### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
From a period of time I started to have some strange simpthoms apparently with no connection and no real medical problem, because my blood test was ok.Everything started with a panic attack and tachicardia in a night at the end of November. I went to ER, and I was consulted by a cardiologist who said I had a minor mitral valve prolapse (without mitral regurgitation) and prescribed me Bisoprolol (2,5 mg in the morning, and 2,5 mg in the evening). I took bisoprolol for 1 month and then the doctor told me to interrupt the intake. The following night after I interrupted the medication Ive started to have nightmares, headaches, agitation and depressive moods.I also want to add that I spent 4 months abroad with strangers and after I came back in september I broke with my girlfriend-   it might be an important aspect.I was also consulted by a pshychiatrist and their diagnostis was Neurovegetative distonya.Is this neurovegetative distonya indeed? Should I be consulted by another doctor? What medication should I take? How long will those simptoms persist?

### output:

Hello thanks for asking from Chat Doctor for your health related doubts can understand your concern. A lot of patients with mild mitral valve prolapse show symptoms of anxiety. Tachycardia usually triggers the attacks and thus results in onset of severe restlessness and anxiety. This is the probable reason you had acute onset symptoms. Association of stress and onset of panic symptoms is proved. You were under stress and also broke up with your girlfriend and these incidents acted as aggravating factors. So in my opinion treatment of anxiety should treat your symptoms. Before diagnosing Neurovegetative dystonia other causes like Panic attack and Anxiety disorder should be ruled out. You should get ECG, Echo done to prove the cardiac condition and then can take another opinion from a psychiatrist. Thanks and Take care