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  5. I've been feeling really anxious about my heart lately because I keep having these palpitations and negative thoughts that something might be wrong. I'm 23 and my GP said my echo, ECG, and blood tests came back normal, so they think it's just anxiety and overthinking. But I'm still really worried. Is it possible there could still be an underlying heart issue, or should I trust the tests?

I've been feeling really anxious about my heart lately because I keep having these palpitations and negative thoughts that something might be wrong. I'm 23 and my GP said my echo, ECG, and blood tests came back normal, so they think it's just anxiety and overthinking. But I'm still really worried. Is it possible there could still be an underlying heart issue, or should I trust the tests?

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I've been feeling really anxious about my heart lately because I keep having these palpitations and negative thoughts that something might be wrong. I'm 23 and my GP said my echo, ECG, and blood tests came back normal, so they think it's just anxiety and overthinking. But I'm still really worried. Is it possible there could still be an underlying heart issue, or should I trust the tests?

Yes, for a 23-year-old male, a normal echo, ECG, and blood test are usually sufficient to rule out major heart problems. Since your GP has already reassured you that your palpitations are likely due to anxiety and overthinking, you can trust their assessment. To help with your anxiety symptoms, you can take **Xanax (Alprazolam)** 0.25mg as needed. It is important to practice stress-reducing activities such as exercise, meditation, and deep breathing techniques.

Last updated on 04 Jul 2025

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I've been really worried about some recent health issues and could use some advice. I had an angioplasty back in 2013 and also dealt with Covid in August '20. Recently, I had some pain in my left arm, so I went to the cardiologist. The ECG came back ...

Based on your history of angioplasty in 2013, recent Covid infection, left arm pain, and abnormal test results (homocysteine at 44, triglycerides at 275, B12 at 218), it is important to further evaluate your cardiac health to determine the best course of treatment. Given your elevated homocysteine levels and previous history of angioplasty, it is advisable to undergo further cardiac evaluation. I recommend that you undergo a coronary angiography to assess the status of your coronary arteries and determine if there is any significant blockage that may require intervention. In addition to the angiography, it would also be beneficial to optimize your lipid profile and homocysteine levels through lifestyle modifications and medications. Your cardiologist may prescribe medications such as Atorvastatin for cholesterol control, Folic Acid supplements for homocysteine reduction, and lifestyle changes such as a healthy diet and regular exercise. Regular follow-up with your cardiologist is crucial to monitor your progress, adjust medications as needed, and reduce the risk of a second cardiac event. It is important to prioritize your cardiac health and work closely with your healthcare team to manage your risk factors effectively.

Last updated on 04 Jul 2025

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