Suggest Treatment For Heart Palpitations With Shortness Of Breath

Posted on Wed, 22 Jun 2016

Question: hello sir i am 26 years of age from past 2 years i have blood pressure problem currently i am taking protol AM - 5 1 day a day in morning after taking these tablets from past 2 years from past 8 months i have some problem came like when i walk upstairs i can hear my heart beat doctor called it palpitations. i daily do running 3 km when i stop after running i can hear same sound of heart or palpitation when i ask my doctor every time he said it is normal but because of these sounds i am scared mainly the one which came when i walk upstairs i also feel short of breath for few seconds can you tell me what is the reason because it is due to the medicine i am taking ? Also i had done ECG 2 times normal every blood test normal i what test i have not done is Echo,tmt ultrsound,lung test do these test i have to do at this young age asi am running from past 2 years i also get problem in running i can not able to run more then 3KM in summer season whereas in winter season i can rank 5-8KM please help me rectify.

thanks!!

Answered by Dr. Nishad BN (2 hours later)

Brief Answer:
Echo cardiography and TMT test should be done.

Detailed Answer:
Hi

Thank you for asking HCM

I have gone through your query. Echo cardiography and TMT test also should be done to rule out any ischaemia and structural problems of heart. Protol am which is combination of calcium channel blocker and betablocker is usually helpful to control palpitations.

If you upload your ECG it will be more helpful in analysing any signs of hypertrophy of ventricles.
How is your lipid profile levels. ?
Do you have anxiety. ?

Doing stress relaxation exercises like breathing exercises is also good. Sit relaxed and take deep breaths. You can do a couple of times daily.
Taking anxiolytics for short term by the advise of your doctor also helps.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (1 hour later)

you mean Echo and TMT ok i will get it done and yes i have anxiety when i go to doctor check they write HTN/Anxiety means hypertension and anxiety i have shown ecg to my doctor and they said when checked 1 years ago 2 times

Answered by Dr. Nishad BN (3 hours later)

Brief Answer:
A counseling with psychologist also is good.

Detailed Answer:
Welcome again.

Thank you for your follow up.

Yes you should do Echo as well as TMT. If those things are clear then you problem can be most likely from anxiety. In that case a short course anxiolytic drugs and counseling with psychologist will be helpful. Psychologist will train you to get rid off anxiety. Breathing exercises for stress relaxation also will be helpful in such case.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Nishad BN (5 minutes later)

i have ask same type question here 10 days ago and the doctor said this is just anxiety and no need to worry as my ECG test came normal 2 times and i am young daily going for running 3 km run 5-8 in winter i don't think their will be problem came in ECHO and TMT otherwise why did my doc not tell me to get these test done in past 2 years he is associate professor in people medical hospital and university XXXXXXX

Answered by Dr. Nishad BN (1 hour later)

Brief Answer:
If you continuously getting palpitations better to do it.

Detailed Answer:
Welcome again.

Thank you for your follow up query.

If you continuously getting palpitations then better to do TMT and echo. ECG gives only minimal information about heart. Echo and TMT are recommended by most cardiologist if continuous palpitation is there. These 2 tests are non invasive tests. So nothing wrong in doing it. It will help to rule out cardiac problem as a whole. So if you rule out that then you can go on with treating anxiety.
A consultation with cardiologist is well appreciated to do this test and rule out any cardiac problems.

Let me know if anything not clear.
I am happy to help you.
Thanks.

Note: For further queries related to coronary artery disease and prevention, click here.

Above answer was peer-reviewed by : Dr. Yogesh D