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What Causes Heart Palpitations, Agitation And Fatigue?

Posted on Tue, 23 Aug 2016

Question: Passed out two months ago from a vasovagal syncope trigger. A week or so later started to experience heart beat flutters and some feeling of agitation that usually is follwed by fatigue. Nerologist said this could be anxiety related and prescribed paxil 10mg. Been on paxil for 6 weeks still fatigue but seems to me helping with heart flutter and agitation. Could this be related to a heart issue and not anxiety?

Answered by Dr. Prabhakar C Koregol (50 minutes later)

Brief Answer:
May be yes

Detailed Answer:
The way you are describing your symptoms it could possibly be related to heart. We need to rule to arrhythmia especially atrial fibrillation as cause for your symptoms. You need some basic investigation which include and not limited to ECG, Echo cardiogram, Treadmill test and also Holter monitoring. If any abnormality noted than we may to to further probe it based on findings and treat.

Above answer was peer-reviewed by : Dr. Sonia Raina

Follow up: Dr. Prabhakar C Koregol (36 hours later)

Thanks you doctor for your input. Would it be ok to stop the paxil 10mg I have been on for 6-7 weeks with no noticeable change? The last three weeks cut the pill in half when taking. I mean just quit cold turkey or should I ask doctor to wean?

Answered by Dr. Prabhakar C Koregol (28 hours later)

Brief Answer:
Yes, you can stop but gradually

Detailed Answer:
Hi,

Thanks for writing back.

Yes, you can stop Paxil but do it gradually. Do ask your treating doctor to help in the same.

Hope, I answered your query.

Wish you good health.

Regards,

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

Above answer was peer-reviewed by : Dr. Raju A.T