Does panic attack cause sharp chest pain?

Question

Hi doctor,

I am 27 years old. I had sharp chest pain on the bus. I suddenly got off the bus and rushed to a local doctor. My BP was 150/90, and my heartbeat was 140 bpm. Then the doctor checked my ECG, and he said it was due to the acidity that I got pain. I have gone through TMT also and got a negative result. The next day, I was rushed to another hospital, and the doctor did a series of tests. He also concluded the same thing. I was very anxious because it happened for the first time in my life. I was worried whether I would have a heart attack in the next few days and always kept thinking the same.

The doctor suggested that I consult a psychiatrist. Psychiatrists termed it a panic attack. Nowadays, I am trying not to get anxious and not to worry about that. Currently, I am taking the acidity tablet twice weekly. But I still get some sharp pain in the chest. I do not know the reason, and it leads to negative thinking. So, I need your suggestion on this matter.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

Please give me some more information regarding your illness of sharp chest pain so that I can help you better. Did you feel suffocated on the bus, with a sort of air hunger (feeling of insufficient oxygen)? Did you feel something was going to happen to you? Is there any family history of heart disease? How active are you? Do you exercise regularly? Your tests are essentially normal. Kindly answer these clarifications. After that, I will send you a detailed answer as to how you should tackle this problem. I am sure you will be fine.

Please revert so I can assist you further.

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I have reviewed your case. You seem to have had an episode of panic attack, which is common in youngsters. Your body weight appears fine. As of now, there is no reason to worry, and further tests are not warranted. Your cholesterol levels are fine, and the echocardiography report is normal. If you have further symptoms, I would suggest you take the tablet Propranolol 10 mg twice daily in consultation with your GP.

I would suggest you engage in regular exercises, especially walking or jogging, to be with. Once your stamina improves, you will feel better. Meditation or yoga would also be of help if you can find a suitable instructor. Considering your overall clinical situation, I would like to reassure you that your condition will definitely get better.

I hope this helps.

Please revert so I can assist you further.

Thank you.