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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Anxiety And Pain In Chest Area. EKG And Stress Test Fine. Should I Worry?

My doctor has told me that my ekg , stress test, ultrasound of heart and xrays show a healthy heart. I have been diagonsed with anxiety . I still have the mindset that there is an issue with my heart because i get pains in th chest area here and there. Should I be worried? My only risks are slightly high cholesteral and obesity . Age 27.
Sun, 31 Mar 2013
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Psychiatrist,  's  Response
Hello
Welcome to HCM

The symptoms you have described as pain in chest and anxiety are features of Anxiety Disorder itself. Anxiety disorder may show tremors, shakiness, sweating, weakness, tiredness etc. As your all tests came normal so it is most probably anxiety. High cholesterol and obesity also increase symptoms.
Treatment with drugs like beta blockers like Propranolol is very effective. Other medicines like Fluoxetine, Paroxetine are also useful.
So you should visit a good Psychiatrist for opinion.

Thanks
Dr. Seikhoo Bishnoi
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Psychiatrist,  Dr. Sundar Gnanavel's  Response
Hello.......
Thanks for your query. Considering normal results from investigations, i would suggest not to worry about any cardiac pathology. I would suggest a thorough psychiatric evaluation for anxiety disorders. The management would include:
1. Anti-anxiety medication like SSRIs
2. Psychotherapy techniques including CBT/ Cognitive behavioural therapy
Yoga, meditation and breathing relaxation techniques are likely to be beneficial. Wish you good health.
Regards
Dr Sundar
Psychiatrist

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Have Anxiety And Pain In Chest Area. EKG And Stress Test Fine. Should I Worry?

Hello Welcome to HCM The symptoms you have described as pain in chest and anxiety are features of Anxiety Disorder itself. Anxiety disorder may show tremors, shakiness, sweating, weakness, tiredness etc. As your all tests came normal so it is most probably anxiety. High cholesterol and obesity also increase symptoms. Treatment with drugs like beta blockers like Propranolol is very effective. Other medicines like Fluoxetine, Paroxetine are also useful. So you should visit a good Psychiatrist for opinion. Thanks Dr. Seikhoo Bishnoi