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Hello and thank you for your question. No an intrusive thought cannot kill you at all. It will cause you a great deal of stress, but the thought itself will not harm you physically.
Unfortunately Chlorpromazine can cause issues with speech such as restricted speech and slurred speech.
That is a high pulse rate and most likely due to anxiety/stress. You should ask your doctor about getting a beta blocker or a benzodiazepine to reduce your anxiety/stress, which should help to reduce your heart rate too.
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If this is not a heart related issue than it is being caused by anxiety/stress, which intrusive thoughts can exacerbate. Please see your psychiatrist about this and he/she will prescribe a medication to lessen your anxiety and therefore lessen your heart rate and blood pressure.
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