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Fear of the heart

Hello, I am 28 years old and I have the following problem or concern:

I have never had any issues with my heart. All EKGs that have been done in the last few years have been normal, including multiple EKGs from 2006-2008 and even those done in the psychiatric ward. All blood tests have also been normal, and I had a heart echo in 2007 which was also normal. My long-term blood pressure readings have been normal as well. The last EKG I had was in early 2011 and it was also normal. It has been 2 years since my last EKG. About a year ago, I started experiencing occasional heart palpitations and the feeling that my heart is skipping a beat. I should mention that during this time, I was dealing with a move and the death of a beloved pet. I have never felt dizzy or anything like that, I am able to exercise normally, climb stairs without difficulty, and my skin color is good. My heart sounds normal when listened to. My current doctor, whom I have been seeing for 4 years, says there is nothing to worry about, but he has not done any further tests since I started experiencing these symptoms. Even my previous doctor says that I have never had any issues with my heart and tells me to forget about it. When I explain my symptoms to my current doctor, he always suggests that I see a psychologist or psychiatrist for new antidepressants. I am currently taking Citalopram 30 mg, but no other medications. He says that everything is fine organically and there is nothing more he can do, but my symptoms have only been present for a year and he has not investigated further since then. I feel misunderstood and sad, and I am afraid for my heart as I am also a hypochondriac. What should I do? Sometimes the symptoms go away for a while, but then the heart palpitations and skipping return.

Dr. med. Kathrin Hamann

Good evening,
I have just been assigned your question and would like to help.

As you describe it, it sounds like a cardiac anxiety neurosis. Your heart has been thoroughly examined and nothing abnormal was found.

Your fear that something is wrong can cause your heart rate to increase, which is completely normal. You listen to yourself and feel the faster pulse, which worries you and increases your anxiety. This is the typical cycle of anxiety related to the heart.

I would advise you to see your neurologist to adjust the therapy. In any case, your Citalopram needs to be reconsidered to see if a change might be helpful.

Do you have any questions about this? I am happy to help.

All the best and speedy recovery!

Best regards,

Dr. K. Hamann

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Dr. med. Kathrin Hamann

Dr. med. Kathrin Hamann

München

Seit mehr als 20 Jahren bin ich in der Medizin tätig. Als Fachärztin für Allgemeinmedizin helfe ich in meiner Praxis meinen Patienten.

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