
Suffering From Tachycardia. History Of Anxiety And Thyroid Problem. Feeling Heart Palpitation. Any Treatment?

Thanks for your query.
I appreciate your efforts for medical consultation in so much distress.
You mentioned about anxiety and thyroid problem in your history. In 33% cases of palpitation, the cause is anxiety disorders. In Panic attacks (Type of anxiety disorder) person develop severe anxiety, palpitation, tremor and fear of dying, followed by frequent ER visit. Thyroid problem itself increases chances of developing anxiety disorders. If anxiety problem not treated for long, it will lead to depression, like in your case, you are developing fatigue, dizziness and ideas of hopelessness.
As your initial investigations like routine EKG test, holter monitoring and stress tests were normal, which rule out possibility of physical illness.
From your description and normal investigations report we should strongly suspect presence of anxiety disorder. Severity of anxiety may vary time to time, in your case it is associated with palpitation.
Other symptoms of anxiety which may or may not be present in your case: nervousness, restlessness, mild irritability, excessive worry regarding own health, tremor, muscle spasm, heaviness in body, easy fatigability, headache, sleep disturbance, palpitation and dry mouth.
Anxiety occur due to neurotransmitters imbalance in brain most commonly involving serotonin neurotransmitter. You may need treatment with psychiatrist to treat your anxiety. It is not clear if you received any treatment in past, but believe me people life changes after treatment. We have treated cases, presented similar to you.
In drug treatment two types of medicine used. For immediate relief of anxiety benzodiazepines group of medicines (like Xanax) are used and for long term relief most commonly SSRI (selective serotonin reuptake inhibitors) are used. SSRI takes around 3-4 weeks to show its effect. Non drug treatment like cognitive behaviour therapy (form of psychotherapy) also takes weeks to show its effect.
All these process is complex. I have just simplified it to make you understand it. So, for better relief:
-Continue your cardiac medicines.
-Start treatment for anxiety and depression from psychiatrist.
-Monitor thyroid hormone level.
-Take Healthy diet: Milk and fruits in diet.
-Daily morning walk and breathing exercise.
I hope this information has been both informative and helpful for you. In case of any doubt, I will be available for follow ups.
Wish you good health.
Regards,


And to add to the above, I found out today that the arrhythmia I have is atrial tachycardia.
Thanks for follow up.
I have read your query thoroughly. Have a look again on my advice:
All these process is complex. I have just simplified it to make you understand it. So, for better relief:
-Continue your cardiac medicines: As you had some finding when tested on second time. Apart from that, ethically we can not advice any medicine or dose change for cardiac medicines at online platform, as treatment need to be monitored regularly.
-Start treatment for anxiety and depression from psychiatrist: You are only receiving Xanax, which is used for anxiety only and not effective in Depression. Even for anxiety, it is used for short term only. Chronic illness like cardiac illness also increases risk of anxiety and depression which can further increase your palpitations.
-Monitor thyroid hormone level: It is good that you are already monitoring it.
-Take Healthy diet: Milk and fruits in diet.
-Daily morning walk and breathing exercise.
Please accept my answer in case there are no further queries and recommend our services to your friends too if you have found it helpful.
Wish you good health.
Regards.

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