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Suggest Treatment For High Heart Rate When Suffering From Anxiety

Posted on Fri, 10 Oct 2014

Question: My heart rate is about 90 bpm average during the day. Im 43 years old and suffer of anixety. In the early mornings when i wake up is about 60-65. But as soon as start my day it will remain aroiund 90-100. Is this normal. My blood preasure has been lately around 130 over 85.

Answered by Dr. Vipul Prajapati (2 hours later)

Brief Answer:
Detail required

Detailed Answer:
Hi dear,

Thank you for your query.

First of all i would like to know since when you have such high heart rate and is there any other symptoms like Gabharaman, chest pain and tightening, shortness of breath etc...

Have you ever done ECG?
As you describes you are suffering from anxiety, but since when and is there any treatment you are currently on?

Such high rate may be due to anxiety.
Kindly get back to me with details.

Awaiting your response.

Thank you

Above answer was peer-reviewed by : Dr. Bhagyalaxmi Nalaparaju

Follow up: Dr. Vipul Prajapati (6 hours later)

Not sure since when i had high rate because i never checked it before. I have had a full heart evaluation six months ago wuth ultrasound , ekg , holter monitor for 24 hours and stress test. All were good accirding to my cardilologist. Last check up was 2 weeks ago with just an ekg and again all ok. I always feel like i have chest pain, but my doctor says it has to be my anxiety.

Answered by Dr. Vipul Prajapati (1 hour later)

Brief Answer:
Need anti anxiety medication

Detailed Answer:
Hi dear,

As you have all the reports normal so it is confirmed that your increased heart rate is due to anxiety.

So now you need anti anxiety medication.
If you were my patient, I would have started you on Anti anxiety medications like Desvenlaflexine, venlaflexine, paroxetine, sertraline etc...
And also immediate acting medication like clonazepam, lorazepam, etc...

Also I would advise you to go for counselling to understand your anxiety so overcome it.

Consult local psychiatrist and discuss about it.

Wish you a healthy health.

Thank you

Note: For further guidance on mental health, Click here.

Above answer was peer-reviewed by : Dr. Ashwin Bhandari