<s>[INST] My daughter is 25 and has a resting heart rate of 158..her blood pressure is norm and she is complaining of being tired and out of breath. She does have issues of anxiety and depression but says that she was not feeling any of that the time that I took her blood pressure and pulse rate. [/INST] Hello, Thanks for choosing Chat Doctor for posting your query. I have gone through your question in detail and I can understand what you are going through. The pulse of 158 is quite high and It's not likely that anxiety disorder will lead to such high pulse. Panic disorders may lead to such high pulse rates, but this increase is transient. If the pulse is still high then she will require an ECG. Sometimes certain cardiac conditions like ectopic beats may seem like anxiety, but the treatment of these disorders are very different. Hope I am able to answer your concerns. If you have any further query, I would be glad to help you. In future if you wish to contact me directly, you can use the below-mentioned link:bit.ly/ Chat Doctor.  </s>