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Doctor insights on: Abnormal Ekg While Having Panic Attack

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Went to er with panic attack, EKG normal. Had panic attack again, this time I saw automatic interpretation say abnormal EKG. Is this very bad?

Went to er with panic attack, EKG normal. Had panic attack again, this time I saw automatic interpretation say abnormal EKG. Is this very bad?

Not necessarily: The automatic printouts for EKG indicates "abnormal" for many reasons including tachycardia (increased heart rate) which is a major symptom of an anxiety attack and not bad in and of itself unless persistent ...Read more

Dr. Cornelius O'leary jr
3 doctors shared insights

Electrocardiogram (Definition)

Electrocardiogram (ecg, ekg) is a print-out of the electrical forces detected by electrodes on the chest wall, as electricity travels through the heart with each heart beat. The electrodes are placed in different positions, and each position "sees" the electrical activity of the heart from its own vantage point. Abnormalities in signal detected at chest surface ...Read more


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If you're having anxiety/panic attack while having an EKG, can this cause EKG to be off or abnormal?

If you're having anxiety/panic attack while having an EKG, can this cause EKG to be off or abnormal?

Only if arrhythmia: The only way the EKG can be off is if you are experiencing an arrhythmia. Sometimes, the arrhythmia can lead to an anxiety or panic attack, but the reverse is not true. (Association does not imply causation). Anxiety is state of mind which can be brought about because of changes in the body, but most often because of changes in perception (or how your brain perceives things). Discuss with your doc ...Read more

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Hi, I went to the hospital after having a panic attack with irregular fast heartbeats. At hospital I had an EKG that turned out to be abnormal with the mention of 743: Possible inferior infarction III aVF After that cardiologist made me do a stress te

Hi,

I went to the hospital after having a panic attack with irregular fast heartbeats. At hospital I had an EKG that turned out to be abnormal with the mention of 743: Possible inferior infarction III aVF

After that cardiologist made me do a stress te

Mi: The issue here is you are 26yrs looking old and the likelihood of heart attack is less. I am curious on what the St segments looked like in the ekg for someone your age. Seems you might have partied too much to the point you got atrial fibrillation. They probably did cardiac enzymes and re commended stress tests as outpatient study ...Read more

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Can anxiety cause slight T wave inversion? I ve had around 30 ECG during the last 6 months (everytime it was because I went to the ER after having a panic attack and feeling of irregular heartbeat). 28 times i ve had normal ECG but 2 times i ve had what

Can anxiety cause slight T wave inversion?

I ve had around 30 ECG during the last 6 months (everytime it was because I went to the ER after having a panic attack and feeling of irregular heartbeat). 28 times i ve had normal ECG but 2 times i ve had what

Unlikely: T waves are usually inverted in aVR and often leads III, aVL, aVF & V1, An inverted t wave in any single lead is considered a "normal variant." Anxiety doesn't cause T wave inversion but, in your case, it is causing multiple ER visits & EKG's and probably more anxiety. You sound miserable but what you need is appropriate & aggressive treatment for your anxiety, not more EKGs. ...Read more

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2 separate ekg's, 1st- "r wave progression anterior leads" 2nd- "nonspecific t abnormalities lateral leads". Panic attack during both-did that affect?

Panic attack and EKG: EKG abnormalities can be induced by anxiety attacks. Especially if you hyperventilate during them. So if during your attacks you feel numb and tingling around your mouth and lips then get a paper bag and re-breath into it for a few minutes and the numbness/tingling and EKG changes may go away. These symptoms are related to hyperventilation changing blood chemistry. Do the bag to see if it helps. ...Read more

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I had an EKG test 6 months ago due to a panic attack. It came back normal. I still have chest sensations/feelings that do not cause pain. Is itanxiety?

I had an EKG test 6 months ago due to a panic attack. It came back normal. I still have chest sensations/feelings that do not cause pain. Is itanxiety?

It could well be: Anxiety causes many types of physical sensations, and many people fear that these mean heart disease. So it's a good idea to check that out with your physician. However, you're 24 and had a normal ekg. What did your doctor say to you about this? Hoping s/he spoke with you about how the mind and body are interwoven, sometimes inflaming worry -- and how working with a psychotherapist can help! ...Read more

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I have recently developed panic attack symptoms... I have had it for about 6 days straight now. On and off. I had an EKG done for maybe 10 to 20 seco?

