I have had anxiety and panic related to blood pressure and heart. I have done echo tmt multiple ecg and recently also did 1 week bp monitor where average was 115/78 day night and holter for 24 hours. Everything normal. I was okay but one day started feeling head pressure and slight head lightness 1-2 days so went to measure bp before reaching only I started feeling anxious and when reached it first came out 145/88 then I panicked more and it was 166/104 but doctor made me calm and withing 5 mins it was 140/82 . I have had few instances where I went to emergency in panic and my bp came 150-160/90-100 but came down as I settle.
Do I have something to worry or some permanent damage?
My Ecg is normal sinus rhythm,echo was normal done 4 months ago(ef=65%), .but tmt was positve but my invasive coronary angiogram report is normal arteries with slow dye clearance, microvascular angina just one year ago(2024 december,dated 21/12/24).calcium score was 0 in 2023 ct cag test report ( november, 2023)too, hs crp value is 0.48, apoa1 is 141, apoB is 50.3
HDL 54, ldl 64, tg 55, cpk mb 19( ref was <25), hb1c 5.2 done all tests in october'25
I feel discomfort and tightness, discomfort & heaviness like feeling & pain and heaviness with tightness
the left chest and & at sometime even at rest.moreover feel palpitation & pain & discomfort type of sensations sometime in stress .high bass sound makes me feel very uncomfortable feeling in chest.
Taking clopidogrel 75 od & rosuvastatin 10 od.
Non smoker, non alcoholic, non diabetic.
Is it a heart related problem?
Do i need to go for another angiogram?
How to get rid of this? Plz suggest doctor.
Reports are attached.
Thank you
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