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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Remedy For Anxiety And Difficulty In Sleeping

I recently had an incident at work, unprovoked, that caused my heart beat to go over 112 and my BP to 178/98. I normally have a HR of 60 and BP of 90/50. Since then I had a holter monitor and am waiting for results. ECG showed normal. I have a history of intermittent PVC's. I have not been able to sleep in the last 10 days (from the 1st incident) and am feeling panicky all the time. What should I do.
Mon, 9 Nov 2015
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Cardiologist,  's  Response
Greetings, Welcome to Health Care Magic and thank you for your question. I understand your concern.

Indeed, in states where there is a lot of psychological stress there is an abnormal increase in the heart rate and blood pressure. All types anxieties are accompanied with an acute raise of adrenalin levels in the body, and these are adrenalin symptoms. Referring to the intermittent premature ventricular contractions (PVC), your stress, I would recommend you to be started on a beta-blocker, which acts both on the heart rate and PVCs, also on the anxiety. Propranolol is the name of this agent, and I recommend you to discuss with your cardiologist, about the dosage and frequency of oral administration. Another alternative is a consult with a clinical psychologist or a psychiatrist, about the possibility to be started on a short, low-dosage, course of benzodiazepines (7-10 days) and, if this anxiety is severely affecting your quality of life and work, an anti-psychotic for a short time, to regulate the mood swings generated by you anxiety attacks.

I hope I was helpful. Take care.

Kind regards,
Dr. Meriton
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Suggest Remedy For Anxiety And Difficulty In Sleeping

Greetings, Welcome to Health Care Magic and thank you for your question. I understand your concern. Indeed, in states where there is a lot of psychological stress there is an abnormal increase in the heart rate and blood pressure. All types anxieties are accompanied with an acute raise of adrenalin levels in the body, and these are adrenalin symptoms. Referring to the intermittent premature ventricular contractions (PVC), your stress, I would recommend you to be started on a beta-blocker, which acts both on the heart rate and PVCs, also on the anxiety. Propranolol is the name of this agent, and I recommend you to discuss with your cardiologist, about the dosage and frequency of oral administration. Another alternative is a consult with a clinical psychologist or a psychiatrist, about the possibility to be started on a short, low-dosage, course of benzodiazepines (7-10 days) and, if this anxiety is severely affecting your quality of life and work, an anti-psychotic for a short time, to regulate the mood swings generated by you anxiety attacks. I hope I was helpful. Take care. Kind regards, Dr. Meriton