Conversation: The conversation between human and AI assistant.
[|Human|] Hello doc,I am having a panic attacks daily, like my heart stops and feel like head is blowing up. i have thyroid issue. I suffered a lot of stress as a result i got thyroid. ALso i have a bicuspid arotic valve, but docs say there is no problem as of now. Please tell what is the problem.
[|AI|]  Hi, First, thyroid gland diseases can disturb the function of the normal heart. In addition to this, the bicuspid aortic valve you have can put further strain on your heart. So you should do an ECHO and an ECG on your heart in order to know the ejection fraction of the heart. The normal ejection fraction between 52-72. If your ejection fraction below 52, you should ask a cardiologist for help. Second, we cannot diagnose a patient with a panic attack if he / she has a cardiac disease even if it was asymptomatic. Third, you should take the medical treatment for thyroid disease you have, measure your blood pressure and ask a cardiologist for help. Finally, the hormonal therapy for contraception or replacement therapy for women and stress can aggravate cardiac disorders, so if you take it you should ask a gynecologist for help. Hope I have answered your query. Let me know if I can assist you further.