I am 43 yeas old and from last six months, sometimes I feel that my heart is beating very fast and noise of the same is heard by me, mainly at nights. After dinner I feel heaviness sometimes, Whereas my stress echo was normal, ECG was ok. Still I have been suggested to undergo ANGIOGRAPHY. KINDLY ADVICE.

Dr. Sathya PrakashPsychiatrist13yrs exp

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It is likely that there is a non-cardiac cause for this. Angiography may be done to rule out even a remote possibility of heart disease, and you can go ahead with it. If it is normal, then a psychiatrist consultation will be needed. In the meantime, get a thyroid profile and complete hemogram done (if not already done). If they are okay and angiography is normal, and you are cleared by the cardiologist, anti-anxiety medicines such as paroxetine or escitalopram or propranolol may prove very useful to you. These are not sleeping pills and will not make you drowsy. Take care! 

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