- Male
- 27 Years
- 07/02/2025
I recently had a blood pressure reading of 140 over 100 and my doctor prescribed some medication. Later, I went through an echo and it turned out I have high anxiety. I'm curious, can echo tests really measure anxiety? And do you think this is something that can be cured, or does it mean I'll be on medication for both anxiety and blood pressure for the rest of my life?
Answered by 1 Apollo Doctors
Anxiety cannot be measured in an echocardiogram. Anxiety is a psychological condition that is typically diagnosed based on symptoms and a clinical evaluation by a mental health professional. Treatment for anxiety may include therapy, lifestyle modifications, and medications such as selective serotonin reuptake inhibitors (SSRIs) like Sertraline. It is possible to manage and even overcome anxiety with the right treatment approach. However, it is important to follow your doctor's recommendations and continue with any prescribed medications for both anxiety and high blood pressure to effectively manage both conditions.
Dr. Dhankecha Suggests...
Consult a Cardiologist
Answered 04/07/2025
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I'm 29 and just had some tests done, including an ECG, ECHO, and TMT, and the results came back normal, but there was a note in my ECHO report about "LV diastolic dysfunction grade 2." My cardiologist said it's normal and nothing to worry about, but I'm still a bit concerned. I don't smoke or drink and I'm not overweight. I did some Googling and found different explanations about that note, which is making me a bit anxious. I also didn't sleep well only about 4 hours the night before the tests and wore double masks during them. Could any of that have impacted the results? Just want to make sure there's nothing I should be concerned about.
"Based on your description, it seems like you are concerned about the comment in your ECHO report regarding LV diastolic dysfunction grade 2. Your cardiologist has reassured you that it is normal and nothing to worry about, which is a good sign. LV diastolic dysfunction grade 2 indicates some stiffness in the left ventricle of your heart during the relaxation phase, but it is a common finding and may not necessarily indicate any serious issues. Considering your age, lifestyle habits, and the fact that all your other tests (ECG, TMT) are normal, there is likely no cause for concern. Factors such as inadequate sleep and wearing double masks during the tests could have influenced the results slightly. To further support your heart health, you can focus on maintaining a healthy lifestyle with regular exercise and a balanced diet. If you have any specific symptoms or concerns in the future, do not hesitate to follow up with your cardiologist for further evaluation. No specific medication is required for LV diastolic dysfunction grade 2 at this stage. Just continue with your healthy habits and follow up with your cardiologist as recommended for routine check-ups."
Answered by 1 Apollo Doctors
I'm really worried about my heart, and it's been like this for almost a year now. I've had palpitations around 45 times, and I've done a couple of ECGs, echoes, chest X-rays, and a TMT about 8 months ago, but everything came back normal. I don't have diabetes or thyroid issues, and I don't smoke or drink. There's no family history of heart problems either, but my BP is 140, and my LDL and total cholesterol are high at 140 and 192, respectively. The doctors say I shouldn't worry and just manage my BP and LDL, but I still can't shake off this fear of a heart attack. I often feel like I'm sinking or floating, and I get wobbly and fatigued when walking, sometimes even when I'm just resting. These feelings mostly hit me in the evenings, all the way until I go to sleep. I find myself worrying all the time, and there's just no joy or excitement in my day-to-day lifeit affects my ability to do daily activities. Can you help me figure out what's going on? Do you think I need any more tests, or is there something else I should be doing? What's causing all these issues?
It sounds like you are experiencing anxiety and panic attacks rather than a heart problem, especially since your heart tests have come back normal. Your symptoms of feeling like sinking and floating, wobbling, fatigue, and worry are common in anxiety disorders. It's good that you are focusing on controlling your blood pressure and LDL levels. To address your anxiety symptoms, you can try relaxation techniques, such as deep breathing exercises, meditation, or yoga. Regular physical activity can also help reduce anxiety. In some cases, therapy or counseling may be beneficial. For your elevated blood pressure and LDL levels, your doctors may prescribe medications to help manage them. For high blood pressure, medications like Amlodipine or Losartan can be prescribed. For high LDL levels, medications like Atorvastatin can be used to lower cholesterol levels. It's important to continue following up with your doctors for regular check-ups and to discuss any new or worsening symptoms. If you continue to experience anxiety symptoms, you may benefit from a consultation with a mental health professional for further evaluation and management.
Answered by 1 Apollo Doctors
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Disclaimer: Answers on Apollo 247 are not intended to replace your doctor advice. Always seek help of a professional doctor in case of an medical emergency or ailment.