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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Panic Attack, Got Tachycardia, Have Agrophobia. Do I Have Flux?

hi my name is mouheb and i m 24 years old.i was a normal person since i had my first panic attack in the summer wish lead me to a tachycardia .it s been now around 6 mounths since i started bieng obssesed with my heart i check my pulse around 100 times a day. i went to the emergency room so many times and every time they say to me i m fine.but this make me feel worst i always prepared for my next panic attack. also i had now an agrophobia i can stay alone in the house(in the past i was so confortabale when i stay alone in the house). realy i became so depressed and i feel like i m going to die from a heart attack .the problem is that my pulse is always gd at rest it never pass 100. plz doctor help me i wanna be normal again. BY THE WAY I HAVE A FLUX NOW AND MY PULSE IS AROUND 90 SOMETIMS 80 AT REST and when i stand up it s start beating fast. is that normal? is it coz of the flux? thank u doctor.
Sat, 2 Feb 2013
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Psychiatrist 's  Response
Hi there ~

I understand that your panic attacks are causing you a lot of distress, to the point where you are thinking about when the next one is going to happen. This is called anticipatory anxiety and may lead to precipitating another panic attack. I think that with all the anxiety that you have been having, having variations in your pulse rate is not uncommon. I recommend that you get an electrocardiogram done, and if there is anything suspicious a cardiology referral is in order. I hope you are using relaxation strategies to control your panic attacks. You should see a psychiatrist to have your panic attacks treated with medications and get appropriate therapy referral.

I hope this helped. Take care.
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Psychiatrist Dr. Sundar Gnanavel's  Response
Hello.......
Thanks for your query. I understand your concern with anxiety symptoms. What you are trying to describe is "anticipatory anxiety" that is characteristic of panic disorder. You require a thorough psychiatric evaluation following which anti-anxiety medication as well as psychotherapy can be initiated. Yoga/ meditation/ breathing relaxation exercises are recommended. Hope you found the information useful.
Regards
Dr Sundar
Psychiatrist
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Had Panic Attack, Got Tachycardia, Have Agrophobia. Do I Have Flux?

Hi there ~ I understand that your panic attacks are causing you a lot of distress, to the point where you are thinking about when the next one is going to happen. This is called anticipatory anxiety and may lead to precipitating another panic attack. I think that with all the anxiety that you have been having, having variations in your pulse rate is not uncommon. I recommend that you get an electrocardiogram done, and if there is anything suspicious a cardiology referral is in order. I hope you are using relaxation strategies to control your panic attacks. You should see a psychiatrist to have your panic attacks treated with medications and get appropriate therapy referral. I hope this helped. Take care.