- Male
- 35 Years
- 07/02/2025
I'm really worried because I had Covid back in November 2020 and even though I got better with home quarantine, I've been having these palpitations. I was on Prolomet XL 12.5 for three months, but it was stopped and I don't have any other health issues. My weight is 85 kg and I'm 5 ft 7 in. Lately, I find myself googling symptoms a lot and after Covid, a few palpitations really made me anxious, and I think I've developed this fear of heart issues. Between December and April, I had my ECG and 2D ECHO done twice and a 24-hour Holter monitoring, all of which came back normal. But now, for the past couple of days, I've been experiencing a little indigestion. Today, after lunch, I felt a mild pain around my heart, though it disappeared after a few seconds. Could this just be my anxiety, or should I get my heart checked out more thoroughly? Your advice would mean a lot.
Answered by 1 Apollo Doctors
Based on your history of palpitations post-Covid and your current symptoms of indigestion and mild pain in the heart area, along with normal ECG, 2D ECHO, and 24-hour Holter monitoring results, it is more likely that your symptoms are related to anxiety rather than a cardiac issue. To address your symptoms of anxiety and cardiophobia, I recommend continuing with lifestyle modifications such as regular exercise, stress management techniques, and maintaining a healthy diet. Additionally, you can consider therapy or counseling to help manage your anxiety. If your symptoms persist or worsen, you can discuss with your healthcare provider about starting a medication such as Escitalopram 10mg once daily to help with anxiety symptoms. However, it is important to continue monitoring your symptoms and follow up with your doctor regularly.
Dr. Dr Khaleel Suggests...
Consult a Cardiologist
Answered 04/07/2025
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Trivial TR is a normal finding in healthy heart. Your echo is normal. Post covid palpitations are also seen in many patients. However if the symptoms are severe enough, you may need some medication.
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I'm really worried about my heart rate. I was prescribed Propranolol 20 MG for anxiety and palpitations by my cardiologist, but when I started feeling uncomfortable with light chest pain, I went to another cardiologist who told me to stop taking it. So I did, and I felt normal for a day, but then my heart rate jumped from 85 sitting to 145 standing the next day. I'm scared to go to the hospital because my heart rate might increase even more. If it's already at 140 just standing, I can't imagine how high it would go while working. Is this something very serious? Also, my blood pressure at night was 130 after eating and 127 before eating while I was on the medication, but it hardly ever went over 120 before all this. If just two days of using Propranolol caused these withdrawal effects, how am I supposed to handle this medication for the long term? I'm living in constant fear of dying. Can you help?
It sounds like you are experiencing significant anxiety and palpitations along with withdrawal effects from Propranolol. The sudden increase in heart rate upon standing is concerning and may indicate a condition called orthostatic intolerance. This needs to be evaluated further by a healthcare professional. To address your symptoms, you can try the following: - Discontinue Propranolol under medical supervision to avoid withdrawal effects - Practice relaxation techniques such as deep breathing or meditation to help with anxiety - Stay well-hydrated and maintain a healthy diet - Avoid sudden changes in posture to prevent orthostatic intolerance In the meantime, it is important to consult with a cardiologist or a healthcare provider for a proper evaluation and management plan. They may consider alternative medications or therapies to help with your symptoms. Remember, sudden changes in heart rate and chest discomfort should not be ignored. Take care.
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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.