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Can constant awareness of the heartbeat be due to anxiety?

This Premium Q&A, reviewed and published, features a real conversation between an iCliniq user and a physician.

Patient's Query

Hello doctor,

I am a 20-year-old male and I need you to tell me if it seems like I could have a heart rhythm problem. I have a constant awareness of my heartbeat, but my pulse is always normal, so my doctor attributes this to anxiety. I do not have a murmur and my doctor has always said my heart sounds fine. However, whenever I am sitting for a long time and then stand up, I get very lightheaded. I read online that could be a sign of a heart rhythm problem. I have never passed out. I am not overweight, and I do not smoke. My only symptoms are constant awareness of my heartbeat, especially at night, and the occasional dizziness upon standing. Does this seem like SVT or a heart problem?

Please advise.

Answered by Dr. Vivek S Narayan Pillai

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

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Hello,

Welcome to icliniq.com.

The description of your symptoms is more like anxiety; however, the symptom of lightheadedness needs to be evaluated. You make sure you take an adequate amount of fluids at least 0.26 gallons per day. Also, get your thyroid function tests done as hyperthyroidism is often misdiagnosed as anxiety.

Regards.

Medically reviewed by Dr. K. Shobana
Published At December 3, 2017
Reviewed At October 22, 2024

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Education:

BDS

Professional Bio:

Dr. K. Shobana is a Dental Surgeon specializing in oral health and dental care. She is skilled in preventive dentistry and provides oral hygiene education. She can do restorative treatments such as fillings and crowns. She can handle periodontal problems such as gum diseases and periodontitis. She can do root canal treatment.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Vivek S Narayan Pillai
Dr. Vivek S Narayan Pillai

Cardiology

Education:

DM

Professional Bio:

Dr. Vivek S. Narayan Pillai is a skilled Cardiologist with expertise in diagnosing and treating heart conditions such as hypertension, coronary artery disease, arrhythmias, and heart failure. He is proficient in advanced cardiac diagnostics, including ECG, echocardiography, and stress testing. Known for his patient-centered approach, Dr. Pillai is dedicated to providing evidence-based cardiac care to improve heart health and overall well-being.

This doctor is not available for online consultations on the platform anymore.

Consult other doctors in the same speciality
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