I am a 40 years old male having Hypertension for the past 5 years I was taking Telma 40 morning and amlong 5 mg evening for the last three years a week ago my BP suddenly shot up to 190/100 I was feeling dizzy and my heart was pounding very fast this lasted for half and hour. The next day I got and ECG and 2D Echo done which was normal but the TMT test showed positive for induced ischemia. On the Doctor's advice I got a coronary angiogram done which showed mild coronary artery disease but no blocks there was slight plaque build up in the arteries the doctor changed my medicine to cilamet xl 10/50 to be taken morning and ecosprin av 20/75 to be taken in afternoon. It has been 3 days and I still get sudden panic attacks where I feel chill feeling on my hands and feeling of irregular heart beat this last for about 15 minutes and subsides. The doctor has now added ZAPIZ 0.5 to be taken in evening. With this I am not feeling the panic/anxiety symptoms. What is wrong with me should I see a Neurologist or Psychiatrist? Is this sudden feeling of panic/anxiety attack due to cilamet xl?
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I will suggest you to meet a psychiatrist and I will suggest you to take injection vitcofol 2 cc intramuscularly every alternate days for five pricks over the buttocks through a health professional.
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Dear Friend Not every person with abnormal TMT test required Coronary angiography. You could do stress echo or stress thallium to confirm coronary artery disease (CAD). It again indicate that in future you r not right candidate for TMT as it was false positive & will remain false positive foreever. You said that you had bp problem since 35. It should be evaluated. High bp in young may be bcz of thyroid problem or some kidney problem or kidney tumour which are curable type of hypertension you may have anxiety panick attack thatswhy you have some relief after giving antianxiety medication. To be summerize YOU NEED TO EVALUATE CAUSE OF HIGH BLOOD PRESSURE AT THIS YOUNG AGE.
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