Conversation: The conversation between human and AI assistant.
[|Human|] Hello ! i am 23 years old male and i had a so called panic attack 1 and a half years ago. Since then i am upset regarding my heart and have taking atenolol 25mg (as per symptoms). i sometimes feel my heart slows down and also feel slight dizzy but it recovers in a fraction of a second. sometimes my temporal veins engorge as well and i feel light-headed and slight numbness in my left jaw. Sometimes i also wake up at nights with mild pain on my upper back and my eyes are red and itchy with pupils dilated. since this winter i also notice my nails getting slightly bluish. I had my EKG and Echo 4,5 months ago which were normal Please guide me in this matter. Thank you
[|AI|]  Hi, Welcome to Chat Doctor Forum Panic attacks can occur in physical and psychological illness. As your ECHO and EKG is normal, then it is better to rule out psychological reasons (panic disorder, GAD, stress and depression) and other physical reasons (thyroid imbalance, anemia or increase BP) in your case. For evaluation and management you can meet nearby psychiatrist as your symptoms started after a panic attack. I hope this information has been both informative and helpful for you. Wish you Good Health.