I have recently developed panic attack symptoms... I have had it for about 6 days straight now. On and off. I had an EKG done for maybe 10 to 20 seco?

Panic attacks: If tests on your heart are normal, it could be panic attacks. Panic attacks are emotional reactions. It causes the person to breath in a shallow way depriving the body of oxygen. Key is to practice deep breathing and breath deeply when having an attack. See a terapist to help you learn techniques and find the source of the panic. Learn relaxation techniques. ...Read more

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Last night had a horrible panic attack with chest pains ambulance came and did a EKG they said nothing wrong but my qrs duration is 102ms is this ok?

Yes: "Panic attacks" do not cause any significant cardiac abnormalities, and the qrs duration you mentioned is not significantly prolonged. You might want to ask your doctor to consider ordering a 24-hour cardiac (holter) monitor or 2 week "event monitor" to see if they can record any arrhythmia that may be causing your panic attacks. ...Read more

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I had an ekg because I'm having heart flutters. I have panic attacks but what would have made "widespread changes " in my ekg?

I had an ekg because I'm having heart flutters. I have panic attacks but what would have made "widespread changes " in my ekg?

What ARE the changes: It really depends on what these changes are ... some are more worrisome than others. The word "widespread" would mean that the changes are seen in multiple leads suggesting that the finding is seen in multiple areas of your heart. But what the changes are...t wave inversion, ST depression, etc is much more relevant. It may mean nothing much or need further testing. Ask your doctor to interpret. ...Read more

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Had an EKG about 8 months ago. Was perfect. Lately-feeling nervousnes, rapid heartbeat, suddennfear of choking, ect. They said it was panic attacks?

Had an EKG about 8 months ago. Was perfect.  Lately-feeling nervousnes, rapid heartbeat, suddennfear of choking, ect.  They said it was panic attacks?

Quite possibly: How bad? Had it before? A panic attack = feeling scared to death. It is an abrupt onset of panic or dysphoria w/ autonomic activation (rapid heartrate, shortness of breath, nausea, sense of choking, cold sweat, etc). Try breathing slowly &/or breathing into a paper bag (in case you're hyperventilating). It usually dissipates in a few minutes but may recur. ...Read more

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Normal EKG. But still have chest pains and shoulder pains. Had a really sever panic attack 3 days ago could that be it? Haven't had one since that day.

Yes it is possible: Panic attacks are known to produce muscle spasms due to your body tensing up. If this condition persist seek a physician or therapist to rule out things such as stress, heart disease and other medical factors., ...Read more

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Why at 39 would I start all of a sudden having panic attacks never before now only depression? I've had EKG, lab it's all been normal. Very scared!

Why at 39 would I start all of a sudden having panic attacks never before now only depression? I've had EKG, lab it's all been normal. Very scared!

Similar: Panic attacks and depression have similar underlying facets, chemically and dynamically. The treatment is also similar — for example the antidepressants are used for panic. Panics can be very frightening but they will not likely kill you - ...Read more

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Heart rate of 180 has been recorded on EKG, twice now. Thought SVT but not, P waves are present. Calling it ST/ panic attacks. I'm not buying it!!?

Heart rate of 180 has been recorded on EKG, twice now. Thought SVT but not, P waves are present. Calling it ST/ panic attacks. I'm not buying it!!?

P waves and SVT: P waves can be present with an SVT that isn't sinus tach but if you have an ECG that shows sinus tach then. Well you've kinda got your diagnosis. It is unusual though and while I don't usually suggest something like this it would be worthwhile to have a cardiologist take a closer look (assuming that hasn't happened already). ...Read more

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Ekg normal. I get light-headed nauseous my heart races and feel like passing out, I don't though. Is this a panic attack?

Not enough Info: This could be, but it could also be related to low blood sugar or some other condition. Panic attacks begin and end usually within 15-20 minutes and are not triggered by external events. To rule in Panic Attacks, one needs to be thoroughly evaluated by a physician and a therapist, who use medical and psychological tests to make a diagnosis. Panic Attacks are very treatable. ...Read more

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I'm suffering from anxiety and panic attacks. I got my heart checked (ecg, ekg, and stress test) the results were perfect. But i still get chest pains.

