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Heart Palpitations

Anxiety and heart palpitations

Understanding Heart Palpitations in Anxiety and Panic Disorders


Heart palpitations, described as the sensation of the heart racing, pounding, or skipping beats, are a frequent symptom experienced during anxiety and panic attacks. These palpitations can be alarming, but they're usually harmless and indicative of the body's response to stress.

The Link between Anxiety and Heart Palpitations

  1. Fight-or-Flight Response: Anxiety triggers the body's fight-or-flight response, a primitive mechanism designed to prepare the body to confront or flee from perceived danger. This response causes the release of adrenaline, a hormone that significantly affects the heart.

  2. Adrenaline and the Heart: Adrenaline increases heart rate, strengthens heart contractions, and raises blood pressure, leading to palpitations. These changes enable the body to respond quickly in a stressful situation but can be distressing when there's no real threat.

How Panic Attacks Amplify Palpitations

  1. Intensified Fight-or-Flight Response: During a panic attack, the body's response is heightened, causing more significant increases in adrenaline and more pronounced heart palpitations.

  2. Hyperventilation Effect: Panic attacks often involve hyperventilation, which can reduce carbon dioxide levels in the blood, causing symptoms like dizziness, lightheadedness, and palpitations.

The Role of Psychological Factors

  1. Heightened Awareness: People with anxiety disorders often have an increased awareness of their bodily sensations. This heightened sensitivity can make the experience of heart palpitations more noticeable and distressing.

  2. Fear of Heart Problems: The fear that palpitations indicate a heart problem can exacerbate anxiety, creating a vicious cycle.

Josh's Experience with Heart Palpitations

When to Seek Medical Attention


Although palpitations associated with anxiety are typically harmless, it's crucial to rule out underlying medical conditions. Consult a healthcare professional if:

  • Palpitations are accompanied by chest pain, shortness of breath, or fainting.

  • There's a history of heart disease.

  • Palpitations occur frequently and without obvious triggers.

Understanding the link between anxiety, panic attacks, and heart palpitations can help individuals manage their symptoms more effectively. While these sensations can be alarming, they are generally a normal physiological response to stress. Managing anxiety and stress through relaxation techniques, therapy, and, if necessary, medication, can help reduce the frequency and intensity of palpitations.

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