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A 18-year-old female asked:

i've been waking up with a rapid heart beat recently. i have anxiety so is it related to that or a physical condition?

5 doctor answers9 doctors weighed in
Dr. Heidi Fowler
Psychiatry 25 years experience
Can't answer: that with the available info. Medical causes would need to be ruled out before it could be attributed to anxiety.
Dr. Douglas Bey
Psychiatry 57 years experience
Likely anxiety but..: Have to have a medical work up to be positive. Sometimes when pts take anxiolytic Meds in the pm the drugs are out of their systems in the am and they are anxious when they awaken
Dr. Robert Uyeda
General Surgery 45 years experience
Physical: abnormalities need to be excluded before you can ascribe rapid heart beat to anxiety alone. You will need to have EKG monitoring during these attacks, which usually requires 24 hour ambulatory monitoring. Certain electrical conduction abnormalities could predispose you to cardiac arrest, so you need to see a doctor for accurate diagnosis.
Dr. Jeffrey Bassman
Dentistry 45 years experience
See a Dr. asap: This is an issue that really can't be answered on a website. i would see a Dr. asap to check you out. It will help your anxiety too if you at least know what your health/medical report will be.
Dr. Anthony Vita
Specializes in Psychiatry
Full medical work-up: Any anxiety symptoms, including rapid heart beat and panic attacks, MUST have a full medical work-up before being labeled "anxiety". Special attention should be paid to cardiac, pulmonary and thyroid issues, but all systems should be examined. Excessive caffeine and tobacco are often problems. You are young so anxiety is most likely but a full eval is necessary. Best!!

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Last updated Sep 28, 2016

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