apollo
  • female
  • 35 Years
  • 20/02/2025

I'm worried about my heart. I've done a bunch of tests like ECG, echo, TMT, and stress echo, and everything's come back normal. But every time I have something like gastric pain or even just diarrhea, I can't shake this fear that I'm having a heart attack. Could this be cardiac anxiety, or is there something else I should worry about? Also, my blood tests were normal except my vitamin D was 13.56 Ngml and B12 was 173.8 ofml. Should I be concerned about those levels?

Doctor 1

Answered by 1 Apollo Doctors

It sounds like you are experiencing significant anxiety about your heart health, despite having normal cardiac test results. This type of anxiety, often referred to as cardiac anxiety or health anxiety, can cause you to worry excessively about having heart problems even when tests repeatedly show that everything is normal. Your low levels of 25-hydroxyvitamin D (13.56 ngmL) and vitamin B12 (173.8 pmolL) should be addressed, as deficiencies in these vitamins can contribute to overall feelings of fatigue and possibly anxiety.

To manage your cardiac anxiety, consider the following steps:

  1. Consult a mental health professional: Cognitive-behavioral therapy (CBT) can be very effective in managing health anxiety.
  2. Lifestyle changes: Regular exercise, a balanced diet, and mindfulness or relaxation techniques can help reduce anxiety.
  3. Vitamin supplementation: Your healthcare provider can recommend appropriate vitamin D and B12 supplements to address your deficiencies.

Please discuss your anxiety and vitamin deficiencies with your healthcare provider to develop a comprehensive plan for managing your health and anxiety.

Dr. Dr Khaleel Suggests...

Consult a Cardiologist

Answered 04/07/2025

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I've been feeling really off lately, like yesterday before lunch I was sweating a lot and my whole body felt weak, especially my legs. I tried eating some chocolate and rice but I was still sweating. So I went to the hospital and they said my BP was fine, and my GRBS was 153, about 45 minutes after eating. The ECG said sinus tachycardia, borderline ECG, and short PR interval, but the doctors said everything's normal when they compared it to an old ECG I had. I'm worried because I take Esomac for gastric issues and Cardace for BP, but I've been having mild chest pains almost every day. Ive done tmt echo tests many times and they always come back normal, but Im so anxious about my heart all the time. Now, I get really tired just walking for like 20 minutes. What could be going on?

The ECG from yesterday shows sinus tachycardia, borderline ECG, and a short PR interval. Given your symptoms of sweating, weakness, and fatigue, along with your history of mild chest pain and anxiety about your heart, it is important to continue monitoring your heart health closely. Since your previous ECGs have been normal, it is reassuring that there are no significant changes at this time. Considering your current medications, Esomac 40mg for gastric issues and Cardace H5 for blood pressure, it is essential to continue taking them as prescribed. To address your concerns about tiredness and anxiety, I recommend discussing with your healthcare provider about the possibility of adjusting your medications or exploring other treatment options. In addition, it is crucial to maintain a healthy lifestyle, including regular exercise within your limits, a balanced diet, and stress management techniques. If you experience any worsening symptoms or new concerns, do not hesitate to seek medical attention promptly.

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