Can anxiety cause palpitations and shortness of breath?

Question

Hello doctor,

I have been experiencing heart palpitations (especially when I lie down or engage in physical activity), shortness of breath, and tachycardia for the past three months. I am taking Propranolol (20 mg per day) for this, which has helped control the tachycardia to some extent. My condition worsens during stress. In my opinion, I might have mitral valve stenosis. What is your opinion regarding my condition?

Please advise.

Answer 1

Hello,

Welcome to icliniq.com.

It seems to be due to anxiety. To rule out any valvular disorder, the cardiologist will carefully auscultate your heart. If any abnormal sounds are detected, he may advise an echocardiogram; otherwise, no further tests may be needed. Regarding palpitations, it is better to have an ECG (electrocardiogram) done during symptoms, or alternatively, a 24-hour ECG may be performed. Avoid stress and anxiety, engage in regular exercise or brisk walking, and reduce weight if you are overweight. Avoid addictive habits. Cut down on tea and coffee. Deep breathing exercises are helpful for reducing anxiety; try to wake up early in the morning and do them before or after your prayer.

Thanks and regards.