Question Vladimir Vladimirovich

Question: dear doctor. Earnestly request you to give advice in this situation: I will start all in order, I am 24 years old, height 180, weight 67 kg. Eighteen months ago, after visiting the festival prodennogo (drank a lot, given that alcohol is not abused ever) the next morning, while ascending to the fifth floor felt severe shortness of breath, heart pounding, but after the rise in 10 minutes everything calmed down. I did not attach any special significance to the writing off of the body after alcohol intoxication. A few days later, during breakfast, I felt that was "not good", there was a strange fear, tremor, appeared sharply shortness of breath, palpitations, I lay down, my heart was beating very rapidly and with interruptions (formerly felt outage once a month), very afraid and since one and a half years suffering. The first time such attacks to appear several times a day, I was constantly listening to the heart, once during an attack measured the pressure it was 160/100, but after 10 minutes I calmed down and the pressure was 135/80. I went on with a doctor, was appointed ECG, an EKG: sinus rhythm, accelerated, EOS denied the right, incomplete blockade of the right leg n. branch block, voltage saved. Did the EEG, the EEG: "At present, the EEG observed moderate changes in the bioelectric activity of the brain with the cerebral nature of the interest of mid-crop. We spent daily monitoring, and the result: "The basic rhythm: sinus. Max. Heart rate – 166 per minute. (Staircase test), min. Heart rate – 50 per minute. Average Heart Rate – 78 min. Supraventricular extrasystoles: only 2 per day. Ventricular extrasystoles : only 1 per day. When the ladder samples achieving submaximal heart rate is inadequate given load, the morning after getting up from 8:10 HR = 100-120-140 in the mines. Repolyarizatsionnye changes tahikardicheskogo nature. cardiologist recommended counseling, blood pressure control. " Passed the blood, urine tests, all normal. Cardiologist said that tests in the normal range, and it is connected with the nervous system. Referred to a neurologist. Neurologist appointed: Milronat (IM), Actovegin (IM), grandaksin, MagneB6. After treatment has become easier, attacks have become much rarer, and quickly stoped Corvalol. Passed blood hormones TSH and T4, all normal. Became constantly monitor blood pressure. But came the constant fear, where a walk, play sports (at an early age a variety of sports). Always afraid of new attacks. Over the past year, always sitting at home, very rarely go out much, mostly lying, physical activity is minimal. Was afraid of long-distance travel (though formerly very fond of travel). Now, several times a day, measure the pressure: Operating 130/80, in the evening and early morning 120/75. The question is: when I am at work or in public places, pulse 90-110. As soon as they house, the pulse falls to 75-85. By the evening at independent izmerneii generally 60-70. The slightest emotion causes increased heart rate and rise in pressure. I understand that my heart just rastreniroval his lying, trying to deal with charging, do exercises at home, but immediately feel increased heart rate (which is natural) it makes me fear, why pulse rate even more, and all stop. A vicious circle. constantly noschu with a validol and Corvalol. Another nuance: from childhood I have phobia against doctors, at a reception at the doctor, or at all once in honey. establishing very excited, but earlier it was for me almost imperceptibly, but now every trip to the doctor this test. The heart begins to pound from the awakening, the thought that going to the doctor. The reception was beating wildly, his face begins to burn, constant tremor. Already try not to try the pulse, so as not to panic even more, because of tachycardia and the ECG, and increased pressure in the measurement of a doctor. A couple of weeks ago, again passed the ECG, the result: "Sinus tachycardia 133 per minute. Voltage saved. EOS vertical. Repolyarizatsionnye changes in the myocardium at the lower-lateral area of the left ventricle.. The fact that all these sensations are reducing the quality of life. I do not remember where he could live fully, not thinking about the heart, not feeling it. The doctor advised me when tachycardia (when outside the home) to take Inderal, or Concor, but these drugs curtail the frequency of heart rate, can not it be finding myself at home, where heart rate decreases, and under the influence of drugs, it will come down to the level of bradycardia? We accept MagneB6 (1 tab 2 p / day) and Afobazol (1 tablet at night). From despair ready to apply to pshihoterapevtu, no longer know what to do. I'm sorry that the letter was great, but tried to explain it all. My hypochondria is hampered live. By the way: in 14 years, parents have died, but several months before the first episode of my grandfather died, followed by long courted (he had Parkinson's disease). Very thank you for understanding the problem and hope for an answer. Denis

Answer: Three of every four letters on this page from the age of 40 due to symptoms of neurosis, anxiety (http://doktor. ru/qa/36798/qa. html? id = 59531) and / or panic (http://doktor. ru/qa/12640/qa. html? id = 59493) disorders. Afobazol – trifling means overly hyped. Looking for a good psychiatrist or simply an experienced doctor. Pulse pressure and measure your own contraindicated. P. S. Hypochondriacal type of response to illness – in fact, a constant "life in the disease." Typical are persistent prikovannost attention to their feelings, exaggerated treatment effect of physical ill-health is now "permanently impaired" in his desire to seek out new painful symptoms, the inability to switch to something else.

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