Patient: Description of condition (onset, main symptoms, hospital visited, etc.): Since the onset of the disease in 2004, it has been bad at times, with a feeling of suffocation, anxiety and panic, feeling of panic, a feeling of frequent death, and feeling of difficulty in breathing in response to certain external stimuli (e.g., 120 beep), etc. Recently, he had an ECG, cardiac ultrasound and 24-hour ambulatory ECG, with myocardial ischemia and one left ventricular pseudotendon, about 400 atrial and ventricular premature beats, and ventricular fusion waves. I have been taking anti-arrhythmic drugs, such as Betalac, Celete, and I have been taking Chinese herbal medicine for some time. I feel that this problem has been bothering me for 8 years, and it has a great impact on me both physically and psychologically. I wonder if Dr. Xu offers psychological counseling or specialist clinics, thank you and I look forward to your reply. Dr. Xu: I currently have a cardiology specialist clinic on Tuesday mornings and a cardiac neurosis clinic on Tuesday afternoons, so you can come in and see me. I hope I can help you to live a normal and peaceful life! Patient: Dr. Xu, I have already seen your clinic, you are really relatable and patient, the day after I saw you, the big stone I was holding down in my heart was already quite relaxed, I would like to express my gratitude. There are still a few questions that I would like Dr. Xu to take the time to answer: 1. Since my ECG showed some myocardial ischemia, you asked me to do a flat exercise test, but usually when I exercise, I have premature beats and I feel like I’m going to faint. The flat exercise test requires exercise to reach a certain heart rate, I am very worried and apprehensive, I was already timid, the initial onset is due to some external factors triggered by the sudden acceleration of heartbeat, once at work suddenly had a heartbeat of more than 150 beats per minute experience, although I know there is a doctor to monitor when doing the test, but I still want to ask Dr. Xu to do such a test is there any risk ah? I feel panicky. 2. My heartbeat was fast, but now after taking half a capsule of Celete, my heartbeat is only 57-60 when I am sitting, is this bradycardia? I don’t know if it has anything to do with the medication. I heard that vagal excitation can cause a slower heartbeat, but I am anxious, so I should be sympathetically excited and vagally inhibited, right? 3, in addition to the left ventricle of the pseudotendinous you said will easily trigger premature beats, after taking anti-anxiety drugs for a period of time whether to cure premature beats, thank you! Dr. Xu: First, you can arrange for me to help you do an exercise ECG on Monday afternoon, there is generally no problem, please rest assured Second, Celete will not lower the heart rate, whether it is eating Bosu, Bosu will lower the heart rate, a little slower does not matter Third, in general, it is not recommended that you use premature Bo drugs, a little premature beats are not relevant Patient: 1, thank you Dr. Xu personally to help me do exercise ECG. 2. Dr. Xu, two days ago when I was on my period, my heartbeat was slow, 57-60 beats per minute when I was sitting. In the past two days, it has returned to normal, around 75 when lying or sitting, but when I stand up, it is more than 100 beats, triggering premature beats. This situation has lasted for a long time, and I have been struggling with this problem. I have been struggling with this problem for a long time. I would like to ask about the possible causes of this condition. (I’m not taking any other medication besides Celete.) I think I will stick to you for a while and may have some questions. I wonder if Dr. Xu can conveniently tell me your other email address or other contact information, I take the liberty. This way I can inform you when the exercise ECG is done. I also believe that with your help, I will be fine. 4, I would like to ask Dr. Xu, like my situation, I go to a course of psychology do not know whether it will help the condition? I look forward to your reply. Dr. Xu: I have increased 5 times the opportunity to communicate, communication is not a problem, I am busy, not necessarily answer in time, please forgive me! 1, not necessarily yo eat Sellett, in fact, like Bossu such back special receptor blockers, for your irregular heartbeat also with help. 2, in fact, the heart rate is prone to change is the heart plant nerve dysfunction caused, and the heart plant nerve dysfunction and emotional problems are closely related, so adjusting the mood is the key. 3, once your main attention from their own body, not in the heart rate is how much ah, blood pressure and how la, whether there are any problems with the heart not found la, and so on, if you are not thinking about these problems all day, then your disease may be a good half. 4, do not recommend you to learn what psychology, because it takes a lot of energy, is there a conflict on your work now? In fact, your disease is an emotional disease physical manifestations, if you learn psychology to self-regulation, if the success of course, if not you your situation may be more complex and more difficult to treat. 5, you should not think too much, divert the transitional attention to their own physical condition, simple-minded, the situation may not be so serious. Patient: Thank you very much for your answer, I will try not to pay too much attention to my physiological reactions as you said. Like Dr. Xu said, I am already sensitive and think a lot, I will follow your advice to go out more and regulate my emotions. 1. I am currently taking 1 capsule of Seroquel, but I still wake up easily at night, and I am very sensitive to sounds during the day, my ears are stuffy and my heart is always startled, is it because I have not taken it for a short time and the effect of the medicine has not yet fully arrived? 2. And you prescribed me Morelizine this time, is it similar to Bosu? 3, fast asleep when people always twitch, and then wake up, I do not know what is the reason, Dr. Xu you think you need to see a neurologist? 4, in addition to the night sleep is not good, sometimes wake up heart will be a wild beat, very scared, please ask Dr. Xu this time need to take any medication? Finally, I wish Dr. Xu a happy holiday. Dr. Xu: I just got back from a trip for the holidays, so I’m sorry for the late reply. You still have some symptoms, mainly because the drugs have not yet taken effect, I do not know how the situation in the past few days? Is it getting better? Morelcizine is different from Bosu, the former is a class III antiarrhythmic drug, which is useful for both atrial and ventricular premature, and has relatively good side effects, so it is recommended to use it for a period of time. Other sleep problems, palpitations at night, etc., or wait for the drug to take effect and then see, do not rush. Whether to go out and relax for the holidays, for you to relax a little emotionally is definitely beneficial. Patient: After Dr. Xu’s patient treatment, the situation has improved a lot, but people still feel weak, poor sleep quality at night, sometimes can not sleep all night, Dr. Xu can give some auxiliary treatment measures? Thank you very much. Dr. Xu: Continue to treat patiently, sleep problems may be slower, but in general will be better, it is still early, the best state of treatment has not yet arrived, do not rush. As for the auxiliary treatment measures, the main distraction, develop their own interests, such as going to the gym to exercise, learning cross show, go singing, travel, where fun to play, enjoy the joy of life, this is also treatment ah!