Thorough eval. by md: First be evaluated by your primary care physician. There are causes of chest pain, tachycardia, and anxiety that are not panic attacks, for example, pheochromocytoma, hyperthyroidism, cardiac arrhythmia. After other diagnoses ruled out, SSRI-type medications like Lexapro, (escitalopram) and Zoloft are very effective for panic disorder. Sometimes mitral valve prolapse may contribute. A beta blocker may also help.
Answered 9/29/2016
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