Submitted by Dr T on May 14, 2013 – 10:16am
Dear Dr. I am urologist in IRAN 64 years old and since 1983 until now with a sever anxiety and depression and treatment had no effect.from 10 years ago i had PAC 1-5 days per week and last 3 to 12 hours (2 to 10 pac per min.). In 2011 with a sever PAC(2normal and one PAC)I hospitalized in ccu and discharched after 4 days and I had no PAC for 6 months after that I had PAC once or twice per week 2 t0 10 pac per min. and some times I had no PAC for 10 to 20 days since2011 I use propranolol 10 mg. TDS .
all my exam. are normal no diabets and cholestrol 290 with ldl 190 and hdl 35 .BP 90/60.pulse 60-85 per min..Echo normal EF=60 with mild mitral prolapse and no chest pain.I am 57 kg. and163 cm hieght Ilost my job because of anxiey and I am at home. What must I do? Please Please help me.
As a physician you should already know the answer: You don’t have anything to worry about. The great majority of PACs are completely benign and require little if any treatment at all. In rare cases, PACs may be a sign of underlying heart disease.
However, your high cholesterol (and may be other cardiac risks) should prompt you to consider a more heart healthy lifestyle. To calculate your risk for developing heart disease with high cholesterol, use our Cardiac Risk Assessment questionnaire.
Hope this helps,