It is normal.  Try to keep yourself mentally busy in a positive way, try to be relaxed via meditation, pranayam and reading good literature. Have a balanced diet, do some physical activity regularly. This way your anxiety will reduce  and you can stop escitalopram slowly.

-According to your query and sign and symptom you want to know about the cause and Treatment of disease as you have mentioned as above as - -Please take consultation for better evaluation and best Treatment as it need complete history of patient as personal and family history. Please follow good life style as • take plenty of fluid and • take less spicy and fatty foods and • take home made food only and do exercise regularly with yoga and meditation and • keep positive attitude to fight any disease and any problem of your life . ....

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The ECG is absolutely normal It’s normal sinus rhythm Your symptoms are mostly due to anxiety and might involve unhealthy eating patterns.

Fluttering of heart itself is main symptom of panic attack.. Secondly to r/o any arrythmia this ecg is not sufficient, you need to get holter's 24 hours ecg monitoring report. Thirdly i would also recommend you sharing your cbc report.. as anemia is no.1 cause of palpitations. I also wish to know what were the symptoms you got during episode of panic first time to know if it was really panic disorder. Panic disorder is diagnosis of exclusion but since you never got 24 hours ecg monitoring to r/o SVT it's tough to know what's actually happening here with you.

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