apollo
  • female
  • 30 Years
  • 22/01/2025

I'm a bit worried because I've been experiencing palpitations and when I took an ECG, it showed sinus tachycardia. My 2D echo test came back normal, so my doctor prescribed Betacap TR 20mg. After a week of taking it, the follow-up ECG was normal. Can you explain what sinus tachycardia is? Should I be concerned about any heart-related issues? I've also been dealing with anxiety for the past six months. I've attached my ECGs. Can you take a look and let me know what's going on? I'm really worried about my health.

Doctor 1

Answered by 1 Apollo Doctors

Sinus tachycardia is a condition where the heart beats at a faster rate than normal, typically over 100 beats per minute. It is usually a normal response to stress, exercise, or certain medications. In your case, since your 2d echo test was normal and your follow-up ECG was also normal after taking Betacap TR 20mg, there is likely nothing to worry about. Betacap TR 20mg is a brand name for Propranolol, which is a beta-blocker medication that helps to slow down the heart rate and reduce palpitations. For your anxiety, you can continue taking Betacap TR 20mg as prescribed by your doctor. Additionally, you may benefit from therapy or relaxation techniques to help manage your anxiety symptoms. Overall, it seems like your heart is healthy and the medication is helping with your symptoms. Keep following up with your doctor for further guidance and monitoring.

Dr. Ranjith Suggests...

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Answered 04/07/2025

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I'm really concerned because I recently did a 24-hour Holter monitor test, and I was told I have tachycardia. All my other tests like the ECG, echo, and X-ray came back normal, which is a bit confusing. The doctor mentioned that my tachycardia might be due to anxiety since sometimes I experience palpitations and have trouble breathing. I'm wondering if it's okay to take Zapiz 0.25mg for my anxiety every other day or if there might be any side effects I should worry about. Any advice would be appreciated.

Zapiz 0.25mg is a brand name for Clonazepam, which is commonly used to treat anxiety disorders. However, it is important to note that Clonazepam is typically not recommended for daily, long-term use due to the risk of tolerance, dependence, and withdrawal symptoms. It is best to use it on an "as-needed" basis for anxiety symptoms. For your palpitations and difficulty breathing related to anxiety, your doctor may consider prescribing a different type of medication such as a selective serotonin reuptake inhibitor (SSRI) or a serotonin-norepinephrine reuptake inhibitor (SNRI) for long-term management of anxiety. These medications are less likely to cause dependence compared to Clonazepam. I recommend discussing with your doctor about alternative medications for managing your anxiety symptoms and to address any concerns about potential side effects of Zapiz 0.25mg.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

I'm really worried about my recent health check-up results. The report showed a positive TMT. Should I get further evaluation? I've attached the reports here.

An echo is advised to the patient.

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Doctor 1Doctor 2

Answered by 1 Apollo Doctors

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