltyhrt]

I have a question. When I went to the mental health forum that doctor  does not feel SSRI's should be used to treat anxiety disorders because of their Stimulant effect but instead recommends klonopin and buspar. I am confused why my MD feels zoloft would help me (I have anxiety/panic disorder  and palpitions. Can you give me your thoughts.

Thanks

[Michael J. McWilliams, M.D.]

I am sorry to hear about your symptoms but let me reassure that the what you are describing is far more common than cardiovascular disease in your age group.  This sounds like a classic anxiety disorder.  Without the exception of PVCs, it sounds like your work up is entirely normal.

In a way you are a victim of the medical system.  Doctors are so afraid that they might get sued that they will do tests and repeat them even if they are normal.  The other problem it is easier to order a test and say it isn't your heart than to take the time and tell you what it is.  I can't say for sure this is the only problem because I am only reading what you have to say on the internet, but what  you are describing is anxiety right down to the yawning which is a marker for increased vagal tone and also associated with the lightheaded feeling you talk about.

People like yourself often do  much better on SSRI's like paxil or even low down tricyclic anti depressants to treat the anxiety.  To get this process started, the easiest thing to do is go to your primary care doctor and tell him that you have an anxiety problem and you want to get control of your life again.  You can do this and you can get much better, but you need to move beyond the fear that you are going to die from heart problems (you don't have them based on the work up you describe) and start working toward getting better.

Am I the first person to tell you this?

I hope this helps.  Thanks for posting.