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Dr. David
Dr. David, Board Certified MD
Category: Medical
Satisfied Customers: 46720
Experience:  Board Certified Physician
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I am 63 years old, have been asthmatic all my life. In the

Customer Question

I am 63 years old, have been asthmatic all my life.
In the last six or seven years I have got panicky when short of breath, could this be a cardiovascular problem?
Submitted: 4 years ago.
Category: Medical
Expert:  Dr. David replied 4 years ago.

Dr. David :

This is Dr. David

Dr. David :

it is normal to panic and have increased anxiety when you are short of breath.

Dr. David :

this is not a sign of a heart related issue.

Dr. David :

at your age, you should get your heart checked though with EKG and a cardiac echo ultrasound test.

Dr. David :

but asthma by itself could be the cause of your symptoms.

Dr. David :

when was the last time you had your heart checked?

Dr. David :

have you had increased anxiety and panic recently?

Dr. David :

hello?

Dr. David :

are you there?

JACUSTOMER-zc8r1cxx- : Yes
Dr. David :

did you see my response above?

JACUSTOMER-zc8r1cxx- : There is no response visible
Dr. David :

this is what I wrote

Dr. David :

it is normal to panic and have increased anxiety when you are short of breath.

Dr. David :

this is not a sign of heart related issue.

Dr. David :

at your age you should get your heart checked with an EKG and cardiac echo ultrasound test.

Dr. David :

but asthma by itself could be the cause of your symptoms.

Dr. David :

when was the last time you had your heart checked?

Dr. David :

have you had increased anxiety and panic?

JACUSTOMER-zc8r1cxx- : Ok thanks, I have to tell you that I could not see a reply anywhere
JACUSTOMER-zc8r1cxx- : Yes I have increased anxiety and panic over really small things, I have an ECG once a year
Dr. David :

do you see my typing ?

Dr. David :

you could have a new anxiety disorder which you might need treatment for

Dr. David :

there are specific medications for anxiety disorder.

JACUSTOMER-zc8r1cxx- : An examples is I know I have to walk up a set of stairs and I can get anxious about it because I know I may get out of breath. Being asthmatic I am used to being out of breath on occasions but thid
Dr. David :

I see

JACUSTOMER-zc8r1cxx- : but this just comes over me and I struggle to maintain calm
Dr. David :

it definitely sounds like you need some treatment for your anxiety

Dr. David :

there are short acting agents like xanax or ativan

Dr. David :

and longer acting agents like klonopin, or zoloft, and paxil and effexor or lexapro

Dr. David :

and there is psychological counseling which might help.

Dr. David :

you should talk to your doctor about these options.

JACUSTOMER-zc8r1cxx- : Strange thing is I don't feel anxious until I think I may get out of breath then this sensation comes over me, panic, that's the best name for it. So in your opinion it isn't cardiovascular?
JACUSTOMER-zc8r1cxx- : Are these medications ok to take alongside hypertension tablets?
Dr. David :

no, this doesn't sound cardiovascular.

Dr. David :

it sounds like this is asthma induced anxiety.

Dr. David :

that over the years, because of your asthma, this has trained you to be worried about being short of breath.

Dr. David :

and this has worsened your worries over possibly being short of breath.

JACUSTOMER-zc8r1cxx- : Ok, thanks, don't know what happened to your answer initially, just wasn't visible
Dr. David :

that is ok.

Dr. David :

let me know if you have other questions.

Dr. David :

if done for now, please leave +++ positive feedback below the chat box.

Dr. David :

you can always reach me as Dr. DAvid if you have other questions.

Dr. David :

thanks for using JustAnswers.com

Dr. David :

do you have other questions?

JACUSTOMER-zc8r1cxx- : Not now thanks
Dr. David :

don't forget to leave +++ positive feedback below the chat box.

Dr. David :

you might have to scroll down to see the feedback area.

Dr. David :

thanks for using JustAnswers.com

Dr. David :

do you see the feedback area?

Dr. David :

hello?