Are panic attacks a sign of heart disease?

Hello,

Welcome to icliniq.com.

I appreciate you and have thoroughly reviewed your case. I fully understand the sensitivity of the issues you are experiencing right now. My discussion today will primarily consist of reassurance and explaining things in the best possible way for easy understanding. The issues you have described do not warrant an emergency room visit for the suspicion of a heart attack. Instead, they are more consistent with anxiety and panic disorders. The tightness you feel in your back after a workout is not related to a heart attack. Many of my patients with the same issue have improved once they started working under the proper guidance of a gym instructor. I suggest the same for you, and you will likely feel better in no time.

You need to ensure that your diet is rich in nutrients and that you are consuming plenty of fluids, as this is crucial during workouts. When our muscles receive fewer nutrients and fluids than required, they can become stiffer. Muscles work optimally when they are bathed in a healthy pool of nutrients, fluids, and electrolytes. Your cardiologist has done a good job, and all necessary tests have been completed previously. I am glad to inform you that there was nothing concerning. You are fortunate to have healthy heart muscles and blood vessels. You should consult a psychiatrist to address your fear of heart disease. This is manageable, and a psychiatrist is trained to treat such issues successfully.

You are not alone in experiencing these kinds of symptoms. Many females in your age group encounter similar issues, which can be effectively managed once we overcome the anxiety and panic associated with fearing something wrong with our hearts. You need to monitor your caffeine intake and gradually reduce it. Avoid junk food, fried foods, caffeinated drinks, carbonated beverages, and energy drinks. Maintain a balanced lifestyle with proper hygiene and sleep. If you would like me to comment on the laboratory reports from your previous visits, please upload them in a query to me. I will be happy to review them and see what is going on. If you have not done so previously, I am also interested in having some of your laboratory tests done, such as serum glucose and HbA1c levels, fasting serum lipid profile, thyroid profile, and serum electrolytes. It is important to rule out the possibility of disorders that may contribute to your symptoms and potentially cause heart issues in the future.

I hope this helps.

Thank you.

Hello,

Welcome back to icliniq.com.

Heart attacks are more commonly associated with males, and females experience them less often. Given your symptoms, this type of pain is not typical of a heart attack. You have been thoroughly evaluated during your recent emergency room visits. If there had been any abnormalities in the heart's blood vessels or musculature, they would have been indicated in the reports. Please try to overcome any anxiety related to your heart health, as this will greatly assist you in pursuing a healthy lifestyle.

Yes, coronary CT (computed tomography) angiography is sensitive and specific enough to rule out abnormalities, so you can rest assured and leave the rest to our treating doctors. Try not to panic, and enjoy your daily routines. Valve or rhythm issues can be ruled out through physical examination, EKG (electrocardiogram), and various other evaluations conducted during emergency room visits. Therefore, I can confidently say that you likely do not have any valvular heart disease or rhythm issues.

I hope this helps.

Thank you.