Please help me...I am worried my EKG reading has me worried.

Here is my issue...

I am 35y/o male with anxiety and panic attacks. In recent months it has gotten pretty tough. about 12 months ago my young wife was diagnosed with Lou Gehrigs disease. Currently she is not doing well and her condition is moving very rapidly - hospice is here at my house. We also have three young kids under the age of 4. It has been a complete shock to us all.

Needless to say it has been nuts.

I suffer from severe anxiety and panic attacks. Afraid to walk in the mall, sometimes worried while driving, etc. My heart beats like crazy and get the feeling as though I am going to pass out. The doc gave me some xanax to use as needed.

In the meantime I have also had BP readings in the neighborhood of 130-140/85-90. Ironically everytime I go to the docs office it shoots through the roof. The last time I was there it read 160/100 with a HR of 110. The funny thing about it was that exactly one hour before that meeting I was at home I took my BP and it was 129/85 - I took a pic of it to show my doc... Obviously the traffic and driving anxiety got me up there.

The doc decided to do an EKG on me.... unfortunately, it came back ABNORMAL. Here is what it says:

Sinus Tachycardia
-Incomplete right bundle branch block and right axis-possible right ventricular hypertrophy.

He said he wants to do an ECO but said not to worry about it too much. Said I should be fine.

Though he did put me on Bystolic betablocker to help with my BP.

Unfortunately, I have been in one massive anxiety attack since then. I constantly fear the heart attack. In fact, here recently I feel like i am getting quick heart palpitations and sometimes run out of breath. But I cant figure if that is just my panic and anxiety kicking in on me.

Can anyone shed some light on that reading and I am worry for nothing? Any help would be appreciated!

 hey, nickvlad99

Sorry to hear about your situation.  I'm a nurse in an emergency and i've seen first hand the effects ALS has on a patient and family.  My thoughts and prayers are with you.

Here are my thoughts on your BP and ECG.  First of all your BP is quite normal considering your situation and you anxiety levels with traffic and possibly even the "white coat" syndrome.   Your BP goes up and down all day; in the morning it is very different from the afternoon provided all factors are the same, it is part of the circadian rhythm.  The rhythm of life, it is the same as the awake/sleep cycles.  The funny thing about blood pressures is that it is very closely tied to your heart rate when your heart goes up so does your BP.  I would start to monitor you if your pulse was 60 and your BP was still 160/100. That is a different situation.

Secondly, your ECG sinus tachycardia with right BBB and right ventricle hypertrophy.  The ECG machine sometimes interprets wrong information that is why doctors and nurses need to be trained to read the info so it can correctly interpreted.  Given that your heart was 110, anything over 100 is considered "tachy".  So the right BBB is the only thing your doctor is checking out with a ECHO and all that is a ultrasound of your heart.

So don't worry about your heart your doctor is being thorough.  Other than anxiety it sounds, ok.   Keep in mind any chest pain should be considered seriously and the doctors need to do blood work to determine if your heart is damaged.

N