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What Does My Lipid Profile Test Report Indicate?
Question: Hi, I am hypertension patient & BP is well controlled with medication ( avg BP 115/74) but I am having anxiety problem & any small problem/changes in my body leads to think me that this something to do with my heart or BP & suddenly I stressed out BP goes & pulse goes high & after sometime when I calm down all goes normal again. Presently I am taking telmisartan + Hydrochlorothiazide & beta blocker & for anxiety clonazepam .5 + Escitalopram 10. I have done my ecg 2 times in last 6 months which is absolutely normal. My lipid profile is total 215, ldl - 131 Hdl- 50. My present concern is my pulse rate which was used to be at in 70s but since last 10 days it has increased like just after waking up 75-85 during day to day normal activity lower 90s after lunch 95-110 again come back to lower 90s post 3-4 hour of lunch. My BMI is 28. Please advice whether it is just stress / anxiety & how can I brought down my pulse. Please help.
Brief Answer:
Panic attacks, Pulse is almost normal.
Detailed Answer:
Hi,
Thanks for choosing HCM for your query!
You are having episodes of panic attacks.Panic attacks are sudden periods of intense fear that may include palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something bad is going to happen.It is not necessary that all symptoms are always present in every patient.
Panic attacks can occur due to number of disorders including panic disorder, social anxiety disorder, post traumatic stress disorder, drug use, depression, and medical problems.
As per your question your highest pulse rate is 110 at most of the time pulse is less then 100, which is normal.
You are on correct medication,However i would suggest you to ask you psychiatrist to add METHYL FOLATE (tetrafol) to the regimen,It potentiates the action of escitalopam. Paroxetine could be started in place of escitalopram, Results with paroxetine are much better (on my patients), doses of clonazepam can also be increased to 1 mg per day if unable to control anxiety at 0.5mg dose. Discuss options with your treating doctor.
Apart from this some general measures to be followed are
-Exercise daily for 40 minutes.
-Try meditation and yoga to relax mind.
-Try to keep yourself busy.
-Eat light food, Avoided spices and oils.
-Remain motivated and don't google too much.
Thanks!
Panic attacks, Pulse is almost normal.
Detailed Answer:
Hi,
Thanks for choosing HCM for your query!
You are having episodes of panic attacks.Panic attacks are sudden periods of intense fear that may include palpitations, sweating, shaking, shortness of breath, numbness, or a feeling that something bad is going to happen.It is not necessary that all symptoms are always present in every patient.
Panic attacks can occur due to number of disorders including panic disorder, social anxiety disorder, post traumatic stress disorder, drug use, depression, and medical problems.
As per your question your highest pulse rate is 110 at most of the time pulse is less then 100, which is normal.
You are on correct medication,However i would suggest you to ask you psychiatrist to add METHYL FOLATE (tetrafol) to the regimen,It potentiates the action of escitalopam. Paroxetine could be started in place of escitalopram, Results with paroxetine are much better (on my patients), doses of clonazepam can also be increased to 1 mg per day if unable to control anxiety at 0.5mg dose. Discuss options with your treating doctor.
Apart from this some general measures to be followed are
-Exercise daily for 40 minutes.
-Try meditation and yoga to relax mind.
-Try to keep yourself busy.
-Eat light food, Avoided spices and oils.
-Remain motivated and don't google too much.
Thanks!
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Above answer was peer-reviewed by :
Dr. Vaishalee Punj
Answered by
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