The physical symptoms of a panic attack are caused by your body going into "fight or flight" mode. As your body tries to take in more oxygen, your breathing quickens. Your body also releases hormones, such as adrenaline, causing your heart to beat faster and your muscles to tense up.
Cardiophobia is defined as an anxiety disorder of persons characterized by repeated complaints of chest pain, heart palpitations, and other somatic sensations accompanied by fears of having a heart attack and of dying.
The difference is that, when extra heartbeats in the upper and lower chambers are the cause of abnormal rhythm, symptoms may feel like an initial skip or hard thumping beat followed by a racing heart. When anxiety is the trigger, heart rate typically increases steadily rather than suddenly.
Heart Palpitations and Anxiety. Heart palpitations due to anxiety feel like your heart is racing, fluttering, pounding or skipping a beat. Your heartbeat can increase in response to specific stressful situations. You may also have palpitations due to an anxiety disorder (excessive or persistent worry).
The Effect of Anxiety on the Heart
Rapid heart rate (tachycardia) – In serious cases, can interfere with normal heart function and increase the risk of sudden cardiac arrest. Increased blood pressure – If chronic, can lead to coronary disease, weakening of the heart muscle, and heart failure.
Chest pain, chest tightness, chest pressure and chest discomfort (angina) Shortness of breath. Pain in the neck, jaw, throat, upper belly area or back. Pain, numbness, weakness or coldness in the legs or arms if the blood vessels in those body areas are narrowed.
Wearable ECGs, such as those found in smartwatches and mobile apps, have recently become popular among patients. These ECGs can be applied to manage patients with anxiety, as they have been used to detect, monitor, and reduce symptoms of anxiety disorders.
You may have trouble breathing, an irregular heartbeat, swollen legs, neck veins that stick out, and sounds from fluid built up in your lungs. Your doctor will check for these and other signs of heart failure. A test called an echocardiogram is often the best test to diagnose your heart failure.
Palpitations are characterized as a general or heightened awareness of your own heartbeat – whether it's too fast, too slow, or otherwise irregular. You might feel like your heart is thumping, racing, or fluttering. And you could feel this sensation in your chest or your neck.
Chest tightness is more likely to occur when anxiety or stress comes on suddenly rather than building gradually. If you are experiencing any chest pain for the first time, you should immediately seek professional medical help to ensure an accurate diagnosis and treatment.
When you're anxious, your brain sends a surge of adrenaline and cortisol through your body. These hormones immediately trigger a rapid rise in your heart rate and blood pressure. As a result, many people experience chest pain and sweating, or have a hard time breathing.
Look around you and name three things you see. Then, name three sounds you hear. Finally, move three parts of your body — your ankle, fingers, or arm. Whenever you feel your brain going 100 miles per hour, this mental trick can help center your mind, bringing you back to the present moment, Chansky says.
You may have a perfectly normal ECG, yet still have a heart condition. If your test is normal but your doctor suspects that you have a heart problem, he may recommend that you have another ECG, or a different type of test to find out for sure.
An ECG can help detect problems with your heart rate or heart rhythm. It can help doctors tell if you're having a heart attack or if you've had a heart attack in the past. An ECG is usually one of the first heart tests you will have. It does have some limitations, so often you will have one or more other tests too.
An electrocardiogram (ECG) is a simple, non-invasive test that records the electrical activity of the heart. An ECG can help diagnose certain heart conditions, including abnormal heart rhythms and coronary heart disease (heart attack and angina).
In general, though, anxiety chest pain may feel like: Tension, tightness, and pressure: You might experience a mild, constant tightness or a sudden, intense tightness in your chest. You may also feel like it's difficult to breathe or that your heart is beating out of your chest.
Anxiety or stress is the root of most chest butterflies—also referred to as heart palpitations—and they can stimulate a surge of adrenaline in the body. The adrenaline rush then produces a faster and stronger than normal heartbeat. That's when you get the feeling of a butterfly or flutter in the chest.
Possible causes of anxiety can include genetics, stressful situations, previous traumas, medications, and physical health issues. Not all of the things that cause anxiety are obvious or observable in your daily life. Whatever the cause of your anxiety, know that support is available.
In most cases, anxiety chest pain will develop quickly and then fade somewhat rapidly. If a person's chest pain is not going away or if it is increasing gradually, this may be a sign of a heart attack. If this happens, they should get medical attention as soon as possible.