I'm suffering from anxiety and panic attacks. I got my heart checked (ecg, ekg, and stress test) the results were perfect. But i still get chest pains.

CP happens with it: Chest pain is often a symptom of anxiety. Anxiety can mimic other physical and psychiatric problems. Monitor your breathing at the onset of chest pain, and take control with slow deep diaphragmatic breathing. Smoking makes anxiety symptoms worse. Tthis could result from heartburn from GI sources, especially with fatty & spicey foods. Medications and CBT psychotherapy help anxiety. ...Read more

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Suffer from panic attacks think I'm having heart attack doctor says EKG and blood work were fine could i still have one? 28yr old female

Suffer from panic attacks think I'm having heart attack doctor says EKG and blood work were fine could i still have one? 28yr old female

Quieting What-Ifs: Many young kids are afraid of monsters. We know it's pointless to try to convince them that monsters exist only in their imaginations. In ur case, it's like u've got a child next to u living in fear of u having a heart attack. A psychologist specializing in treatment of anxiety &panic can teach u how 2quiet this child, so to speak. Educate urself about anxiety & panic. See http://www.Anxietybc. Org. ...Read more

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Can your left arm go numb during a panic attack? I just been to a cardiologist and had BP echo EKG stress test and everything came back normal

Can your left arm go numb during a panic attack?  I just been to a cardiologist and had BP echo EKG stress test and everything came back normal

Yes: Yes, your arm can go numbed during a panic attack. In fact, a panic attack can frequently simulate a heart attack. Furthermore, your ager does not fit with someone with coronary disease. ...Read more

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Had EKG during panic attack- "tachycardia V rate over 99- consider anterior infarct, diminished r<0.15mV V3" cardio says im ok- was this heart attack?

Had EKG during panic attack- "tachycardia V rate over 99- consider anterior infarct, diminished r<0.15mV V3" cardio says im ok- was this heart attack?

No: If it was a cardiac event, they'd certainly have identified it. You need to trust your Dr. If you don't, work toward it. It will be a big help to both of you. ...Read more

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What too do about panic attacks? I thought I was having a heart attack I went to er they said my ekg was normal and so are my lungs I still get panicy

What too do about panic attacks? I thought I was having a heart attack I went to er they said my ekg was normal and so are my lungs I still get panicy

Panic vs. Heart: The symptoms for both MAY look the same. Please go to your doc to rule out any medical condition and then see a mental health pro who treats anxiety disorders. He/she can teach you strategies to deal w/panic if that is what's going on. Peace and good health. See www.relaxationresponse.org for some self-help. ...Read more

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I suffer from severe anxiety and panic attacks. My biggest triggers are heart palpitations. I have had a stress test, ekg, and two echocardiograms?

I suffer from severe anxiety and panic attacks.  My biggest triggers are heart palpitations. I have had a stress test, ekg, and two echocardiograms?

Symptom, not trigger: The trigger would be the initial circumstance that you react to — like public contact, being alone, taking school test or medical exam, etc., etc. Your heart is a symptom site. Consider a CBT therapist to learn skills to manage and avoid anxiety. As a young man, you'll get a lifetime of benefit! ...Read more

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Can chest wall pain wake You up from sleep frim sleep and cause me to be short of breath like a panic attack had Ekg ECG x Ray all fine and blood test?

Can chest wall pain wake You up from sleep frim sleep and cause me to be short of breath like a panic attack had Ekg ECG x Ray all fine and blood test?

Night terror: If you're having chestpain waking you up from sleep with negative cardiac work up, need to see your psychiatriast to ensure adequate management of your anxiety/ panic attacks ...Read more

Panic (Definition)

Panic is a psychological and somatic state of anxiety usually involving extreme fear, characterized by symptoms such as shortness of breath, rapid pounding heartbeat, sometimes dizziness or light-headedness, tunnel vision, a sense of unreality, and a feeling of needing to escape from ...Read more


Dr. Rick Koch
64 doctors shared insights

Abnormal Electrocardiogram (Definition)

Abnormal electrocardiogram (EKG or ECG) is a test result in which the EKG recording of the heart's electrical activity shows problems such as rhythm problems, extra beats, skipped beats, fluid around the heart, ...Read more