RLR
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Okay, I've read your posting and concerns. Your medication regimen seems unremarkable and although you feel compelled to believe something serious is wrong with your heart, it's actually not the case.
Palpitation events of the type you are experiencing are quite common during periods of significant stress and/or anxiety. They are more akin, however, to a muscle twitch and do not constitute any type of cardiac arrhythmia per se. The cause for the palpitations actually arises from outside the heart rather than from within and they are incapable of causing you to suffer any type of cardiac event or place your life at risk.
Anxiety of significant levels can produce physical symptoms, termed somatic features. When the nervous system is under constant strain, it tends to impose mild irregularities in function that result in odd sensations, change to patterns previously defining normality and generally produce a sensorium of illness despite the fact that no true underlying illness or disease is present.
Changes to sleep architecture, particular in the form of sleep apnea, can produce changes to blood pressure and increase the likelihood for palpitation events.
Take solace in the fact that you are gainfully employed and use this opportunity to relax just a bit. You're certainly not at risk of dying from your symptoms.
You'll be fine. Take time to exercise moderately, eat a balanced diet and reserve time for adequate rest. Maintain your prescriptions in accordance with your doctor's advice, being careful not to over-state your perceptions of what is actually taking place. In other words, these symptoms are not life-threatening and you're in no actual danger at all from the palpitation events.
Best regards,
Rutheford Rane, MD (ret.)
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