Hello!
Welcome and thank you for asking on HCM!
I carefully passed through your question and would explain that panic attacks can trigger all this clinical scenario.
But a
cardiac arrhythmia can not be excluded either.
You should know that Diltiazem is a
calcium channel blocker, which helps lower your heart rate and prevent possible cardiac arrhythmia.
Anyway, considering all your symptoms, I would recommend consulting with your attending physician and performing some tests to investigate for the possible underlying causes:
- a cardiac ultrasound to examine your heart
- an ambulatory 24-48 hours ECG monitoring to examine your heart rhythm trends and exclude possible cardiac arrhythmia
- a chest X ray study and pulmonary function tests
-
complete blood count for anemia
- thyroid hormone levels for
thyroid dysfunction - blood electrolytes for possible
electrolyte imbalance.
You should discuss with your doctor on the above issues.
If all the above tests result normal, you should consider anxiety as the main cause underlying your complaints. In such case you should discuss with a specialist of this field to help you manage anxiety.
Hope to have been helpful!
Wishing all the best,
Dr. Iliri