A member asked:

How can i differentiate panic attacks or anxiety from heart attack if they have the same symptoms?normal 2decho jan 2013, ecg, threadmill stress test

7 doctors weighed in across 4 answers
Dr. Heidi Fowler answered

Specializes in Psychiatry

Can be hard.: Panic attacks can develop rapidly ; include: marked anxiety; rapid, pounding heart beat; chest tightness or pain; shortness of breath with hyperventilation; hot or cold flashes; a sense of butterflies in the stomach, nausea or even vomiting; tingling of mouth or extremities; increased sweating; feeling faint or lightheaded; headache or shaking. there may be difficulty swallowing or tight throat.

Answered 10/5/2013

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At your age: With above normal studies, you are not having or are not going to have a heart attack anytime soon. Take care of yourself and your anxiety disorder. Keep a healthy life exercising and eating healthy. Good luck.

Answered 11/28/2017

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Dr. Ivan Ip answered

Can be hard: You are right, the symptoms are similar. But with normal echo, ekg, and stress tests, it's quite reassuring that from the heart perspective.

Answered 10/5/2013

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SCARED?: You sound like excess anxiety and panic attacks have you worried. Unless you have a pretty specific defect a heart attack is unlikely to be a danger. However, the emotions are giving you some real distress. Getting help when youre not doing well alone is perfectly honorable and really makes sense. Anxiety and panic can be controlled. Psychotherapy and meds will do the best job. Good luck!

Answered 4/3/2019

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