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A 24-year-old male asked:

can anxiety cause problems even if ur heart never races. like can u have anxiety issue without rapid heart rate or panic attack?

1 doctor answer4 doctors weighed in
Dr. Pamela Pappas
Psychiatry 42 years experience
Yes you can: Some anxiety manifests more in worrying, tension, insomnia, etc, rather than physical symptoms like fast heart rate. Physical symptoms like that and others (including fatigue and headache) are still very common. You don't have to have panic attacks for anxiety to bother you either. Help is available if you work with a psychologist who understands these things, or a psychiatrist too.

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A 38-year-old member asked:

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A 32-year-old female asked:

If not treated, can severe sleep apnea damage heart enough to cause significant drop in left ventricle ejection fracture? In 1 yr from over 50% to 12%

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Dr. Pavel Conovalciuc
Family Medicine 23 years experience
Possibly but...: Severe sleep apnea typically leads to raised pressure in the pulmonary artery which in turn causes increase in pressure in the right ventricle. When talking about ejection fraction, it is usually referred to the left ventricle that is responsible for blood distribution. Right heart failure may lead to left heart (ventricle) failure. Also, sa may contribute to hypertension that may cause ef decline.

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Last updated Sep 4, 2015

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