I'm dealing with severe anxiety and depression symptoms for the past few years, and I've had a couple of panic attacks. Now I'm seeing some ECG changes, but my Troponin levels are within normal limits. Both my ECHO and Angiography came out normal. Does this mean my heart is okay? Is it safe for me to do intense exercise? Sometimes I feel a sharp pain in my chest area that only lasts for a few seconds and goes away quickly. Any idea why my ECG has changed? What can I do about feeling weak all the time? And it's weird, but my feet are always cold. Any thoughts on what's going on?

The ECG changes could be related to your anxiety and panic attacks, but it's important to monitor them closely. To address the sharp pain in your heart area, you can take a low dose of a beta-blocker like Metoprolol (25-50mg) as needed for chest pain relief. For your weakness, you can try taking a daily dose of a multivitamin like Centrum to ensure you're getting essential nutrients. Cold feet can be improved by wearing warm socks and keeping your feet elevated when possible. Regular exercise is beneficial for anxiety and depression, but start with low to moderate intensity workouts and gradually increase the intensity based on your tolerance.