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Can anxiety cause palpitations?

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

Patient's Query

Hello doctor,

Earlier this year, I experienced an episode of severe palpitations, after which I underwent an ECG, 2D echocardiogram, stress test, and troponin test. All results were normal. I have been experiencing intermittent chest, neck, and back pain for the past two years. The doctor prescribed Nebivolol 5 mg, which he recently reduced to 2.5 mg. Both cardiologists I consulted ruled out the possibility of a cardiac problem. I tend to be prone to anxiety and often fear that I may die from a heart attack. My thoughts about death have increased over the past two weeks. My resting pulse rate seems to be between 55 and 65 bpm and does not rise above 80 bpm, even while walking. The chest, neck, and back pain still persist. At times, I feel dizzy, weak, and occasionally short of breath.

Please help.

Answered by Dr. Isaac Gana

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

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

Hello,

Welcome to icliniq.com.

I understand your concern.

Anxiety is widespread among healthy young adults these days. Most often, palpitations are not a result of a heart problem. I usually advise my patients to engage in exercises like yoga or deep breathing techniques. Getting adequate sleep—around six to seven hours—while avoiding coffee, alcohol, and smoking will help improve your situation. If you stick to these changes, you should see improvement in four to six weeks. If you do not feel better, you may need to consult a psychologist.

Best regards.

Answered by Dr. Isaac Gana
Medically reviewed by Dr. K. Shobana
Published At September 5, 2017
Reviewed At October 18, 2024

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

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

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.

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

Education:

MD

Professional Bio:

Dr. Isaac Gana is a well-experienced Cardiologist with extensive expertise in diagnosing, treating, and managing cardiovascular diseases. He is dedicated to providing comprehensive cardiac care through advanced diagnostic techniques, preventive strategies, and evidence-based treatments. With a patient-focused approach, Dr. Gana emphasizes early detection, lifestyle modification, and personalized therapies to improve heart health and overall well-being.

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

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