- female
- 45 Years
- 22/01/2025
I'm trying to make sense of my Echo Report, and it's causing me a bit of concern. It mentions things like a normal LV with normal systolic function and no segmental wall motion abnormalities, which I think sounds good. However, what got my attention was the mention of mild PAH and a mild TR. I'm a bit worried if the fast heart rate during the test, which was likely due to my anxiety, might have affected the results and led to a possible misdiagnosis of PAH. I mean, I haven't really had any symptoms other than a brief episode of PVC and sometimes a slightly fast heart rate. My resting rate stays between 50-65 BPM. I'm hoping for a little clarity on whether these findings are something to be concerned about. Can fast heart rate really make a difference in diagnosis, or am I misunderstanding things here?
Answered by 1 Apollo Doctors
normal.
Dr. Ranjith Suggests...
Consult a Cardiologist
Answered 04/07/2025
0
0
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View allI've been struggling with this issue for about two years now, and I'm really hoping for some insight. I'm a 27-year-old I.T. professional and this all started with sudden bouts of dizziness and sweating. I've gone through all the usual tests, like MRI and blood work, and the only thing that came up was a low B12 level at 83. Over time, I've begun feeling detached, and my doctor mentioned it might be anxiety. The problem hasnt gone away though, and now I sometimes experience fluttering, dizziness, and vomiting. It feels like I might faint, but I never actually do. I've had TMT and ECG tests twice, and both were normal. I worry it could be some kind of arrhythmia, but during these episodes, my heart rate seems stable with no major changes. It's confusing because these episodes don't seem linked to stress and only last a few seconds. I'm really anxious about this and just looking for a professional perspective on what's happening.
It sounds like you are experiencing symptoms of panic attacks, which can be very distressing. The dizziness, sweating, fluttering sensation, vomiting, and feeling like you might pass out are all common symptoms of panic attacks. Since your heart rate remains normal during these episodes and your cardiac tests (TMT, ECG) have come back normal, it is less likely to be related to arrhythmia. One possible treatment option for your symptoms could be to take an anti-anxiety medication such as **Xanax (Alprazolam)**. The usual starting dose for adults is 0.25 mg to 0.5 mg taken three times a day. However, it is important to consult with a doctor before starting any medication. In addition to medication, therapy such as cognitive-behavioral therapy (CBT) can also be very effective in managing panic attacks. It can help you understand and cope with the triggers of your anxiety. It is important to follow up with your doctor regularly to monitor your symptoms and response to treatment. If you continue to experience these episodes despite treatment, further evaluation may be needed.
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I'm a bit worried about my heart rate. It usually falls between 96 and 118 beats per minute. I don't have any blood pressure issues, and everything else seems normal. Is it okay for my heartbeat to be in that range?
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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.